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Difference between revisions of "201609 CDS Hooks"

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(initial creation)
 
(flesh out proposal)
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[[Category:201609_FHIR_Connectathon_Track_Proposals|May 2016 Proposals]]
 
[[Category:201609_FHIR_Connectathon_Track_Proposals|May 2016 Proposals]]
 
__NOTOC__
 
__NOTOC__
=Track Name=
+
=CDS Hooks=
  
 
==Submitting WG/Project/Implementer Group==
 
==Submitting WG/Project/Implementer Group==
<!-- Who is asking for this track? -->
+
 
 +
The [https://groups.google.com/forum/#!forum/cds-hooks CDS Hooks community], composed of vendors, developers, and CDS service providers whom support the [http://cds-hooks.org/ CDS Hooks project].
  
 
==Justification==
 
==Justification==
<!--Why is this an important track to include in the connectathon - include implementer need, impact on ballot, FMM readiness of the resources, etc. -->
+
 
 +
CDS Hooks allow for a very important use of both FHIR and SMART that is outside of the normal transactional flow of data. With CDS Hooks, EHRs can further integrate FHIR and SMART into the workflow with clinical decision support. At the [[201601_CDS_on_FHIR_Connectathon_Track_Proposal|January 2016 HL7 WGM in Orlando, we held the first Connectathon track focused around CDS Hooks]]. This track garnered immense interest and support, with over 10 different companies and 20 individuals participating in the track. The work done as a result of that first Connectathon demonstrated that FHIR could be leveraged in open and interoperable and clinical decision support.
 +
 
 +
At the [[201605_CDS_Hooks_Connectathon_Track_Proposal|May 2016 Connectathon]] in Montreal, we again had a great turnout of support for participants from several clients and two leading EHR vendors. We further developed the CDS Hooks specification, with all participants implementing and providing feedback on major changes to the specification.
 +
 
 +
Organizing a CDS Hooks track at the September 2016 Connectathon would allow the community to further develop and explore the possibilities with CDS Hooks. Coming out of the Connectathon in May 2016, there were several aspects of CDS Hooks that require more thought and analysis that was apparent from the implementers and holding another track would benefit the CDS Hooks community. CDS Hooks would be also exposed to the larger FHIR community, allowing others to see how FHIR can be used to provide clinical decision support in the EHR.
  
 
==Proposed Track Lead==
 
==Proposed Track Lead==
<!-- Name, email and Skype id of individual who will coordinate the track at the connectathon -->
+
Kevin Shekleton
 +
* Email: kevin dot shekleton at cerner dot com
 +
* Zulip: Kevin Shekleton
 +
 
 
See [[Connectathon_Track_Lead_Responsibilities]]
 
See [[Connectathon_Track_Lead_Responsibilities]]
  
 
==Expected participants==
 
==Expected participants==
<!-- List of the individuals and/or organizations that have indicated a desire to attend the connectathon and implement this track -->
+
 
 +
* Harvard, Josh Mandel
 +
* Cerner, Kevin Shekleton
 +
* RxREVU
  
 
==Roles==
 
==Roles==
Please include information here regarding how much advance preparation will be required if creating a client and/or server.
+
 
<!-- Roles are sets of functionality (generally defined by a Conformance resource) that a single system can take on -->
+
===EHR===
===Role 1 Name===
+
The EHR will allow for the registration of interested CDS services on various CDS hooks, triggering each appropriately. The EHR will also display the CDS cards (obtained from the CDS services) to the user.
<!-- Provide a description of the capabilities this role will have within the connectathon -->
+
 
 +
===CDS Service===
 +
The CDS service will register themselves for the CDS hooks they are interested in and return CDS cards in response to trigger events as necessary.
  
 
==Scenarios==
 
==Scenarios==
<!-- What will be the actions performed by participants? -->
 
 
===Scenario Step 1 Name===
 
:Action: <!--Who does what?  (Use the role names listed above when referring to the participants -->
 
:Precondition: <!-- What setup is required prior to executing this step? -->
 
:Success Criteria: <!-- How will the participants know if the test was successful? -->
 
:Bonus point: <!-- Any additional complexity to make the scenario more challenging -->
 
  
<!-- Provide a description of each task -->
+
===Display SMART App Link===
 +
:Action: The EHR triggers a patient-view hook to the subscribed CDS Service, which returns a CDS app link card containing a link to a SMART app
 +
:Precondition: N/A
 +
:Success Criteria: The EHR displays the resultant CDS app link card and clicking the app link launches the desired SMART app
 +
:Bonus point: N/A
  
==TestScript(s)==
+
===Implement Security===
<!-- Optional (for initial proposal): Provide links to the TestScript instance(s) that define the behavior to be tested.
+
:Action: The EHR triggers a patient-view hook to the subscribed CDS Service using the security defined in the CDS Hooks specification
These should be committed to SVN under trunk/connectathons/[connectathon]
+
:Precondition: N/A
-->
+
:Success Criteria: The CDS information card contains contextually relevant data about the patient based upon information about the patient from the FHIR server, all using a security context.
 +
:Bonus point: N/A

Revision as of 21:19, 16 June 2016


CDS Hooks

Submitting WG/Project/Implementer Group

The CDS Hooks community, composed of vendors, developers, and CDS service providers whom support the CDS Hooks project.

Justification

CDS Hooks allow for a very important use of both FHIR and SMART that is outside of the normal transactional flow of data. With CDS Hooks, EHRs can further integrate FHIR and SMART into the workflow with clinical decision support. At the January 2016 HL7 WGM in Orlando, we held the first Connectathon track focused around CDS Hooks. This track garnered immense interest and support, with over 10 different companies and 20 individuals participating in the track. The work done as a result of that first Connectathon demonstrated that FHIR could be leveraged in open and interoperable and clinical decision support.

At the May 2016 Connectathon in Montreal, we again had a great turnout of support for participants from several clients and two leading EHR vendors. We further developed the CDS Hooks specification, with all participants implementing and providing feedback on major changes to the specification.

Organizing a CDS Hooks track at the September 2016 Connectathon would allow the community to further develop and explore the possibilities with CDS Hooks. Coming out of the Connectathon in May 2016, there were several aspects of CDS Hooks that require more thought and analysis that was apparent from the implementers and holding another track would benefit the CDS Hooks community. CDS Hooks would be also exposed to the larger FHIR community, allowing others to see how FHIR can be used to provide clinical decision support in the EHR.

Proposed Track Lead

Kevin Shekleton

  • Email: kevin dot shekleton at cerner dot com
  • Zulip: Kevin Shekleton

See Connectathon_Track_Lead_Responsibilities

Expected participants

  • Harvard, Josh Mandel
  • Cerner, Kevin Shekleton
  • RxREVU

Roles

EHR

The EHR will allow for the registration of interested CDS services on various CDS hooks, triggering each appropriately. The EHR will also display the CDS cards (obtained from the CDS services) to the user.

CDS Service

The CDS service will register themselves for the CDS hooks they are interested in and return CDS cards in response to trigger events as necessary.

Scenarios

Display SMART App Link

Action: The EHR triggers a patient-view hook to the subscribed CDS Service, which returns a CDS app link card containing a link to a SMART app
Precondition: N/A
Success Criteria: The EHR displays the resultant CDS app link card and clicking the app link launches the desired SMART app
Bonus point: N/A

Implement Security

Action: The EHR triggers a patient-view hook to the subscribed CDS Service using the security defined in the CDS Hooks specification
Precondition: N/A
Success Criteria: The CDS information card contains contextually relevant data about the patient based upon information about the patient from the FHIR server, all using a security context.
Bonus point: N/A