Decision Support Service Implementation Guide

Description

A Decision Support Service takes in patient data as the input and provides back patient-specific assessments and recommendations. A Decision Support Service facilitates the implementation of clinical decision support capabilities in a scalable manner. This work effort will encompass the creation of an Implementation Guide for Decision Support Services, also known as CDS Guidance Services, which will be informed in part by the requirements developed as part of the Standards and Interoperability Framework's Health eDecisions and Clinical Quality Framework Initiatives. To the extent possible, this project will leverage and harmonize existing standards such as Decision Support Service (DSS), Virtual Medical Record (vMR), Quality Data Model (QDM) (http://www.healthit.gov/quality-data-model), Consolidated Clinical Document Architecture (CCDA), Simple Object Access Protocol (SOAP), and Representational State Transfer (REST). Following initial publication of the DSTU, the DSTU update process will be used to update the DSTU in situations (i) allowed by the HL7 Technical Steering Committee's guidance on DSTU updates and (ii) approved by the sponsoring Work Groups. In particular, the primary DSTU updates will be to reference updated versions of the underlying data model and its physical over-the-wire manifestation, which is expected to be FHIR. Specifically, the data model will be updated from the use of the vMR to the use of a data model harmonizing the vMR with the Quality Data Model. Also, the Implementation Guide will be updated to enumerate profiles for specific DSS input/output requirements related to high-value DSS use cases (e.g., for vaccination decision support). Per guidance from the HL7 Technical Steering Committee, this release of the specification will be balloted as a US Realm specification. It is anticipated that future releases of the specification may be balloted in the Universal Realm.

Misc Notes
2022 April: BRhodes: Currently being withdrawn; PMO updated next milestone to the next ballot cycle. 2020 Nov: TSC approved STU Extension Request for HL7 Implementation Guide: Decision Support Service, Release 1 for 2 years. 2020 Jan: B.Rhodes: The DSS standard on which this IG is based is retired, this should be as well. PMO to discuss next steps with HQ. 2018 May: TSC approved STU Extension/Unballoted STU Update Request for HL7 Implementation Guide: Decision Support Service, Release 1.2 at TSC Tracker 15950 through April 27, 2019 Feb 2016: TSC approved DSTU extension request for HL7 Implementation Guide: Decision Support Service, Release 1.1 at TSC Tracker 9574 HL7 Version 3 Standard: Decision Support Service Release 2, DSTU Release 1 in DSTU through April, 6 2017 July 2014: Merged project 1109 info into this project. TSC approved the updated project on 7/28/2014 April 2014: TSC approved update to the DSTU publication request of HL7 Implementation Guide: Decision Support Service, Release 1.1 Jan 2014: TSC approved the DSTU Publication Request for HL7 Implementation Guide: Decision Support Service, Release 1 at TSC Tracker 2828 requests publication for 24 months through Jan 08, 2016