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Difference between revisions of "Clinical Reasoning Module"

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__NOTOC__
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==R4 Roadmap==
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Return to [[Clinical_Decision_Support_Workgroup|Clinical Decision Support Work Group]]
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The FHIR Clinical Reasoning Module is part of the FHIR Specification, and is accessible from the Homepage, or directly at:
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[http://build.fhir.org/clinicalreasoning-module.html http://build.fhir.org/clinicalreasoning-module.html]
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This roadmap is aligned with the FHIR R4 Ballot Prep roadmap described here:
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[[FHIR_Ballot_Prep|FHIR Ballot Prep]]
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At a high-level, the balloting plan is:
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*January 2018: For Comment
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*May 2018: STU (some Normative content, but none of CRM)
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*September 2018: Possible re-ballot as STU
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*December 2018: Publication
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===R4 Goals===
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*Support maturity levels of 3 or higher for most content
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*Support key use cases
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**Decision Support (CDS Hooks, Zika Reporting, Opioid Management, Radiology Appropriateness)
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**Quality Measurement (Payer quality measures, MIPS/MACRA/QPP reporting)
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**Order Templates (International Chemotherapy IG)
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**Order Catalogs
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**Advance Directives
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*Support alignment with other specifications
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**Knowledge Artifact Specification
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**Health Quality Measure Format
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**Quality Reporting Document Architecture
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===Discussion Points/Major Tasks===
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*Decision Support
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**Remove ServiceDefinition
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**Update Clinical Reasoning to reference CDS Hooks
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**Next Steps for GuidanceResponse, RiskAssessment, DetectedIssue
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*Quality Measurement
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**Generalize Measure and MeasureReport for usage beyond just population quality measures
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**Public health reporting, aggregate data reporting, etc
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*Advance Directives
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*Order Templates/Catalogs
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*Resource Review
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**Alignment to workflow patterns
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**QA guidelines
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*Resource Mappings (To KAS, HQMF, and QRDA)
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*Tracker Resolution
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*Resolve all build errors and warnings
  
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Project Co-Sponsors:
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===Maturity Targets===
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*[[Clinical_Quality_Information_Work_Group|Clinical Quality Information Work Group]]
 
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*[[FHIR_Management_Group|FHIR Management Group]]
 
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*[[Service_Oriented_Architecture|Service Oriented Architecture Work Group]]
 
  
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==Project Information==
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These maturity targets are based on the FHIR Maturity Model:
  
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[http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=view&ProjectNumber=1234 Project Insight 1234] Entry
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[http://build.fhir.org/versions.html#maturity http://build.fhir.org/versions.html#maturity]
  
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This project is a continuation of FHIR-Based Clinical Decision Support, as well as CQF-on-FHIR. The project is focused on enabling decision support, and with the engagement of the CQI work group, quality measurement within the FHIR specification.
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To hit maturity level 3, we need to meet Trial Use QA Guidelines, as described here:
  
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==R4 Roadmap==
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[http://wiki.hl7.org/index.php?title=FHIR_Conformance_QA_Criteria http://wiki.hl7.org/index.php?title=FHIR_Conformance_QA_Criteria]
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{|
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|Resource||Committee||Maturity Level||Target
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|-
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|[http://build.fhir.org/activitydefinition.html ActivityDefinition]||CDS||2||3
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|-
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|[http://build.fhir.org/detectedissue.html DetectedIssue]||CDS||1||2
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|-
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|[http://build.fhir.org/eventdefinition.html EventDefiniton]||CDS||0||2
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|-
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|[http://build.fhir.org/guidanceresponse.html GuidanceResponse]||CDS||2||3
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|-
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|[http://build.fhir.org/library.html Library]||CDS||2||3
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|-
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|[http://build.fhir.org/plandefinition.html PlanDefinition]||CDS||2||3
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|-
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|[http://build.fhir.org/requestgroup.html RequestGroup]||CDS||2||3
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|-
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|[http://build.fhir.org/riskassessment.html RiskAssessment]||CDS||1||2
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|-
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|[http://build.fhir.org/servicedefinition.html ServiceDefinition]||CDS||0||-
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|-
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|[http://build.fhir.org/measure.html Measure]||CQI||2||3
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|-
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|[http://build.fhir.org/measurereport.html MeasureReport]||CQI||2||3
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|}

Revision as of 19:09, 29 September 2017

R4 Roadmap

The FHIR Clinical Reasoning Module is part of the FHIR Specification, and is accessible from the Homepage, or directly at:

http://build.fhir.org/clinicalreasoning-module.html

This roadmap is aligned with the FHIR R4 Ballot Prep roadmap described here:

FHIR Ballot Prep

At a high-level, the balloting plan is:

  • January 2018: For Comment
  • May 2018: STU (some Normative content, but none of CRM)
  • September 2018: Possible re-ballot as STU
  • December 2018: Publication

R4 Goals

  • Support maturity levels of 3 or higher for most content
  • Support key use cases
    • Decision Support (CDS Hooks, Zika Reporting, Opioid Management, Radiology Appropriateness)
    • Quality Measurement (Payer quality measures, MIPS/MACRA/QPP reporting)
    • Order Templates (International Chemotherapy IG)
    • Order Catalogs
    • Advance Directives
  • Support alignment with other specifications
    • Knowledge Artifact Specification
    • Health Quality Measure Format
    • Quality Reporting Document Architecture

Discussion Points/Major Tasks

  • Decision Support
    • Remove ServiceDefinition
    • Update Clinical Reasoning to reference CDS Hooks
    • Next Steps for GuidanceResponse, RiskAssessment, DetectedIssue
  • Quality Measurement
    • Generalize Measure and MeasureReport for usage beyond just population quality measures
    • Public health reporting, aggregate data reporting, etc
  • Advance Directives
  • Order Templates/Catalogs
  • Resource Review
    • Alignment to workflow patterns
    • QA guidelines
  • Resource Mappings (To KAS, HQMF, and QRDA)
  • Tracker Resolution
  • Resolve all build errors and warnings

Maturity Targets

These maturity targets are based on the FHIR Maturity Model:

http://build.fhir.org/versions.html#maturity

To hit maturity level 3, we need to meet Trial Use QA Guidelines, as described here:

http://wiki.hl7.org/index.php?title=FHIR_Conformance_QA_Criteria

Resource Committee Maturity Level Target
ActivityDefinition CDS 2 3
DetectedIssue CDS 1 2
EventDefiniton CDS 0 2
GuidanceResponse CDS 2 3
Library CDS 2 3
PlanDefinition CDS 2 3
RequestGroup CDS 2 3
RiskAssessment CDS 1 2
ServiceDefinition CDS 0 -
Measure CQI 2 3
MeasureReport CQI 2 3
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