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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: Clinical Guidelines, Release 1

DESCRIPTION

The FHIR Clinical Guidelines Implementation Guide (CPG IG) provides a means of creating a computable representation of a narrative clinical guideline that is faithful to guideline intent and supports the derivation of downstream capabilities such as cognitive and decision support, quality measures, case reporting, and documentation templates that direct clinical documentation in support of determining guideline compliance.

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Clinical Guidelines, Release 1 may also go by the following names or acronyms:

"HL7 FHIR® IG: Clinical Guidelines, R1", CPG, CPG-on-FHIR

BENEFITS

  •  Enable computable guideline specification to occur concurrently with guideline development;
  •  Faithfully express guideline intent, including rationale and linkage to evidence-base;
  •  Enable efficient and effective use and reuse of the guideline specification in downstream capabilities;
  •  Accelerate the development of computable guideline specifications and interventions through an integrated, cross-functional, rapid-cycle (Agile) development process that is inclusive of local implementation;
  •  More closely tie guideline intent, interventions, and measurements; and
  •  Provide closed-loop (feedback and feedforward loops) across the knowledge, practice, and discovery or evidence ecosystems.

IMPLEMENTATIONS/CASE STUDIES

  • US Centers for Disease Control
  • World Health Organization
  • Apervita
  • ACEP
  • EvidenceCare
  • C19 Digital Guideline Working Group
  • RTI International
  • Cognitive Medical Systems
  • The MITRE Corporation
  • IHE Quality Reporting and Public Health WG
  • Alphora

DEVELOPMENT BACKGROUND

This implementation guide supports the development of standards-based computable representations of the content of clinical care guidelines. Its content pertains to technical aspects of digital guidelines implementation and is intended to be usable across multiple use cases across clinical domains as well as in the International Realm.
 
This implementation guide has been developed through a multi-stakeholder effort, holistically involving a range of stakeholders, including those who work at the beginning of the process (e.g., guideline developers) to the end users (e.g., clinical implementation team representatives, health IT developers, patients/patient advocates), and others in between (e.g., informaticists, communicators, evaluators, public health organizations, clinical quality measure and clinical decision support developers).
 
Translating guideline recommendations and other types of guidance into practice has historically been a site by site exercise that has been disconnected from guideline/guidance development, creating unnecessary redundancies and introducing potential errors in translation that can lead to inconsistencies in how the guideline or guidance is executed. This clinical practice guidelines implementation guide (CPG-IG) consists of standards and a standardized, scalable approach to help make the effort of translating and implementing clinical practice guidelines and other types of guidance more efficient and effective.

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Clinical Guidelines, Release 1

STU DOCUMENTS

HL7 FHIR® Implementation Guide: Clinical Guidelines, Release 1 See the standard at http://hl7.org/fhir/uv/cpg/STU1. (Submit Feedback on STU)

TOPICS

  • Clinical Quality
  • Decision Support

BALLOT TYPE

  • STU

STATUS DATE

2021-02-11

RESPONSIBLE WORK GROUP

Clinical Decision Support

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Emergency Services Providers
  • Healthcare Institutions
  • HIS Vendors
  • Local and State Departments of Health
  • Payors
  • Quality Reporting Agencies
  • Regulatory Agency

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • Universal