Stream: cds hooks
Topic: 201809 CDS Hooks
Thomas Reese (Jul 25 2018 at 18:05):
@Kevin Shekleton , could you provide approval and perhaps guidance on posting the description below to the CDS Hooks Connectathon wiki? @Bryn Rhodes suggested this would be an appropriate first step to generating interest and find EHR partners for the September Connectathon. Thank you.
"===Implement Potential Drug-Drug Interaction check using 1.0 spec===
:'''Action''': With the medication-prescribe hook, the EHR sends a request that may include prefetch data to the CDS Service. The CDS Service may request additional data from the FHIR server then returns an array of Card(s) with associated suggestions.
:'''Precondition''': A prefetch or FHIR server query for contextual data element (below) resources (e.g., MedicationDispense, MedicationAdministration, MedicationRequest, MedicationStatement, Patient, Observation, Condition). Preference for obtaining medication resources with prefetch query.
:'''Success Criteria''': The EHR displays the appropriate Card response for the specified indicator element.
:'''Bonus point''': The EHR supports Card actions (i.e., create, update, delete) relevant to drug-drug interactions that may include canceling the current drug order, substituting the current drug order, discontinuing a historical drug, and adding an additional non-drug order (e.g., lab). The EHR supports parsing the DetectedIssue resource as an extension to the CDS Hooks Card Attributes. The EHR supports medication-select – defined as the step when the provider selects the drug product (i.e., ingredient and strength) during order entry.
''Specific data elements for Connectathon use case include: Current medications, Historical medications, Age, Serum digoxin, Serum creatinine, Potassium, Magnesium, Calcium, and History of Upper Gastrointestinal Bleed.''"
Kevin Shekleton (Aug 01 2018 at 12:43):
@Thomas Reese - Sorry for the belated reply. Thanks for proposing this scenario. I've tweaked it slight and put it up on the Wiki here. Let me know if it looks OK to you.
Besides yourself, do you know who use you have interested in implementing this?
Thomas Reese (Aug 03 2018 at 13:17):
Thanks @Kevin Shekleton for putting it up on the wiki. We are looking for EHR vendors that are interested in participating at the Connectathon. We may have some interest from a drug knowledge vendor and a UPMC (Pitt) representative. If you know of others, please send them our way.
Last updated: Apr 12 2022 at 19:14 UTC
