Stream: cds hooks
Topic: Collisions from multiple updates
Lloyd McKenzie (Aug 09 2018 at 16:53):
What guidance does CDS hooks have in situations where multiple cards propose changes to the same resource and a practitioner choses to act on more than one. E.g. One adds a comment, one adds a link to a study, one adds a pre-existing predtermination, one tweaks the dosage instructions. Are clients expected to handle this?
Isaac Vetter (Aug 09 2018 at 17:20):
In theory, yes, for example, an EHR should be able to handle suggestions from multiple services related to the same draft procedure. In practice, this won't really happen very often because health systems won't contract duplicative services.
Lloyd McKenzie (Aug 09 2018 at 17:20):
In the examples I gave, they wouldn't be duplicative services
Lloyd McKenzie (Aug 09 2018 at 17:20):
Each of them are dealing with different aspects of the MedicationRequest
Lloyd McKenzie (Aug 09 2018 at 17:21):
(Aspects unlikely to be handled by a single service)
Isaac Vetter (Aug 09 2018 at 17:22):
Yep, the duplicative services is simply the most common scenario that's come up in the past. I think that the answer is that - yes, EHRs should be expected to handle this.
Lloyd McKenzie (Aug 09 2018 at 17:23):
Should I submit a change proposal to highlight that expectation in the spec?
Isaac Vetter (Aug 09 2018 at 17:25):
sure, I think that the equally important part of a service returning multiple cards is setting accurate UI expectations to maintain usability.
Lloyd McKenzie (Aug 09 2018 at 17:33):
https://github.com/cds-hooks/docs/issues/398
Last updated: Apr 12 2022 at 19:14 UTC
