Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 51 8 2013 08 15 548 553 EN Radin Maheronnaghsh Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Saeed Nezareh Digital Preservation Laboratory in Central Library, Tehran, Iran. Mohammad-Kazem Sayyah Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Vafa Rahimi-Movaghar Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 11 The issue of medical errors is currently a global concern which places a heavy financial and emotional burden on communities. A clinical decision support system (CDSS) is an electronic system designed to support clinical decision making. Considering the increasing importance and use of Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT), we developed SNOMED-CT to implement it more efficiently in making smart history taking, decisions to perform lab tests and imaging, diagnosis and recommendations. To evaluate these capabilities in real clinical problems, a new CDSS was compiled, aimed at supporting decisions on patients with a chief complaint of low back pain (LBP). A number of LBP differential diagnoses as well as some recommended indications and contraindications published by guidelines, were inputted to the database. Future software based on this model would help physicians to do necessary assessments and recommendations and might improve patients' safety. https://acta.tums.ac.ir/index.php/acta/article/view/4394 https://acta.tums.ac.ir/index.php/acta/article/download/4394/4281