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The following table depicts standards currently used in the V3 and FHIR families for Clinical Decision Support:

Caption: Clinical Decision Support Standards
ComponentV3-basedFHIR-based
Metadata and StructureClinical Decision Support Knowledge Artifact Specification (aka HeD, and sometimes KNART)FHIR Clinical Reasoning
LogicClinical Quality Language (CQL)Clinical Quality Language (CQL)
Clinical DataVirtual Medical Record (vMR)QI-Core
EvaluationDecision Support Specification (DSS)CDS Hooks

And the same table for Clinical Quality Measurement:


Standards Evolution

The following diagram illustrates the overall evolution of quality improvement and related standards, focusing in particular on the standards that are the intended focus of the Clinical Quality Framework initiative:

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