Stream: cds hooks
Topic: suggestions/links
Patrick Werner (Aug 07 2020 at 11:12):
We are currently implementing a CDS Hook service suggesting studies for cancer patients. This includes links to clinicaltrails.
I couldn't find a defined way to include links into suggestions, or tie a link to a suggestion.
Is there a best practice on how to do this?
Lloyd McKenzie (Aug 07 2020 at 14:39):
What do you actually want the clinician to see? It seems like text with a hyperlink to a website is likely to be more useful than a resource reference, as I'm not sure what an EHR would do with a resource reference right now. (I'm not aware of many/any EHRs that have support for ResearchStudy right now...)
Patrick Werner (Aug 10 2020 at 08:16):
We were thinking about actions creating the patients study enrolment directly, but also providing links to clinical trails for these studies
Patrick Werner (Aug 11 2020 at 13:20):
Currently we are thinking about adding a link element to the suggestion as well. What do other CDS people think about this? Can this be added to the CDS Hook Spec?
Dennis Patterson (Aug 14 2020 at 17:49):
If the action creates the patient study enrollment , what FHIR resource is that suggesting be created? Is the clinical trials link a website? Why does this need to be on the suggestion? What is the reason for not using card.links?
Patrick Werner (Aug 17 2020 at 08:49):
The action would create a ResearchSubject. Yes clinical trials is a website/DB: https://clinicaltrials.gov/
Patrick Werner (Aug 17 2020 at 08:49):
It does need to be on the suggestion, as the CDS Service queries available studies and proposes the best fitting one(s) via suggestions.
Patrick Werner (Aug 17 2020 at 08:50):
Inside the suggestion there should be a possibility to include a linkt to more details of the study
Patrick Werner (Aug 17 2020 at 08:51):
e.g.: https://clinicaltrials.gov/ct2/show/NCT04495088
Dennis Patterson (Aug 17 2020 at 21:03):
I'm still not understanding why that wouldn't just come back on the card. The card is focused on clinical trials. The suggestion is FHIR-focused on creating a resource, and the link is supplemental content. There's nothing for the EHR to programmatically do with the link, right?
Patrick Werner (Aug 18 2020 at 08:15):
Dennis Patterson said:
There's nothing for the EHR to programmatically do with the link, right?
right.
So you are proposing putting the link into the label of the suggestion then? Could work, but you'd end up with a link inline in a string label.
Like it is done with the links on the card level, a link per suggestion would be a nice feature.
This link is only meant for human consumption to get background on the suggested action.
Matt Varghese (Sep 09 2020 at 17:23):
Is this a CDS Hooks question? Or is this a FHIR question?
To propose that a patient be enrolled in a study is an action (which will be in a suggestion in CDS Hooks). That action will include a FHIR resource, which is the enrollment of the patient on the study. Shouldn't that FHIR resource be pointing therefore to the study? So isn't this a FHIR resource question?
Last updated: Apr 12 2022 at 19:14 UTC
