Comment

AIRA Comments - Clinical Decision Support

AIRA proposes the addition of a new HL7-balloted Implementation guide for Immunization Decision Support Forecast (http://hl7.org/fhir/us/immds/). This emerging FHIR R4 standard has been balloted through HL7, published, and is in use in several pilots and/or proof of concepts. AIRA is happy to discuss in greater detail how to represent this new standard on the ISA. We believe this should fit nicely within Content/Structure or Services/Exchange Standards within their respective Clinical Decision Support sections.

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

 

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. 

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).