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Representation of Clinical Practice Guideline Recommendations in FHIR

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Basics

Representation of Clinical Practice Guideline Recommendations in FHIR

1505
Ballot - STU to Normative


FHIR Implementation Guide

Implementation Guide

Details

Over the past year, the U. S. Centers for Disease Control and Prevention (US CDC) has been conducting a multi-stakeholder initiative called 'Adapting Clinical Guidelines for the Digital Age' with the goal of connecting research and evidence swiftly and accurately to those who need it most, including clinicians and patients.

This project will assemble the content developed by that initiative into a set of implementation guidance that can be used by clinical guideline developers and implementers to help facilitate the creation of consumable recommendations, with the goal of accelerating guideline adoption.

Specifically, the project will continue to refine profiles on Library, ActivityDefinition, PlanDefinition, ValueSet, and CodeSystem that have been developed as part of the Informatics stream within the US CDC Kaizen. These profiles provide guidance and constraints in support of consistent representation of decision support that is derived from and built as part of clinical guidelines.


The US CDC’s Clinical Decision Support workgroup, initiated by the Office of Public Health Scientific Services (now under the Deputy Director for Public Health Science and Surveillance), with representation throughout the agency, was started in 2016 to help standardize and improve our approach to clinical decision support. Feedback from stakeholders reveals that CDCs biggest value-add in the industry would be to help the guidelines more easily translate into digital products used in patient care settings. Based on these findings the workgroup is developing an agency-wide strategy to help get CDC’s evidence-based guidance quickly, accurately, and consistently into patient care. The intent is to support a multi-stakeholder project that results in not only CDC, but various stakeholders from across the industry participating in the development, implementation, and refinement of the implementation guide.



Updated Dates: Request STU Publication: Target - 2021 Jan STU Period – 24 months: Target - 2021 Jan – 2023 Jan Submit for Normative Ballot: Target - 2023 May Complete Normative Reconciliation: Target - 2023 May WGM Submit Publication Request: Target - 2023 Sep Receive ANSI Approval: Target - 2023 Oct Project End Date: Target - 2023 Dec Original Dates: Submit for STU Ballot - Target: 2019 Sep Ballot Complete STU Reconciliation - Target: 2019 Sep WGM Request STU Publication - Target: 2019 Oct STU Period - 12 months - Target: 2019 Jan - 2020 Jan Submit for Normative Ballot - Target: 2020 May Complete Normative Reconciliation - Target: 2020 May WGM Submit Publication Request - Target: 2020 Jun Receive ANSI Approval - Target: 2020 Nov Example: Receive ANSI Approval - Target: 2020 Nov Project End Date (all objectives have been met) - Target: 2020 Dec


http://github.com/cqframework/cdc-acg



Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health),EHR, PHR; Clinical Decision Support Systems

1) Centers for Disease Control and Prevention 2) Motive Medical 3) Apervita 4) Medisolv 5) Allscripts 6) MAGIC 7) WHO


Adapting Clinical Guidelines (ACG) Clinical Practice Guidelines On FHIR (CPG-On-FHIR)



N/A

No

2024 December: TSC approved STU Publication Request for HL7 FHIR R4 Implementation Guide: Clinical Practice Guidelines, Edition 2 for 2 years 2023 October: TSC approved STU Extension Request for HL7 FHIR Implementation Guide: Clinical Guidelines, Release 1 for 2 years 2021 Jan: BRhodes provided updated target dates. FHIR product versions: FHIR R5, potentially R4, and STU3. This project will produce guidance and profiles that are not specific to the U.S. Realm, informed by participation from the MAGIC project, an international initiative focused on guideline development and implementation.
Organization & Realm

Universal

People

Bryn Rhodes



Clinical Decision Support Work Group

Clinical Quality Information Work Group; Patient Care Work Group

Status & Dates

Active

STU - Test Period/Accepting Comments

02/05/2019

01/01/2027

2027 Jan WGM/Ballot

01/01/2027

2027 Jan WGM/Ballot

2023 Sept Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 FHIR® Implementation Guide: Clinical Guidelines, Release 1 2019 Sept Ballot Cycle Info: STU Ballot results: Did not meet basic vote requirements. 32 Negatives to reconcile Document Name: HL7 FHIR® Implementation Guide: Clinical Guidelines, Release 1
Approvals

02/25/2019


Not Needed


All Received




System Info



View Ballot Items (with NIBs)




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