Methods Inf Med 1993; 32(01): 01-08
DOI: 10.1055/s-0038-1634896
Original Article
Schattauer GmbH

Philosophies for the Design and Development of Clinical Decision-Support Systems

H. A. Heathfield
1   Medical Informatics Group, Computer Science, University of Manchester
J. Wyatt
2   Biomedical Informatics Unit, ICRF Laboratories, London, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
06 February 2018 (online)


Little significance is attached by medical informatics workers to the many practical issues which affect the development of clinical decision-support systems. We examine the current state of research in clinical decision-support, the characteristics and motivations of developers, and the perceptions of intended end-users. Factors which adversely affect the success of systems are highlighted and pointers to good practice discussed. We then propose a coherent approach to system development, consisting of requirements analysis, software design, implementation, testing, evaluation and maintenance.