FHIR Chat · MedicationRequest Authorization · cds hooks

Stream: cds hooks

Topic: MedicationRequest Authorization


view this post on Zulip Grahame Grieve (Nov 30 2016 at 01:15):

Has anyone implemented cds-hooks for the scenario that the CDS warns the user that this medication is contra-indicated, but allows the user to provide some text to explain why they are overriding the CDS warning
- where does the text go?
- how does the MedicationRequest end-point know that the CDS is happy with the override?

view this post on Zulip Josh Mandel (Nov 30 2016 at 21:39):

No — we haven't closed the loop on collecting data as part of the workflow (other than by launching an app).

view this post on Zulip Josh Mandel (Nov 30 2016 at 21:40):

I think there are some pretty clear use cases, though. For something as simple as a labeled text field. And we've defined a workflow for sending data back to service to indicate when a "suggestion" button is clicked, so we could follow that same pattern.

view this post on Zulip Grahame Grieve (Nov 30 2016 at 21:45):

this is something we definitely need to close out - I have a project running here in Australia that should use cds-hooks, but can only do so if we close this loop. We'll try to bring this forward to the San Antonio connectathon, and we'll be having a series of our own

view this post on Zulip Kevin Shekleton (Dec 13 2016 at 21:56):

Sorry I'm late to this thread -- I've been on sabbatical (still am) and away for the first part of it but am now getting back into things. :) I agree this would be a good thing to look at in San Antonio and I agree with Josh that using something similar to our analytics endpoint would be appropriate.

view this post on Zulip Kevin Shekleton (Dec 13 2016 at 21:57):

@Grahame Grieve - Do you need to retrieve the override information out later? In Cerner's system, this override information is stored in audit events so my initial thoughts (based upon what I'm used to) is that this information would be available via the AuditEvent resource)

view this post on Zulip Grahame Grieve (Dec 13 2016 at 22:04):

I don't know the answer. it seems to me that a pharmacist would want that information when dispensing

view this post on Zulip Kevin Shekleton (Dec 13 2016 at 22:09):

In the system I work with, I *think* the override information is only accessible to those running audit reports to see how the alerts are being handled.

view this post on Zulip Grahame Grieve (Dec 13 2016 at 22:26):

I'll ask around


Last updated: Apr 12 2022 at 19:14 UTC