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Clinical Decision Support (CDS) is used by physicians and other healthcare workers to improve health-related decisions and actions, and is a key component in the Promoting Interoperability Program. The National Academy of Medicine emphasizes that a learning health system (LHS) is driven by “the seamless and rapid generation, processing, and practical application of the best available evidence for the circumstance”.
Resources for CDS developers include human and machine-readable artifacts made publicly available by the Agency for Healthcare Research and Quality (AHRQ) and others. The Health eDecisions initiative, for example, led to standards development for knowledge artifacts and CDS services, including the Clinical Quality Framework to harmonize Health eDecision standards with measurements. The development of the Fast Healthcare Interoperability Resources (FHIR®) provides more user-friendly standards for the electronic exchange of healthcare information. The Clinical Quality Language (CQL) standard also has gained traction, with CMS incorporating this approach into operational standards.
This workshop is for those with intermediate to advanced technical skills or interests. We will review several open-source CDS tools and resources that currently exist, including CDS Connect, CDS Hooks, and SMART on FHIR. We will provide participants with hands-on experience using the tools and resources for developing a sample CDS artifact. Participants will work in a cloud sandbox environment containing CDS tools based on FHIR® and CQL. The interactive session will be led by Dr. Soares and facilitated by the co-authors. All the prerequisite materials and instructions for the workshop will be available October 1, 2021 at GitHub (https://github.com/CUD2V/amia2021-cds-workshop). Participants must register one week ahead of time for a free Unified Medical Language System (UMLS) account from the National Library of Medicine (https://uts.nlm.nih.gov//license.html).