1. EHR System Function and Information Model (EHR-S FIM is based on EHR-S FM R2.0) CPS.3.9 Clinical Decision Support System Guidelines Updates aka S in EHR-S FM R1.1
, facilitator
January 27, original
February 24, 2012 last updated
Call for Participation
This work is being done by the HL7 EHR Interoperability Work-group,
meeting every Tuesday at 4PM ET, dial-in: , Passcode: #
 The most current artifacts are at:
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2. CPS.3.9 Clinical Decision Support System Guidelines Updates
Statement: The purpose of this function is to provide Clinical Decision Support (CDS) System Guidelines Updates
Description: System content such as discharge instructions, clinical guidelines, formularies, and other knowledge bases should be capable of being maintained and updated, independent of a particular encounter. Clinical decision support rules may be applied to the system using a manual process. As standards are developed to represent these rules, an automated update will be recommended. Any process to update decision support rules should include the verification of the appropriateness of the rules to the system. This may include but not be limited to authenticity of the source, the currency of the version, and any necessary approvals before updates can take place.
Example: (Notional Scenario) As the EHR system maintains clinical content and rules, it determines that CDS rules are validated, updated, update dates are captured and that appropriate reminders and alerts are sent to appropriate Health Care Professionals. During patient encounters, the version of guidelines, provided to clinicians, are captured with the encounter notes, according to scope of practice, organizational policy and/or jurisdictional law.
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3. DRAFT WORKING DOCUMENT
CPS.3.9 Clinical Decision Support System Guidelines Updates Activities Mapped-to System-Components
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4. CPS.3.9 Clinical Decision Support System Guidelines Updates Conceptual Information Model (CIM) Mapped to EHR-S Functions
RECOMMENDATION: Add Clinical Decision Support Function to EHR-S FM
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5. DRAFT WORKING DOCUMENT
CPS.3.9 Clinical Decision Support System Guidelines Updates Conceptual Data Model (CDM)
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6. DRAFT WORKING DOCUMENT
CPS.3.9 Clinical Decision Support System Guidelines Updates CDM Requirements-Traceability
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7. DRAFT WORKING DOCUMENT
CPS.3.9 Clinical Decision Support System Guidelines Updates “See Also” Dependencies
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8. Action Verb Hierarches
Manage (Data)
Capture
Maintain
Render
Exchange
Determine
Manage- Data- Visibility
Auto-Populate
Enter
Import
Receive
Store
Update
Remove
Extract
Present
Transmit
Export
Analyze
Decide
De-Identify
Hide
Mask
Re-Identify
Unhide
Unmask
Archive
Backup
Decrypt
Encrypt
Recover
Restore
Save
Annotate
Attest
Edit
Harmonize
Integrate
Link
Tag
Delete
Purge
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9. CPS.3.9 Clinical Decision Support System Guidelines Updates Requirements
1. The system SHALL provide the ability to maintain the clinical content or rules utilized to generate clinical decision support reminders and alerts.
2. The system SHOULD provide the ability to render information that will allow validation that the most applicable version (of the decision support rules) is utilized for the update.
The system SHOULD capture the date of update of the decision support rules.
3. The system MAY tag {track} and store {retain} the version used when guidelines are provided in a patient encounter.
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