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
HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1, STU Release 2
Balloted Draft
Production
 Rating 2
No
Free
Yes
Standard
HL7 FHIR Profile: Quality (QI Core), DSTU Release 1
Balloted Draft
Pilot
 Rating 1
No
Free
Yes
Standard
HL7 Version 3 Standard: Decision Support Service, Release 2
Balloted Draft
Pilot
 Rating 1
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
 Rating 2
No
Free
No
Implementation Specification
HL7 FHIR Implementation Guide: Clinical Quality Framework (CQF on FHIR), DSTU Release 1
Balloted Draft
Pilot
 Rating 1
No
Free
Yes
Emerging Standard
HL7 FHIR Profiles: Quality Improvement Core (QI Core), Release 2
Balloted Draft
Pilot
 Rating 1
No
Free
Yes
Emerging Implementation Specification
HL7 Fast Healthcare Interoperability Resources (FHIR) Clinical Reasoning STU Release 3
Balloted Draft
Pilot
 Rating 1
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

Submitted by pwilson@ncpdp.org on 2017-11-20

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).