Page History

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• Discuss and potentially address use cases that aren't traditionally seen as guideline-based care (i.e. generalize to expressing a Computable Care Process?)
• Updated Checklists - Bryn
  • https://hl7.org/fhir/uv/cpg/methodology.html#validate-checklists
  • Input/Output expectations for each level
  • Survey of known tooling for authoring efforts
• Infrastructure-level - Bryn
  • Refactor to use CRMI IG
  • Refactor to use SDC
  • Example refresh/fixes
  • General errata/bitrot
  • Update to the latest publisher (no spreadsheets, use templates and markdown)
• New types of examples? Multi-CPG examples?
• Updated Capability Statements
  • Specifically identifying roles and "services" for enabling/delivering guideline-based care
• Apply operation updates
• Elaborate/expand Case Feature Definition, especially relationship to PlanDefinition and Questionnaire
• Expand CPG grammar with implementation feedback - Derek
  • Specifically - Stop an order generally
  • NOTE: This is an especially important and potentially difficult use case that we should prioritize for this STU2 update
  • Gather specific use cases we want to support
    • Stop a particular medication (Aspirin)
    • Change a particular medication (ANC Iron Supplement) - Done using a correlated Stop and Start
    • Stop a particular therapy (servicerequest)
    • Change a particular therapy - Done using a correlated Stop and Start
    • Recommend that changes are always done using a correlated Stop and Start
  • Documenting a clinical assessment as part of the workflow
    • CPGClinicalImpression but there is no activity model for adding it to a CPG
• Usage updates/case studies? - Maria Michaels
  • Examples of where we know CPG has been used
  • Getting any case studies from vendors that would be willing to share
• Patterns...
  • https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/wiki/Authoring-Patterns---QICore-v5.0.0
  • Especially negation statements
    • Potentially bring this as a topic to IPS - xSDO governance group - Derek Ritz
• Potentially add discussion of regulatory/policy considerations?
• Assessment of relationship/interaction with
  • EBM-on-FHIR - Especially documenting and discussing the touchpoints between an EBMRecommendation and a CPGRecommendation
  • eCaseReport
  • MedMorph
  • MCC
  • QM/DEQM
  • BPM+
  • CDS Hooks
  • OpenCDS - https://www.opencds.org/
  • Label2Enable - https://label2enable.eu/ EU-led initiative operationalizing an ISO specification about regulation of software-based therapeutics
• Discussion of auditing
  • How auditing would be represented
  • How auditing would be expected to be applied to each element of the grammar

...

• Template update (pure publisher work)
• Checklist update
  • Input/Output expectations - Bryn
  • Survey of tools (data dictionary, decision tables, test case descriptions, flow diagrams)
• Services
• Operations
• Patterns/Use Cases
• Case Studies
  • Known implementations
    • A short description of the intended use cases (therapeutic area, workflow target)
    • A brief overview of technology used (e.g. Java open source)
    • If possible/willing, a summary of any challenges/opportunities the project/usage highlighted
      • 1.    What is the use case? 
      • 2.    Where is it being used (e.g., healthcare organization, EHR platform)? 
      • 3.    How is it being used?
      • 4.    Any feedback on usage (including pilot testing results)?
      • 5.    Any specific technical challenges with implementing the specification?
• Relationships