Sharable Clinical Decision Support

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Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard
Balloted Draft
Production
Rating 3
No
Free
Yes
Standard
Balloted Draft
Production
Rating 3
No
Yes
Standard
Balloted Draft
Pilot
Rating 2
No
Free
Yes
Standard
Balloted Draft
Pilot
Rating 1
No
Free
No
Implementation Specification
Balloted Draft
Pilot
Rating 2
No
Free
No
Implementation Specification
Balloted Draft
Pilot
Rating 2
No
Free
Yes
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • See FHIR projects in the Interoperability Proving Ground.
  • Note that the maturity level of FHIR resources may vary. The FHIR Maturity Model and each of the levels is described on the HL7 wiki.
  • Feedback requested

Comment

NCPDP - Comments

  • The Drug Utilization Review segment within the NCPDP Telecommunication Standard Implementation Guide, Version D, Release 0 (Version D.0), August 2010, enables clinical decision support.  The Observation Segment within the NCPDP SCRIPT Standard, Implementation Guide, Version 10.6 enables clinical decision support (e.g. weight segment and diagnosis code).
  • NCPDP provides additional guidance and recommendations that enables clinical decision support. (e.g.: mL guidance document: NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications).

Pharmacy HIT Collaborative's Comments on ONC's Proposed 2018 ISA

The Pharmacy HIT Collaborative supports the addition of the balloted drafts of:  HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1, STU Release 2; HL7 FHIR Profile: Quality (QI Core), DSTU Release 1; HL7 Version 3 Standard: Decision Support Service, Release 2; HL7 Implementation Guide Clinical Decision Support Knowledge Artifact Implementation Guide, Release 1.3, Draft Standard Trial Use;  HL7 FHIR Implementation Guide: Clinical Quality Framework (CQF on FHIR), DSTU Release 1, HL7 FHIR Profiles: Quality Improvement Core (QI Core), Release 2; and HL7 Fast Healthcare Interoperability Resources (FHIR) Clinical Reasoning STU Release 3. 

feedback

consider the following text for Preconditions for Consideration:

AHRQ CDS Connect provides examples of shared CDS content and use of standards during authoring (CDS Connect Authoring Tool) 

reference https://cds.ahrq.gov/cdsconnect