Stream: analytics on FHIR
Topic: GuidanceResponse/Request
Tushar Nair (Aug 02 2019 at 22:13):
Hello, I am trying to implement a CDS solution using the FHIR resources. Earlier we were using the CDS Hooks Request & CDS Hooks response to perform these operations. We saw the GuidanCE REsponse resource and it seems to serve our purpose well. However, I am not sure if there exists a corresponding request resource inFHIR for 'GuidanceResponse'. Can somebody shed light on this. If there is no FHIR resource to handle the request then are we supposed to use the CDS Hooks Request and respond with Guidance Resposne resource. I would be grateful if you could provide some inputs. Thank you.
Lloyd McKenzie (Aug 02 2019 at 22:16):
You would typically invoke a use-case-specific operation (see http://build.fhir.org/operations.html) that took in specified parameters and then passed back GuidanceResponse as the result.
Pankaj Grover (Aug 02 2019 at 22:20):
@Lloyd McKenzie : You mean as invoke PlanDefinition/$evaluate and create GuidanceResponse as a response for it?
Lloyd McKenzie (Aug 02 2019 at 22:23):
There's no official 'PlanDefinition/$evaluate' operation, but I guess that's possible. Returning decision support when submitting a protocol/order set seems a little weird to me, but I guess it would be possible.
Lloyd McKenzie (Aug 02 2019 at 22:24):
@Bryn Rhodes might have other examples
Pankaj Grover (Aug 02 2019 at 22:25):
Sorry, I mean PlanDefinition/$apply
Lloyd McKenzie (Aug 02 2019 at 22:26):
That operation returns a CarePlan, not a GuidanceResponse
Pankaj Grover (Aug 02 2019 at 22:27):
Then, what would be the standard operation to trigger a GuidanceResponse?
Lloyd McKenzie (Aug 02 2019 at 22:29):
You would often create your own - passing in the specific parameters needed for the type of decision support you want to provide.
Lloyd McKenzie (Aug 02 2019 at 22:30):
Note that CDS Hooks has a whole lot more industry adoption...
Pankaj Grover (Aug 02 2019 at 22:33):
Yes but CDSHooks doesn't capture details in its response. Schema is very limited but not sure if extensions (standards/defined) are suggested or not.
Pankaj Grover (Aug 02 2019 at 22:34):
Moreover, Is there a relevant forum/stream for CDSHooks in Zulip where I can find the information?
Lloyd McKenzie (Aug 02 2019 at 22:41):
Bryn Rhodes (Aug 02 2019 at 23:04):
There's also a topic in the specification that might help: http://hl7.org/fhir/clinicalreasoning-cds-on-fhir.html
Bryn Rhodes (Aug 02 2019 at 23:05):
Specifically, it talks about the relationship between the decision support-related FHIR resources and CDS Hooks.
Last updated: Apr 12 2022 at 19:14 UTC
