Such an unstructured action cannot be processed by the target system, but it can be displayed to the user who interprets it and takes the desired action. Name: Action 7 Clinical Data Mapping The Action Sentence includes (a) Single Some of the data elements listed Sentence at left may be simply more clinical actions (see Clinical Data specific instances of other Mapping) and (b) system actions Description: A elements, or combinations of (e.g., invoking another CDS structured several other elements. For artifact; that are not included in description of the example, Diagnostic Test is a the clinical data mapping). care action that the Procedure that may produce an CDS artifacts Observation. Nutrition can be a The clinical actions include: recommend to be Procedure (feeding the patient), executed, i.e., the Education, Substance Substance Event– Includes output of the CDS. Administration (which is the medications, vaccinations, The data elements superclass of Medication), or a gases, blood products and contain the action Goal. We keep the Output Action class with the other activities that fit the Classes as simple and generic as necessary possible, consistent with same output activity structure, parameters supporting all the different types including hydration and specified (e.g., dose of activities that we need to feeding) of medication) perform. Procedure– Includes surgical All classes should support coding procedures, nursing and other Perform a the action with codes from Example: allied health activities and liver function test standard terminologies. panel after 30 days Action classes will provide the procedures attributes necessary to provide a structured, detailed description of
Such an unstructured action cannot be processed by the target system, but it can be displayed to the user who interprets it and takes the desired action. Name: Action Sentence Description: A structured description of the care action that the CDS artifacts recommend to be executed, i.e., the output of the CDS. The data elements contain the action class with the necessary parameters specified (e.g., dose of medication) Example: Perform a liver function test panel after 30 days 7 Clinical Data Mapping The Action Sentence includes (a) clinical actions (see Clinical Data Mapping) and (b) system actions (e.g., invoking another CDS artifact; that are not included in the clinical data mapping). The clinical actions include: Substance Event– Includes medications, vaccinations, gases, blood products and other activities that fit the same output activity structure, including hydration and feeding) Procedure– Includes surgical procedures, nursing and other allied health activities and procedures Single Some of the data elements listed at left may be simply more specific instances of other elements, or combinations of several other elements. For example, Diagnostic Test is a Procedure that may produce an Observation. Nutrition can be a Procedure (feeding the patient), Education, Substance Administration (which is the superclass of Medication), or a Goal. We keep the Output Action Classes as simple and generic as possible, consistent with supporting all the different types of activities that we need to perform. All classes should support coding the action with codes from standard terminologies. Action classes will provide the attributes necessary to provide a structured, detailed description of
SIFramework_HeD_UC1_CDSArtifactSharing_v1.0.docx