Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-25759

When are the CDS Hooks triggered?

    XMLWordPrintableJSON

Details

    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Highest Highest
    • CDS Hooks patient-view (FHIR)
    • 1.0
    • Clinical Decision Support
    • index
    • General
    • Hide

      Yes, the CDS Hooks patient-view hook is triggered when the physician opens the patient's record.

      I think you're exactly correct that the `patient-view` hook is not super useful for real use-cases and that more specific workflow steps are superior workflow steps for triggering external cds. Do note that we do have [some of these much more useful workflow steps |https://cds-hooks.org/hooks/order-select/] defined as hooks.

      We're working to collect implementation experience on these more specific hooks; for better or worse, the community has the most implementation experience with this simplest, easiest to implement and least specifically useful hook.

      Show
      Yes, the CDS Hooks patient-view hook is triggered when the physician opens the patient's record. I think you're exactly correct that the `patient-view` hook is not super useful for real use-cases and that more specific workflow steps are superior workflow steps for triggering external cds. Do note that we do have [some of these much more useful workflow steps | https://cds-hooks.org/hooks/order-select/ ] defined as hooks. We're working to collect implementation experience on these more specific hooks; for better or worse, the community has the most implementation experience with this simplest, easiest to implement and least specifically useful hook.
    • Floyd Eisenberg/Isaac Vetter: 11-0-0

    Description

      We are unsure how to explain this but looking over the pateint view – does this mean the minute the physician opens the patient’s record, the CDS Hook is triggered? Our concern is that there should be no CDS Hooks involved until the physician starts actually ordering care\. Triggering the CDS Hook as soon as there is a patient encounter seems like overreach\. Once you start ordering services, then you want the “hook” to see if there are coverage restrictions on the service being ordered – but I don’t think you need to have a CDS Hook view the minute a “user has just opened a patient’s record\.”

      Existing Wording:

      1

      Attachments

        Activity

          People

            Unassigned Unassigned
            celine_lefebvre Celine Lefebvre
            Celine Lefebvre
            Watchers:
            3 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: