Submitting WG/Project/Implementer Group - Clinical Decision Support (CDS) WG, EBMonFHIR Project
Justification and Objectives
The evidence-based medicine community (including systematic review producers) created the Evidence and EvidenceVariable Resources and Statistic and OrderedDistribution Datatypes to support standard expressions of evidence and statistics. Major attention shifted March 30, 2020 to create the COVID-19 Knowledge Accelerator (https://www.gps.health/covid19_knowledge_accelerator.html) to implement these resources and enable immediate application to COVID-19 evidence. To support this effort new Resources (EvidenceReport and Citation) need to be created, and numerous implementers urgently need to establish interoperability.
This track will use R5 version of FHIR.
Clinical input requested (if any)
Not needed, but clinicians are welcome and clinical input has helped shape the Evidence Resource to be more relevant for supporting clinical care.
Proposed Track Lead
Brian Alper, firstname.lastname@example.org
EBSCO Information Services
Johns Hopkins University
University of Colorado
Sejong University (Seoul, South Korea)
We will use the Zulip Stream https://chat.fhir.org/#narrow/stream/237951-COVID-19-Knowledge.20Accelerator to communicate before, during and after the Connectathon.
Citation Manager - a system that aggregates citation data for articles and documents
Systematic Review Developer - a system that supports the selection of articles (inclusion/exclusion decision), documentation of data extraction and article assessment, evidence synthesis, and reporting of findings
Evidence Variable Classifier - a system that describes the evidence variables (such as populations, exposures, and outcomes) in computable form
Evidence Classifier - a system that describes the evidence (evidence variables, statistics and certainty) in computable form
Share a list of selected research articles about COVID-19
Action: The Citation Manager will transmit a list of selected research articles as a bundle of Citation Resources.
Success Criteria: A different Citation Manager will reliably display the list of selected research articles.
Bonus point: Transfer of multiple identifiers related to an article that were not previously used in the Citation Manager (for example CORD-19 unique ID)
Share a series of COVID-19 related EvidenceReport resources
Action: The Citation Manager or Systematic Review Developer will receive a series of COVID-19 related EvidenceReport Resources (a profile of Composition).
Success Criteria: A Citation Manager or Systematic Review Developer will reliably display the list of selected research articles.
Bonus point: The EvidenceReport Resources will have COVID-19 Knowledge Accelerator (COKA) identifiers and be available at gps.health/coka/resources
Bonus Scenario: Create computable expressions for the evidence variables related to COVID-19 clinical research
Action: The Evidence Variable Classifier will create EvidenceVariable Resources including resources expressing the population, exposures and outcomes for a clinical research article.
Success Criteria: Valid EvidenceVariable Resources created that are understood and agreed by other Evidence Variable Classifiers.
Bonus point: Association of EvidenceVariable Resources with EvidenceReport Resources and Evidence Resources.
None expected, but JSON Tree Writer and the EvidenceVariable Data Entry Form will be available to facilitate resource construction.
Security and Privacy Considerations