View source for Clinical Guidelines FHIR IG Proposal


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This page documents a [[:category:Pending FHIR IG Proposal|Pending]] [[:category:FHIR IG Proposal|FHIR IG Proposal]]
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[[Category:FHIR IG Proposal]]
[[Category:Pending FHIR IG Proposal]]

=Recommendation of Clinical Practice Guideline Recommendations in FHIR=

==Owning work group name==

<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the IG. -->
[[Clinical Decision Support]]

==Committee Approval Date:==
2019-01-15

==Publishing Lead==

Bryn Rhodes
bryn@databaseconsultinggroup.com

==Contributing or Reviewing Work Groups==

* Clinical Quality Information (Co-Sponsor, approved 2019-01-16)
* Patient Care (Co-Sponsor, approved 2019-02-18)
* Public Health (Interested Party, contributing example content)

==FHIR Development Project Insight ID==

1505

==Scope of coverage==

This implementation guide is intended to support expression of computable clinical guidelines across clinical domains, and in any locale. Of particular interest is ensuring support for Low and Middle Income Countries (LMIC) to enable organizations like the CDC and WHO to produce computable versions of their paper guidelines. 

==Content location==

http://github.org/HL7/cqf-recommendations


==Proposed IG realm and code==

uv

==Maintenance Plan==

<!-- What commitment does the WG have to maintaining this IG as the FHIR core specification continues to evolve - particularly if the initial project sponsors are no longer providing resources.  I.e. Who will be maintaining this IG content 5 years after it's published? -->

==Short Description==

This implementation guide is a multi-stakeholder effort to use FHIR resources to build shareable and computable representations of the content of clinical care guidelines. The guide focuses on common patterns in clinical guidelines, establishing profiles, conformance requirements, and guidance for the patient-independent, as well as analogous patterns for the patient-specific representation of guideline recommendations.

==Long Description==

The process of guideline implementation is a significant challenge that is currently complicated by the lack of computable guideline content. Health systems and vendors implement evidence-based guidance, but almost always independently, leading to signficant duplicate effort, as well as inconsistent implementation. This implementation guide will build on experience from multiple guideline representation projects to establish patterns and practices that support development and implementation of shareable computable guideline recommendations.

The initial ballot combines experience gained from multiple guideline representation projects, including Opioid Prescribing Support, Chronic Kidney Disease Management, Antenatal Care, HIV/HBV Screening, Prevention, and Treatment, and Immunization Decision Support.

==Involved parties==

Centers for Disease Control
World Health Organization
IHE Quality Reporting and Public Health Workgroup (Coordinated with the CCG and DCP profiles)


==Expected implementations==

Allscripts
OpenMRS/OpenSRP
DHIS2

==Content sources==

Previous work on computable guideline representation presented to the AeHIN
Opioid Prescribing Support implementation guide
Quality Measure implementation guide
Pilot work from the Clinical Quality Framework (including radiology, chlamydia screening, and zika virus)

==Example Scenarios==

CDC Opioid Prescribing Support Guideline
WHO Antenatal Care Guideline
Chronic Disease Management - Chronic Kidney Disease
Hepatitis B Screening, Immunization, and Follow-up
Immunization Recommendations

==IG Relationships==

This IG will provide profiles, guidance, and conformance requirements to enable "content" IGs such as the CDC Opioid Prescribing Guideline Implementation Guide.

This IG is also complementary to the Quality Measure IG, supporting the decision support aspects of quality improvement, while that IG focuses on the quality measurement aspects.

This IG will also be coordinated with the IHE Computable Care Guidelines (CCG) profile (which will focus on testability of computable guideline content) and the Dynamic Care Planning (DCP) profile (which focuses on care planning for patients).

==Timelines==

Initial content draft is already in place, planning to have everything finalized by July 21st for review by the sponsoring work groups.

==When IG Proposal Is Complete==
'''When you have completed your proposal, please send an email to [mailto:FMGcontact@HL7.org FMGcontact@HL7.org]'''

==FMG Notes==