Contemporary clinical decision support standards using Health Level Seven International Fast Healthcare Interoperability Resources

Howard R Strasberg; Bryn Rhodes; Guilherme Del Fiol; Robert A Jenders; Peter J Haug; Kensaku Kawamoto

doi:10.1093/jamia/ocab070

Contemporary clinical decision support standards using Health Level Seven International Fast Healthcare Interoperability Resources

J Am Med Inform Assoc. 2021 Jul 30;28(8):1796-1806. doi: 10.1093/jamia/ocab070.

Authors

Howard R Strasberg¹, Bryn Rhodes², Guilherme Del Fiol³, Robert A Jenders^{4

5}, Peter J Haug⁶, Kensaku Kawamoto³

Affiliations

¹ Clinical Effectiveness, Wolters Kluwer Health, San Diego, California, USA.
² Dynamic Content Group, Orem, Utah, USA.
³ Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
⁴ Department of Internal Medicine and Center for Biomedical Informatics, Charles R Drew University of Medicine and Science, Los Angeles, California, USA.
⁵ Department of Medicine and Clinical and Translational Science Institute, University of California, Los Angeles, Los Angeles, California, USA.
⁶ Medical Informatics, Intermountain Healthcare, Salt Lake City, Utah, USA.

Abstract

Objective: To facilitate the development of standards-based clinical decision support (CDS) systems, we review the current set of CDS standards that are based on Health Level Seven International Fast Healthcare Interoperability Resources (FHIR). Widespread adoption of these standards may help reduce healthcare variability, improve healthcare quality, and improve patient safety.

Target audience: This tutorial is designed for the broad informatics community, some of whom may be unfamiliar with the current, FHIR-based CDS standards.

Scope: This tutorial covers the following standards: Arden Syntax (using FHIR as the data model), Clinical Quality Language, FHIR Clinical Reasoning, SMART on FHIR, and CDS Hooks. Detailed descriptions and selected examples are provided.

Keywords: Electronic Health Records; Health Information Interoperability; Health Level Seven; medical informatics; software.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Review

MeSH terms

Decision Support Systems, Clinical*
Delivery of Health Care
Electronic Health Records
Health Level Seven*
Humans

Abstract

Publication types

MeSH terms

Grants and funding