HL7 CDS Standards

HL7 Clinical Decision Support (CDS) Standards

Notes: - Not all CDS standards have been uploaded to date. Please contact the HL7 CDS Work Group list-serv with any questions. - Many of the standards listed below are co-sponsored by other HL7 Work Groups, and several of them are primarily owned by other Work Groups.

Overview of Domains of Standards

Standards for CDS include foundational and enabling standards that are not specific to CDS, as well as standards that are specific to CDS and/or electronic clinical quality measurement (eCQM), the latter of which is the domain of the HL7 Clinical Quality Information (CQI) Work Group (http://wiki.hl7.org/index.php?title=Clinical_Quality_Information_Work_Group). The standards listed on this page are organized around those domains.

Contributing ONC Initiatives

Many of the standards listed below were developed and validated through a variety of public-private initiatives sponsored by the U.S. Office of the National Coordinator for Health IT (https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/ONC+Tech+Lab+Standards+Coordination+Home), including the ONC and CMS-sponsored Clinical Quality Framework (CQF) initaitve and the ONC-sponsored Health eDecisions (HeD) initiative.

Foundational Standards -- Information Models and Terminology

- HL7 Clinical Quality Language (CQL) standard (DSTU; see below under Expression Language standards for lin

Standards Being Developed in Collaboration with ONC and CMS-sponsored Clinical Quality Framework (CQF) Initiative (www.cqframework.info)

- HL7 Clinical Quality Language (CQL) standard (DSTU; see below under Expression Language standards for link)

- HL7 FHIR Profiles for Quality (May 2015 DSTU)

- HL7 Quality Improvement and Clinical Knowledge (QUICK) view of FHIR profiles (may ballot in September 2015)

Standards Developed in Collaboration with ONC-sponsored Health eDecisions (HeD) Initiative (www.healthedecisions.org)

See below for links to:

- HL7 CDS Knowledge Artifact Specification, Release 1.2

- HL7 DSS Implementation Guide, Release 1.1

Referenced by the above implementation guides (see below for links):

- HL7 vMR-CDS Logical Model, Release 2 Version 3.0 Specification

- HL7 vMR-CDS XML Specification, Release 1 Version 3.0 Specification

- HL7 vMR-CDS Templates, Release 1 Version 2.0 Specification

Infobutton Standards

Infobutton URL-based Implementation Guide, R4 DSTU

Infobutton SOA Implementation Guide, R1 Normative

Knowledge Request RMIM, R1 Normative

Virtual Medical Record for Clinical Decision Support (vMR-CDS) Standards

Logical Model:

HL7 vMR-CDS Logical Model, Release 2 Version 3.0 Specification (Draft Standard for Trial Use) (balloted January 2014)

XML Specification:

HL7 vMR-CDS XML Specification, Release 1 Version 3.0 (Draft Standard for Trial Use) (balloted January 2014)

Templates:

HL7 vMR-CDS Templates, Release 1 Version 2.0 Specification (Draft Standard for Trial Use) (balloted January 2014)

HL7 V2 Implementation Guide:

HL7 Version 2 Implementation Guide for vMR-CDS, Release 1 (Draft Standard for Trial Use) (balloted May 2013)

GELLO Implementation Guide:

GELLO Implementation Guide for vMR-CDS, Release 1 (Draft Standard for Trial Use -- see link at bottom of page)

HL7-OMG Decision Support Service (DSS) Standards

HL7 DSS Standard, Release 1 Normative

HL7 DSS Standard, Release 2 (Draft Standard for Trial Use) (see link at bottom of page)

HL7 DSS Implementation Guide, Release 1 (Jan 2014 Draft Standard for Trial Use) (see link at bottom of page)

HL7 DSS Implementation Guide, Release 1.1 (March 2014 Draft Standard for Trial Use Update 1) (see link at bottom of page)

Sharing CDS Knowledge Artifacts (KA) Standards

HL7 CDS Knowledge Artifact Specification, Release 1.2 (see link at bottom of page)

CDS Expression Language Standards

Clinical Quality Language (CQL)

GELLO, R2 Normative

GELLO IG, R1

Arden Syntax, v2.10 Normative