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Evaluating a CDS Hook for FHIR Questionnaires in a SMART on FHIR App and an Existing Dermatological CDS System
Philipp Tschandl1, Christoph Rinner2
1Department of Dermatology, Medical University of Vienna, Vienna, Austria.
Background:
To deploy clinical decision support (CDS) systems in routine patient care they have to be certified as a medical device. The European Medical Device Regulation explicitly asks for the use of standards and interoperability in the approval process.
Objectives:
We extended an existing dermatological CDS system with emerging standards for CDS interoperability, to facilitate a future integration into existing healthcare infrastructure, and approval as a medical device.
Methods:
The data collection part of a CDS system was extended with the endpoints required by the CDS Hooks specification. FHIR QuestionnaireResponse resources trigger a newly defined hook.
Results:
One hundred and seventeen clinical observations and patient variables needed for the ranking of a disease were mapped to SNOMED CT or LOINC and modeled as FHIR Questionnaire which is rendered using LHC LForms in a SMART on FHIR app with the SMART Dev Sandbox.
Conclusion:
SMART on FHIR in combination with CDS Hooks facilitates the integration of existing CDS systems into EHR systems, potentially improving education and patient care.
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