Sharable Clinical Decision Support | Interoperability Standards Advisory (ISA)

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Federally required	Cost	Test Tool Availability
Standard	HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1, STU 2	Balloted Draft	Production	No	Free	Yes
Standard	HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1, STU 3	Balloted Draft	Production	No		Yes
Standard	HL7 FHIR Profile: Quality (QI Core), STU Release 3	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 3	Balloted Draft	Pilot	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).

Submitted by shellyspiro on 2018-10-01

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.

Submitted by vojtech_huser on 2018-10-01

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