Contact Person

Dr. Peter Henning

Managing Editor

Phone: +49 (0)711 - 2 29 87 37
Fax: +49 (0)711 - 2 29 87 65
send an Email

Archive (2015–2005)

50 Years of Informatics Research on Decision Support: What’s Next

Journal: Methods of Information in Medicine
Subtitle: A journal stressing, for more than 50 years, the methodology and scientific fundamentals of organizing, representing and analyzing data, information and knowledge in biomedicine and health care
ISSN: 0026-1270
Issue: 2011 (Vol. 50): Issue 6 2011
Pages: 525-535

50 Years of Informatics Research on Decision Support: What’s Next

J. A. Mitchell (1), U. Gerdin (2), D. A. B. Lindberg (3), C. Lovis (4), F. J. Martin-Sanchez (5), R. A. Miller (6), E. H. Shortliffe (7), T.-Y. Leong (8)

(1) The University of Utah, Salt Lake City, UT, USA; (2) National Board of Health and Welfare, Regulations and Licenses, Terminology, Classifications and Informatics, Stockholm, Sweden; (3) National Library of Medicine, Bethesda, MD, USA; (4) University Hospitals of Geneva, Geneva, Switzerland; (5) The University of Melbourne, Melbourne, Victoria, Australia; (6) Vanderbilt University Medical Center, Nashville, TN, USA; (7) The University of Texas Health Science Center at Houston, TX, USA; (8) National University of Singapore, Singapore


Knowledge Representation, Information Retrieval, Education, personalized medicine, Decision support; standard vocabularies, genomic and clinical information, integrative system


Objectives: To reflect on the history, status, and future trends of decision support in health and biomedical informatics. To highlight the new challenges posed by the complexity and diversity of genomic and clinical domains. To examine the emerging paradigms for supporting cost-effective, personalized decision making. Methods: A group of international experts in health and biomedical informatics presented their views and discussed the challenges and issues on decision support at the Methods of Information in Medicine 50th anniversary symposium. The experts were invited to write short articles summarizing their thoughts and positions after the symposium. Results and Conclusions: The challenges posed by the complexity and diversity of the domain knowledge, system infrastructure, and usage pattern are highlighted. New requirements and computational paradigms for representing, using, and acquiring biomedical knowledge and healthcare protocols are proposed. The underlying common themes identified for developing next-generation decision support include incorporating lessons from history, uniform vocabularies, integrative interfaces, contextualized decisions, personalized recommendations, and adaptive solutions.

You may also be interested in...


A.-M. Rassinoux, Managing Editor for the IMIA Yearbook Section on Decision Support, Knowledge Representation and Management1

IMIA Yearbook 2008 3: 80-82


B. Brigl, Managing Editor for the IMIA Yearbook Section on Decision Support, Knowledge Representation and Management

IMIA Yearbook 2007 2: 87-88


R. A. Greenes, S. Panchanathan, V. Patel, H. Silverman, E. H. Shortliffe

IMIA Yearbook 2008 3: 150-156

Methods issue 4/2015

Elske Ammenwerth submitted the paper "Evidence-based Health Informatics: How Do We Know What...

Call for Papers

In the past few years the emergence of wearables and mobiles has leveraged the tracking and...

Methods issue 3/2015

The focus theme in this issue on "Biosignal Interpretation II – Advanced Methods for Studying...

Methods issue 2/2015

Over the past few years there has been an increasing interest in the application of Virtual Reality...

Methods issue 1/2015

In recent years, we have witnessed substantial progress in the use of clinical informatics systems...