Clinical Decision Support (CDS) is the user facing representation of clinical guidance. Effective CDS interventions require availability of computable biomedical knowledge, person-specific data, and a reasoning or inference mechanism that combines these elements to generate and present helpful and actionable information to clinicians, individuals, or caregivers in the right way – at the right time. In order to optimize these benefits, CDS interventions must be made more easily shareable and implementable so that any organization can easily acquire and deploy CDS interventions. To this end, standards must be advanced to enable either the routine or regular consumption of CDS interventions through a Web service or the repeated import and update of CDS artifacts into CDS systems.
To identify, define and harmonize standards that facilitate the emergence of systems and services whereby shareable CDS interventions can be implemented via:
In order to facilitate integration of a system with CDS interventions, the scope includes standards to refer to data in electronic health records and standards to map recommendations to locally implementable actions.
Health information technologies designed to improve clinical decision making are particularly attractive for their ability to address the growing information overload clinicians face and to provide a platform for rapidly incorporating knowledge into care delivery.
Standardized expressions of Clinical Decision Support have a number of important benefits including:
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.
IG Artifact | Date Uploaded | Description |
Balloted DSS IG R1 | 9/3/2013 | Final DSS IG Release 1 submitted to HL7 ballot on 8/31 |
Balloted vMR Templates IG R1 | 9/2/2013 | Final vMR Templates IG Release 1 submitted to HL7 ballot on 8/31 |
Balloted vMR XML IG R1 | 9/2/2013 | Final vMR XML IG Release 1 submitted to HL7 ballot on 9/2 |
Balloted vMR Logical Model Release 2 | 9/2/2013 | Final vMR Logical Model R2 submitted to HL7 ballot on 8/31 |
Balloted vMR Logical Model Release 2 Supplementary Files | 9/2/2013 | Supplementary files submitted for HL7 ballot with vMR Logical Model R2 on 8/31 |
DSS Standard, Release 2 | 9/2/2013 | Final DSS Standard R2 submitted to HL7 ballot on 8/4 |
CDS Knowledge Artifact, Release 1 | 9/2/2013 | Final CDS Knowledge Artifact R1 submitted to HL7 ballot on 8/4 |
HL7 Artifact | Intended Use | Description | Use Case |
HL7 Implementation Guide: Clinical Decision Support (CDS) Knowledge Artifact Implementations, Release 1.1 (Draft Standard for Trial Use – DSTU) | CDS artifact implementers and users | XML 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 users | Implementation guide for delivering CDS guidance as a Web service | Use Case 2: Decision Support Service Implementation Guide |
Virtual Medical Record (vMR) Logical Model Release 2 (DSTU) | Implementers and users of CDS artifacts and guidance services | UML data model for the CDS domain. Used by the CDS Knowledge Artifact and Decision Support Service Implementation Guides | Use 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 services | XML schema derived from the vMR Logical Model. Used by the CDS Knowledge Artifact and Decision Support Service Implementation Guides | Use 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 Guides | Use 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 users | Defines a Web service framework for CDS guidance services, including SOAP and REST interfaces. Used by Decision Support Service Implementation Guide | Use Case 2: Decision Support Service Implementation Guide |
Updated version of the deliverables and timeline can be found on the Health eDecisions Homepage
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