Stream: cds hooks
Topic: how mature are our hooks?
Isaac Vetter (Dec 12 2018 at 22:39):
Feedback from the CDS Hooks ballot earlier this year, resulted in this Hook Maturity Model which guides a hook author through the process of maturing a proposed hook and clearly labels the maturity level.
Isaac Vetter (Dec 12 2018 at 22:39):
We're now faced with the challenge of labeling our hooks that pre-existed before this model. We've got a gh issue and PR queued up to state that patient-view is the most mature (and is almost ready for a ballot), medication-prescribe is immature, but has seen testing, and order-reviewis mostly untested. Is this accurate?
Josh Mandel (Dec 12 2018 at 22:41):
I believe that's accurate, especially considering that the sandbox supports medication-prescribe bot not order-review.
Isaac Vetter (Dec 12 2018 at 23:35):
Thanks, Josh! (I hadn't considered which hooks were supported by the sandbox).
Isaac Vetter (Dec 12 2018 at 23:35):
Anyone else have feedack? @brian doolittle @Alex Tatiyants @Kalyani Yerra @Phillip Warner @Peregrin Marshall
Isaac Vetter (Dec 12 2018 at 23:35):
Going once ...
Richard Ettema (Dec 13 2018 at 00:06):
If you consider the Da Vinci Project's Coverage Requirements Discovery (CRD) IG, you'll see that it defines use cases for both medication-prescribe and order-review, as well as new hooks for appointment-booking, encounter-start and encounter-discharge. The MITRE RI for the CRD IG currently supports medication-prescribe and order-review.
Alex Tatiyants (Dec 13 2018 at 01:28):
Is there a path for retiring hooks in this model? For example, there have been a lot of discussions about medication-prescribe being an unnecessary version of order-review. Speaking of order-review, I'm aware of at least 2 EMRs who've implemented this hook either in production or close to it. I would consider it at least documented.
Isaac Vetter (Dec 13 2018 at 05:56):
new hooks for appointment-booking, encounter-start and encounter-discharge
Thanks, @Richard Ettema . The CRD IG is very thoroughly written! This Hook Maturity Model is how we should evaluate maturity. We need to get these CRD-proposed written up on cds-hooks.org. It seems like there's a thorough plan for testing the MITRE RI's and other CRD implementations. As that testing progresses, we should use it to also advance stated maturity according to this schema.
Isaac Vetter (Dec 13 2018 at 06:11):
Is there a path for retiring hooks in this model?
Hey @Alex Tatiyants ! There is not, yet, but we do have gh issue #433 asking the same question, and PRs creating order-select and order-sign hooks which are explicitly intended to more clearly demarcate the workflow step. Any thoughts on how to deprecate/retire a hook?
Isaac Vetter (Dec 13 2018 at 06:11):
I'm aware of at least 2 EMRs who've implemented order-review either in production or close to it. I would consider it at least documented.
Thank you, I'm changing the (proposed) published maturity model level of order-review from 1-Submitted to 3-Considered per your feedback.
Isaac Vetter (Dec 13 2018 at 06:11):
Also, congrats on your new album!
Alex Tatiyants (Dec 14 2018 at 16:29):
@Isaac Vetter I don't have any specific ideas on how best to retire a hook, aside from setting its status to "depreciated" and, if possible, specifying what a replacement hook would be. Also, what would we expect EMRs/CDS services to do if a hook they're using got retired?
On a separate note, thank you for the note on the album - took a long time to write!
Josh Mandel (Dec 15 2018 at 01:30):
Just clicked play in Spotify as I am preparing dinner. This is super cool!
Lloyd McKenzie (Dec 15 2018 at 04:39):
I predict there's going to be a lot of FHIR development happening to that album over the coming year. I really liked it :)
Alex Tatiyants (Dec 19 2018 at 14:11):
Thank you very much for listening @Josh Mandel and @Lloyd McKenzie, glad you enjoyed it!
Russell Leftwich (Dec 31 2018 at 15:39):
Great music @Alex Tatiyants ! Added to my favorites playlist.
Alex Tatiyants (Jan 01 2019 at 01:28):
Thank you @Russell Leftwich !
Last updated: Apr 12 2022 at 19:14 UTC
