Maintaining and governing a clinical decision support system is an extremely time consuming and daunting task. Common challenges that health care organizations face when managing clinical decision support include: maintaining a comprehensive listing of all clinical decision support artifacts that are being developed or are live in production; identifying interdependencies between clinical decision support artifacts and other artifacts, guidelines, terminologies, value sets, and other electronic health record build artifacts; tracking changes to decision support; and knowing when an artifact needs to be reviewed. A centralized clinical knowledge management system which catalogs clinical decision support artifacts is essential to successful clinical decision support governance and implementation, providing economies of scale, levels of abstraction, relationships, and processes which are difficult or impossible to accomplish using traditional content management and documentation tools.