Providing Patient-Specific Assessments and Recommendations Based on Patient Data for Clinical Decision Support

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Federally required	Cost	Test Tool Availability
Standard	HL7® Standard: Clinical Quality Language Specification, Release 1, R5 (CQL 1.5)	Final	Pilot	No	Free	Yes
Standard	HL7 CDS Hooks™ Services [mult. versions]	Balloted Draft	Production	No	Free	Yes
Standard	HL7 FHIR® Profile: Quality Improvement Core (QI Core) [mult. versions]	Balloted Draft	Pilot	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
FHIR Resources are in various stages of maturity. Please refer to the FHIR website for updates on specific profiles and their progress. The FHIR Maturity Model and each of the levels is described on the HL7 wiki.	System Authentication – The information and process necessary to authenticate the systems involved. Recipient Encryption – The message and health information are encrypted for the intended user. Sender Signature – Details that are necessary to identity of the individual sending the message. Secure Communication – Create a secure channel for client-to- serve and server-to-server communication. Secure Message Router – Securely route and enforce policy on inbound and outbound messages without interruption of delivery. Security Labeling – The health information is labeled with security metadata necessary for access control by the end user.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

FHIR Resources are in various stages of maturity. Please refer to the FHIR website for updates on specific profiles and their progress. The FHIR Maturity Model and each of the levels is described on the HL7 wiki.

System Authentication – The information and process necessary to authenticate the systems involved.
Recipient Encryption – The message and health information are encrypted for the intended user.
Sender Signature – Details that are necessary to identity of the individual sending the message.
Secure Communication – Create a secure channel for client-to- serve and server-to-server communication.
Secure Message Router – Securely route and enforce policy on inbound and outbound messages without interruption of delivery.
Security Labeling – The health information is labeled with security metadata necessary for access control by the end user.

Comment

Submitted by pwilson@ncpdp.org on 2019-09-24

NCPDP requests additional information on ONC’s intent. It is possible the Pharmacist eCare Plan v1.0 could be a useful tool to assist in patient assessment.