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Focusing the S&I Framework community on Clinical Decision Support through the Health eDecisions Initiative will enable the translation of interventions into implementable components, increasing the speed and ease of adoption by the provider community.

 

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HL7 Artifacts

HL7 ArtifactIntended UseDescriptionUse Case
HL7 Implementation Guide: Clinical Decision Support (CDS) Knowledge Artifact Implementations, Release 1.1 (Draft Standard for Trial Use – DSTU)CDS artifact implementers and usersXML schema for representing CDS knowledge artifacts (rules, order sets, and documentation templates)Use Case 1: Clinical Decision Support Knowledge Artifact Implementation Guide
Decision Support Service Implementation Guide Release 1.1 (DSTU)CDS guidance service implementers and usersImplementation guide for delivering CDS guidance as a Web serviceUse Case 2: Decision Support Service Implementation Guide
Virtual Medical Record (vMR) Logical Model Release 2 (DSTU)Implementers and users of CDS artifacts and guidance servicesUML data model for the CDS domain. Used by the CDS Knowledge Artifact and Decision Support Service Implementation GuidesUse Case 1: Clinical Decision Support Knowledge Artifact Implementation Guide
Use Case 2: Decision Support Service Implementation Guide
vMR XML Specification Release 1 (DSTU)Implementers and users of CDS artifacts and guidance servicesXML schema derived from the vMR Logical Model. Used by the CDS Knowledge Artifact and Decision Support Service Implementation GuidesUse Case 1: Clinical Decision Support Knowledge Artifact Implementation Guide
Use Case 2: Decision Support Service Implementation Guide
vMR Templates Release 1 (DSTU)Implementers and users of CDS artifacts and guidance services]]Terminology bindings and other constraints placed on the vMR. Used by the CDS Knowledge Artifact and Decision Support Service Implementation GuidesUse Case 1: Clinical Decision Support Knowledge Artifact Implementation Guide
Use Case 2: Decision Support Service Implementation Guide
Decision Support Service Release 2 (DSTU)CDS guidance service implementers and usersDefines a Web service framework for CDS guidance services, including SOAP and REST interfaces. Used by Decision Support Service Implementation GuideUse Case 2: Decision Support Service Implementation Guide

 

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Target Outcomes

  • Alignment with Meaningful Use
    • The product of this initiative will help providers achieve meaningful use of HIT and their quality improvement goals through addressing a known barrier to CDS development, adoption, and implementation
  • Repositories or catalogues can emerge, supplied by a range of content creators such as societies or content vendors, whereby CDS artifacts can be selected and imported into HIT systems
    • Each intervention will represent a standardized expression of a guideline that can be accessed by EHR system developers and users to simplify the process of incorporating guidelines into EHRs
  • Clinical Decision Support Services can interact with EHRs and/or other Health Information Technology implementations
  • Alignment with other S&I Initiatives, e.g., Query Health (HQMF)
  • Close the gap between standard availability and widespread use/value
  • Perform outreach to medical professional societies and guidance authors to promote their development of CDS interventions in addition to traditional guideline publications

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