FHIR Chat · docs / Issue #333 May 2018 Ballot Comment 127

Stream: cds hooks/github

Topic: docs / Issue #333 May 2018 Ballot Comment 127

Github Notifications (May 16 2018 at 23:03):

cds-hooks-bot opened Issue #333

## May 2018 Ballot Comment 127

Submitted by @kensaku-kawamoto on behalf of @gdelfiol from University of Utah

Chapter:
Section: https://cds-hooks.org/specification/1.0/#card-attributes
Type: NEG :exclamation:
In Person Requested? Yes :bust_in_silhouette:

Comment:
Information cards only allow free-text information for the summary and detail attributes. Yet, the FHIR Clinical Reasoning module uses the DetectedIssue resource to represent issues detected by a CDS. Therefore, it would make sense for Cards to also support references to DetectedIssue resources.

From Howard Strasberg: "I agree that CDS hooks services should be able to respond with DetectedIssue resources. I think it should be possible to send the DetectedIssue resource inline, not just as a reference. There is also the question of how to fit a DetectedIssue resource into the CDS hooks response structure. I would suggest (pun partially intended) allowing it to be included as a suggestion, even though it’s not an order. Currently, suggestions must have an action type of create, update, or delete. For this use case, we might want to define a new action type, such as “inference”, “cds-result”, or something similar along those lines."

## :de: Köln May 2018 Working Group Vote

@brynrhodes moved the following disposition, seconded by @isaacvetter.

Disposition: Persuasive with Mod
Disposition Comment:
The desired functionality is persuasive and this is something we will consider for future use, including exploring other FHIR resources (in addition to the proposed DetectedIssue), other card types, other interaction methods, etc.

:+1: For: 25
:expressionless: Abstain: 1
:-1: Against: 0

:tada: The motion passed! :tada:

_This issue was imported by @cds-hooks-bot from the consolidated CDS Hooks May 2018 ballot spreadsheet._

Github Notifications (May 16 2018 at 23:03):

cds-hooks-bot edited Issue #333

## May 2018 Ballot Comment 127

Submitted by @kensaku-kawamoto on behalf of @gdelfiol from University of Utah

Chapter:
Section: https://cds-hooks.org/specification/1.0/#card-attributes
Type: NEG :exclamation:
In Person Requested? Yes :bust_in_silhouette:

Comment:
Information cards only allow free-text information for the summary and detail attributes. Yet, the FHIR Clinical Reasoning module uses the DetectedIssue resource to represent issues detected by a CDS. Therefore, it would make sense for Cards to also support references to DetectedIssue resources.

From Howard Strasberg: "I agree that CDS hooks services should be able to respond with DetectedIssue resources. I think it should be possible to send the DetectedIssue resource inline, not just as a reference. There is also the question of how to fit a DetectedIssue resource into the CDS hooks response structure. I would suggest (pun partially intended) allowing it to be included as a suggestion, even though it’s not an order. Currently, suggestions must have an action type of create, update, or delete. For this use case, we might want to define a new action type, such as “inference”, “cds-result”, or something similar along those lines."

## :de: Köln May 2018 Working Group Vote

@brynrhodes moved the following disposition, seconded by @isaacvetter.

Disposition: Persuasive with Mod
Disposition Comment:
The desired functionality is persuasive and this is something we will consider for future use, including exploring other FHIR resources (in addition to the proposed DetectedIssue), other card types, other interaction methods, etc.

:+1: For: 25
:expressionless: Abstain: 1
:-1: Against: 0

:tada: The motion passed! :tada:

_This issue was imported by @cds-hooks-bot from the consolidated CDS Hooks May 2018 ballot spreadsheet._