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Evaluating a CDS Hook for FHIR Questionnaires in a SMART on FHIR App and an Existing Dermatological CDS System
Philipp Tschandl, Christoph Rinner
1 - 5
10.3233/SHTI230002
Research Article
Studies in Health Technology and Informatics
Volume 301: dHealth 2023
Abstract

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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