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Revised Technical Solution for Clinical Decision Support (CDS) Aligning with Industry Needs

This revised technical solution presents a refined approach that aligns with long-term industry needs while maintaining a manageable and use-case-appropriate scope. It focuses on supporting the vMR as the payload standard with mappings to CCDA and QRDA requests. The document outlines the structure for both CDS requests and responses, detailing various standards such as transaction rationale, payload organization, and security measures including authentication, authorization, and encryption. Future work is suggested for further advancements in clinical decision support.

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Revised Technical Solution for Clinical Decision Support (CDS) Aligning with Industry Needs

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  1. HeD UC2 Finalized Technical Solution The revised solution approach still aligns with the long-term industry need, but has been limited to a more manageable and Use Case-appropriate scope: Long-term Industry Need HeD UC2 Scope Potential future or parallel work

  2. CDS Request This approach would support vMR as the payload standard with mappings to CCDA and QRDA Request Service: DSS Request Element Request Items Organizer/Container: vMR Request Item Payload: vMR Clinical Statement vMR Payload

  3. CDS Response HeD Schema/vMR Response Service: DSS Response Element Response Items Organizer/Container: Harmonized vMR/HeD Schema Response Item Payload: vMR Clinical Statements

  4. Appendix

  5. Use Case 2: CDS Guidance Service Transactions - Standards per Transaction

  6. Use Case 2: CDS Guidance Service Transactions - Standards per Transaction

  7. CDS Guidance Request Transaction: Service Standards Rationale

  8. CDS Guidance Response Transaction: Service Standards Rationale

  9. CDS Guidance Request Transaction: Organizer/Container Rationale

  10. CDS Guidance Request Transaction: Organizer/Container Rationale (continued…)

  11. CDS Guidance Response Transaction: Organizer/Container Rationale

  12. CDS Guidance Response Transaction: Organizer/Container Rationale (continued…)

  13. CDS Guidance Request Transaction: Item Payloads Rationale

  14. CDS Guidance Request Transaction: Item Payloads Rationale (Continued…)

  15. CDS Guidance Response Transaction: Item Payloads Rationale

  16. CDS Guidance Response Transaction: Item Payloads Rationale (Continued…)

  17. CDS Guidance Request Transaction: Transport Rationale

  18. CDS Guidance Response Transaction: Transport Rationale

  19. CDS Guidance Request Transaction: Authentication/Authorization Rationale

  20. CDS Guidance Response Transaction: Authentication/Authorization Rationale

  21. CDS Guidance Request Transaction: Encryption

  22. CDS Guidance Response Transaction: Encryption

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