Sharable Clinical Decision Support

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Federally required	Cost	Test Tool Availability
Standard	HL7® Standard: Clinical Quality Language Specification, Release 1, R5 (CQL 1.5)	Final	Production	No	Free	Yes
Standard	HL7® FHIR® Profile: Quality (QI Core), STU 4	Balloted Draft	Pilot	No	Free	Yes
Standard	HL7® Version 3 Standard: Decision Support Service, Release 2	Balloted Draft	Pilot	No	Free	No
Implementation Specification	HL7® Implementation Guide: Clinical Decision Support Knowledge Artifact Implementation Guide, Release 1.3, Draft Standard for Trial Use	Balloted Draft	Pilot	No	Free	No
Implementation Specification	HL7® FHIR® Implementation Guide Clinical Reasoning Module, FHIR STU Release 4	Balloted Draft	Pilot	No	Free	Yes
Emerging Standard	FHIR Clinical Guidelines, STU 1	Balloted Draft	Pilot	No	Free	Yes

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
See FHIR projects in the Interoperability Proving Ground. Note that the FHIR Maturity Model and each of the levels is described on the HL7 wiki. Note that the HL7 Version 3 Standard: Decision Support Service and related implementation specifications are intended to be retired once equivalent functionality is available in the CDS Hooks specification.	Feedback requested

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