Agreed, incorporate wording as suggested below (updated from original suggestion with commenter input) Include reference: https://www.healthit.gov/sites/default/files/page/2018-04/Optimizing_Strategies_508.pdf   To adequately impact clinical care for clinicians and patients requires local implementation activities as shown in Step 4. CDS is not intended to replace clinician judgment, but rather to provide information to assist care team members in managing the complex and expanding volume of biomedical and person-specific data needed to make timely, informed, and higher quality decisions based on current clinical science. Ideally, the clinical guidelines and CDS include methods for evaluating what successful implementation means, (i.e., whether the clinical care ultimately provided included processes that addressed the intent of the guideline and if it achieved the desired outcomes).   In addition, provide the following change to the paragraph below - remove valuable and add relevant, evidence based, and patient-specific   In step 3, these clinical guidelines are translated into clinical decision support (CDS) artifacts to incorporate valuable clinical recommendations and actions directly within clinical workflow. To adequately impact clinical care for clinicians and patients requires local implementation activities as shown in Step 4.   In step 3, these clinical guidelines are translated into clinical decision support (CDS) artifacts to incorporate relevant, evidence based, and patient-specific clinical recommendations and actions directly within clinical workflow. To adequately impact clinical care for clinicians and patients requires local implementation activities as shown in Step 4.