{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T22:39:07Z","timestamp":1779403147711,"version":"3.53.1"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643686615","type":"electronic"}],"license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,21]]},"abstract":"<jats:p>Emergency Departments (ED) require rapid differentiation of time-sensitive critical conditions. We present a dynamic Clinical Decision Support System (CDSS) utilizing a Time-Aware Retrieval-Augmented Generation (RAG) framework. In a retrospective pilot study of 70 cases (Aortic Dissection, MI, Stroke, and Trauma Controls), the system\u2019s Top-1 diagnostic accuracy significantly improved from 69.5% (triage) to 86.7% (discharge). This validates the system\u2019s capability to integrate evolving FHIR data with clinical guidelines to reduce the diagnostic uncertainty.<\/jats:p>","DOI":"10.3233\/shti260216","type":"book-chapter","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T21:58:28Z","timestamp":1779400708000},"source":"Crossref","is-referenced-by-count":0,"title":["Modeling the Clinical Reasoning Workflow: A Dynamic, Time-Aware CDSS for the Emergency Department"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4710-864X","authenticated-orcid":false,"given":"Chaeyeon","family":"Park","sequence":"first","affiliation":[{"name":"Dept. of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanga","family":"Ahn","sequence":"additional","affiliation":[{"name":"Dept. of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansol","family":"Chang","sequence":"additional","affiliation":[{"name":"Dept. of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea"},{"name":"Samsung Medical Center, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wonchul","family":"Cha","sequence":"additional","affiliation":[{"name":"Dept. of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea"},{"name":"Samsung Medical Center, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2331-7644","authenticated-orcid":false,"given":"Junsang","family":"Yoo","sequence":"additional","affiliation":[{"name":"Dept. of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Opening the Personal Gate between Technology and Health Care"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI260216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T21:58:29Z","timestamp":1779400709000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI260216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,21]]},"ISBN":["9781643686615"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti260216","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,21]]}}}