Representation of Clinical Practice Guideline Recommendations in FHIR

Representation of Clinical Practice Guideline Recommendations in FHIR

Overview • Multi-stakeholder effort to use FHIR to structure artifacts involved in computable guideline representation • Focused on the "leaves" of a guideline • Recommendations and the actions involved • Provide a set of profiles for use in structuring content • A set of exemplars drawn from various guidelines

Outline • Overview • Place the guide in the larger context of public health improvement • Structuring Computable Content • L 1 -> L 4 • L 2 and L 3 Checklists • Structuring Recommendations • Describing Inclusion/Exclusion Criteria • Applying to Patients in Context • Profiles/Terminology

Use Cases/Example • CDC Opioid Prescribing Guideline • Chronic Disease Management – Chronic Kidney Disease • Hepatitis B Screening, Immunization, and Followup • Antenatal Care Guidelines

Repository and Guide • Project Page: • https: //confluence. hl 7. org/display/CDS/CPGon. FHIR • Github Source Repository • https: //github. com/HL 7/cqf-recommendations • Draft Implementation Guide • https: //build. fhir. org/ig/HL 7/cqf-recommendations

Working Calls • http: //www. hl 7. org/concalls/Call. Details. aspx? concall=43681 • Wednesday 4: 00 PM ET, Bi-Weekly, next call 5/15

Ballot Plans • Targeting a September STU Ballot • Targeting FHIR R 4 • NIB – June 30 th • Initial Content – July 14 th • Final Content – August 4 th