What specific integration hurdle necessitated the development of the CDW structure?
Answer
Aggregating information traditionally siloed across systems like Radiology and Pharmacy
A primary driver for the CDW's creation was the fragmentation of patient information across numerous, disparate clinical source systems within a single institution. Patient data often resided in silos specific to the Emergency Department, Inpatient Services, Radiology, and Pharmacy independently. This siloed existence made achieving a complete, longitudinal view of a patient impossible, thereby hindering quality improvement efforts and meaningful research that required cross-departmental data correlation.

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