Project Summary for CDS Knowledge Artifact Specification DSTU Release 2
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Project Details
Number | 931 View Ballot Items List (with NIBs) |
---|---|
Name | CDS Knowledge Artifact Specification DSTU Release 2 |
Sponsor(s) | Clinical Decision Support Work Group |
Co-Sponsor(s) | Clinical Quality Information Work Group, Implementable Technology Specifications Work Group |
Steering Division | Clinical |
Description | 2017 Oct Revised Scope:
This is a revised scope to cover a recommended update to the CDS Knowledge Artifact (KNART) STU Release 1.3. The composite KNART investigative project made the following recommendations for the next release of the Health eDecisions (HeD) knowledge: - Separate the conceptual model of knowledge artifacts from the physical specification. A separate pss will be presented for the conceptual work. This scope will cover updates to the HeD physical specification - Add support for alternate expression languages - Update to support functionality that has been added to the Clinical Reasoning model - Add support for composite knowledge artifacts, and any additional functionality identified in the conceptual model - Bring up to date with current versions of CQL and ELM - Address submitted change requests to the current specification and identified technical corrections - Consider the addition of support for post coordinated concept expressions As there may be significant and potentially non-backward compatible changes to the specification, a new STU ballot is planned. 2015 Jan Revised Scope: The scope of this project is to create a harmonized, single specification for the representation of data capture forms and clinical documentation templates. This project will harmonize the Knowledge Artifact Specification (primarily defined for clinical documentation templates) with the Form specification created by the Structured Data Capture (SDC) initiative (for data capture forms). The changes to the KAS are expected to impact the DocumentationConcept, CollectInformationAction, ActionGroup, Metadata, and the KnowledgeDocument types. In addition, the expression components of the Knowledge Artifact Specification will be updated to reference the Clinical Quality Language specification. Updated examples will be included as part of the specification package. Following initial publication of the DSTU, the DSTU update process will be used to update the DSTU in situations (i) allowed by the HL7 Technical Steering Committee's guidance on DSTU updates and (ii) approved by the sponsoring Work Groups. |
Project Facilitator | Jerry Goodnough / Emory Fry |
Status | Archived |
SD Approval Date | Nov 3, 2017 |
TSC Approval Date | Nov 13, 2017 |
Type | Ballot - STU to Normative |
Objectives / Deliverables | STU ballot prepared - Target: 2018 May Ballot reconciliation complete - Target: 2018 Sept STU published - Target: 2018 Oct STU comment period - Target: 2018 Oct - 2020 Oct Normative ballot prepared - Target: 2021 Jan Normative ballot reconciled - Target: 2021 May Normative specification published - Target: 2021 July Project End Date (all objectives have been met) - Target: 2021 Sept WGM Original Target Dates: Present Project and scope statement to CDS and CQI WGs - Target: 2015 Jan WGM DSTU Updates - Target: 2015 May - 2016 Jan DSTU Publication Update Request - Target: 2015-Dec Project End Date (all objectives have been met) - Target: 2016-Jan |
Next Milestone Date | 2020 September WGM |
Project End Date | 2021 September WGM |
Project Intent | Revise Current Standard |
Project Need | Ongoing work to implement HeD knowledge artifacts, in organizations such as the VA, requires updates to the specification to support requirements such as composites that combine Documentation Templates and Order Sets in support of consultation requests. Separation of the physical implementation from the conceptual specification will allow the conceptual model to support mapping between different physical representations including the HeD and FHIR Clinical Reasoning formats. |
Implementers | 1) Cognitive Medical Systems 2) Veterans Health Administration |
Security Risks | Yes |
External Drivers | There is an existing VA project to author singular and composite knowledge artifacts that has contributed change requests and requirements to this standard. |
Common Names / Keywords/ Aliases | KAS, KNART, Health eDecisions, HeD |
Lineage | This project will create a Release 2. It is an update to an existing DSTU. It supplants a previous release. |
Dependancies | Project 1108 - Clinical Quality Expression Language Project 1374 - KNART Conceptual Model |
Project Document Repository |
http://wiki.hl7.org/index.php?title=HL7_CDS_Standards https://github.com/HL7/composite-knart |
Backwards Compatibility | Don't Know |
External Vocabularies | No |
Products | V3 Documents-Knowledge |
Joint Copyright? | No |
External Pjt Collaborators | |
Realm | Universal |
HL7 Affiliate | |
Stakeholders | Clinical and Public Health Laboratories, Immunization Registries, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors |
Vendors | Pharmaceutical; EHR, PHR; Equipment; Health Care IT; Clinical Decision Support Systems; Lab; HIS |
Providers | Clinical and Public Health Laboratories; Emergency Services; Local and State Departments of Health; Medical Imaging Service; Healthcare Institutions (hospitals, long term care, home care, mental health); Other (specify in Misc. Notes below) |
Ballot Cycle Info | 2017 Jan Ballot Cycle Info: STU Ballot results: Withdrawn Document Name: HL7 Implementation Guide: Clinical Decision Support Knowledge Artifact Implementations, Release 1 Submitter: Kensaku Kawamoto MD PhD 2013 Sept Ballot Cycle Info: DSTU Ballot results: Withdrawn Document Name: HL7 Implementation Guide: Clinical Decision Support Knowledge Artifact Implementations, DSTU Release 2 NIB Submitted By: Kensaku Kawamoto MD PhD 2013 Jan Ballot Cycle Info: DSTU Ballot results: Ballot results: Met basic vote requirements. 8 Negatives to reconcile Document Name: HL7 Implementation Guide: Clinical Decision Support Knowledge Artifact Implementations, Release 1 Ballot Code: HL7IG_CDA_KNART_R1_D1_2013JAN |
Misc Notes | 2021 April: STU withdrawn in 2020; PMO archiving. 2020 May: BRhodes: Reviewed and agreed to close the project, on the grounds that the WG focus is on Clinical Reasoning and CDS Hooks. 2020Jan: BRhodes: Review at 2020 Feb WGM to determine next steps 2017 Oct: TSC approved STU Extension Request for HL7 Standard: Clinical Decision Support Knowledge Artifact Specification, Release 1 DSTU Release 1.3 at TSC Tracker 13930 through September 27, 2018. 2017 Feb: TSC approved STU Extension Request for HL7 Standard: Clinical Decision Support Knowledge Artifact Specification, Release 1, DSTU Release 1.3 at TSC Tracker 12741 was approved for 6 months for the purpose of bringing the material back to ballot through 8/8/2017. July 2015: TSC approved DSTU publication request for HL7 Standard CDS Knowledge Artifact Specification, DSTU Update 1.3 at TSC Tracker 8358 Jan 2015: CDS WG submitted revised PSS for DSTU Update 3 May 2014: CDS WG submitted revised PSS for DSTU Update 3 June 2014: TSC approved DSTU Update Publication Request for HL7 Standard CDS Knowledge Artifact Specification, DSTU Update 1.2 through Jul 21, 2016 May 2014: CDS WG submitted revised PSS for v1.3 April 2014: TSC approved DSTU update publication request of HL7 Implementation Guide: Clinical Decision Support Knowledge Artifact Implementations, Release 1.1 through Jan 20, 2016 April 2014: CDS WG submitted a revised PSS for v1.2 Jan 2014: CDS WG submitted an updated PSS: The intent of the refactor is to maintain conceptual and instance-level backwards compatibility, however, instance-level backwards compatibility may not be guaranteed if the refactor requires some xml-schema change that breaks instance-level compatibility. In that case, care will be taken to ensure that the change in made in the least impactful way possible, and guidance will be provided to migrate existing artifacts to the updated schema. Jan 2014: TSC approved a DSTU Publication Request for HL7 Clinical Decision Support Specification; Knowledge Artifact Implementation Guide, Release 1 (... |
U.S. Govt Interest? | Yes |
USRSC Approval | Not Needed |
FMG Approval | Not Needed |
ARB Approval | Not Needed |
Start Date | Sep 24, 2012 |
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