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Difference between revisions of "Guidance Response FHIR Resource Proposal"

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<!-- For additional guidance on considerations for resource creation, refer to [[FHIR Resource Considerations]] -->
 
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=GuidanceResponse=
 
=GuidanceResponse=
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The GuidanceResponse resource provides a container to describe the results of a particular evaluation of a decision support artifact.
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The GuidanceResponse resource provides a container to describe the results of a particular evaluation of a decision support artifact. It is used to capture the results of the _evaluate_ operation of both the DecisionSupportRule and DecisionSupportServiceModule resources.
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In addition to describing the results of a decision support invocation, the resource supports the implementation of a conversational interface between decision support consumers and providers, allowing the provider to indicate that more data is required in order to achieve a correct evaluation, or that more data is requested in order to obtain a potentially more accurate result. This interface pattern supports a broad variety of decision support use cases, as well as enabling dynamic tuning of payload sizes to facilitate real-time clinical decision support.
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The resource is derived from both the [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=337 HL7 Standard: Clinical Decision Support Knowledge Artifact Specification] (specifically the _Action_ component) and the [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=12 HL7 Version 3 Standard: Decision Support Service (DSS), Release 2].
  
 
==Owning committee name==
 
==Owning committee name==
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As a rule, resources should encompass all of these aspects.
 
As a rule, resources should encompass all of these aspects.
 
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A GuidanceResponse is a structured representation of the result of an invocation of the _evaluate_ operation of both the DecisionSupportRule and DecisionSupportServiceModule resources. As with those resources, the GuidanceResponse is flexible enough to be used to describe behaviors for a broad range of decision support applications and could potentially be used in any discipline and locale. It is intended to be used by Decision Support Service Provides as part of the public interface for their service definition.
  
 
==RIM scope==
 
==RIM scope==
  
 
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<!-- Identify the formal RIM mapping for the root concept of the resource.  The expectation is that the RIM mapping will be sufficiently precise so as to not overlap with any other resource definition. -->
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==Resource appropriateness==
 
==Resource appropriateness==
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Decision Support Services are a critical aspect of healthcare delivery with numerous products in the space, both as stand-alone quality improvement services, as well as built-in rule-engine type deployments within EHRs. The focus of the GuidanceResponse resource is to provide a standardized mechanism for describing the results of an evaluation of decision support guidance. This functionality is described as Use Case 2" of the [http://cqframework.info Clinical Quality Framework Initiative]. A more in-depth discussion of this use case can be found here: [http://wiki.siframework.org/Clinical+Quality+Framework+Use+Cases Clinical Quality Framework Use Cases].
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Decision Support Services are a critical aspect of healthcare delivery with numerous products in the space, both as stand-alone quality improvement services, as well as built-in rule-engine deployments within EHRs.  
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The Decision Support Service Specification defines a standard, production-level mechanism for exposing a decision support service, and enabling that mechanism to be realized as FHIR resources and operations will extend the reach of that standard, as well as allow implementers to use the FHIR stack and all its associated tooling and specifications to expose the content, effectively enabling another potential role of a FHIR server as a Decision Support Service.
  
 
==Expected implementations==
 
==Expected implementations==
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<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this resource.  They should demonstrate the full scope of the resource and allow exercising of the resources capabilities (full element coverage, inclusion & omission of optional elements, repeating and singleton repeating elements, etc.) -->
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See the example scenarios for the [http://wiki.hl7.org/index.php?title=DecisionSupportServiceModule_FHIR_Resource_Proposal DecisionSupportServiceModule] and [http://wiki.hl7.org/index.php?title=DecisionSupportRule_FHIR_Resource_Proposal DecisionSupportRule] resource proposals.
  
 
==Resource Relationships==
 
==Resource Relationships==
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===DecisionSupportRule and DecisionSupportServiceModule===
 
===DecisionSupportRule and DecisionSupportServiceModule===
 
Each GuidanceResponse will reference a single DecisionSupportRule or DecisionSupportServiceModule to identify the artifact describing the guidance being returned.
 
Each GuidanceResponse will reference a single DecisionSupportRule or DecisionSupportServiceModule to identify the artifact describing the guidance being returned.
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This resource was tested as part of the January 2016 Connectathon CDS-on-FHIR track, and will be used to support the CQF-on-FHIR track at the May 2016 Connectathon.
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In addition
  
 
==Timelines==
 
==Timelines==
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<!-- Indicate the target date for having the resource complete from a committee perspective and ready for vetting and voting -->
 
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This work is being performed as part of the reconciliation of ballot comments received against the Clinical Quality Improvement Framework FHIR Implementation Guide. We are targeting a May 2016 for comment ballot and participation in the May connect-a-thon, as well as a followup STU ballot in September.
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May 2016 Ballot Cycle in support of the [http://hl7.org/fhir/2016May/cqif/cqif.html CQF IG].
  
 
==gForge Users==
 
==gForge Users==

Revision as of 11:07, 4 April 2016

OpenHotTopic.GIF

This page documents a Pending FHIR Resource Proposal


GuidanceResponse

The GuidanceResponse resource provides a container to describe the results of a particular evaluation of a decision support artifact. It is used to capture the results of the _evaluate_ operation of both the DecisionSupportRule and DecisionSupportServiceModule resources.

In addition to describing the results of a decision support invocation, the resource supports the implementation of a conversational interface between decision support consumers and providers, allowing the provider to indicate that more data is required in order to achieve a correct evaluation, or that more data is requested in order to obtain a potentially more accurate result. This interface pattern supports a broad variety of decision support use cases, as well as enabling dynamic tuning of payload sizes to facilitate real-time clinical decision support.

The resource is derived from both the HL7 Standard: Clinical Decision Support Knowledge Artifact Specification (specifically the _Action_ component) and the HL7 Version 3 Standard: Decision Support Service (DSS), Release 2.

Owning committee name

Clinical Decision Support Work Group

Committee Approval Date:

2016-02-24 - Meeting Minutes

Contributing or Reviewing Work Groups

FHIR Resource Development Project Insight ID

1234: FHIR-Based Clinical Quality Framework (CQF-on-FHIR)

Scope of coverage

A GuidanceResponse is a structured representation of the result of an invocation of the _evaluate_ operation of both the DecisionSupportRule and DecisionSupportServiceModule resources. As with those resources, the GuidanceResponse is flexible enough to be used to describe behaviors for a broad range of decision support applications and could potentially be used in any discipline and locale. It is intended to be used by Decision Support Service Provides as part of the public interface for their service definition.

RIM scope

Resource appropriateness

Decision Support Services are a critical aspect of healthcare delivery with numerous products in the space, both as stand-alone quality improvement services, as well as built-in rule-engine deployments within EHRs.

The Decision Support Service Specification defines a standard, production-level mechanism for exposing a decision support service, and enabling that mechanism to be realized as FHIR resources and operations will extend the reach of that standard, as well as allow implementers to use the FHIR stack and all its associated tooling and specifications to expose the content, effectively enabling another potential role of a FHIR server as a Decision Support Service.

Expected implementations

In addition to general interest from the Clinical Quality and Decision Support communities, the CQF initiative has several pilot projects in various phases of completion:

Clinical Quality Framework Pilots

Content sources

Example Scenarios

See the example scenarios for the DecisionSupportServiceModule and DecisionSupportRule resource proposals.

Resource Relationships

DecisionSupportRule and DecisionSupportServiceModule

Each GuidanceResponse will reference a single DecisionSupportRule or DecisionSupportServiceModule to identify the artifact describing the guidance being returned.

This resource was tested as part of the January 2016 Connectathon CDS-on-FHIR track, and will be used to support the CQF-on-FHIR track at the May 2016 Connectathon.

In addition

Timelines

May 2016 Ballot Cycle in support of the CQF IG.

gForge Users

brynrhodes

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