Efforts are underway to build a clickable demo of a CPG Authoring support.

COVID-19 Digital Guideline Working Group (C19 DGWG)

• Working with a vendor (Apervita) and the University of Minnesota (MHealth Fairview) to create a SMART on FHIR app version of the COVID anticoagulation CDS UMN has had in place since early 2020. This ACTS LHS concept demonstration is fostering deeper explorations between UMN and their EHR vendor (Epic) around opportunities for Epic to more robustly support UMN's efforts on this, and for UMN to help Epic understand how they can more broadly help their client base with these needs. Opportunity/recommendation: CDOs connect with EHR vendor around efforts to develop and implement clinical guidance in ways that fully leverage - and help extent -  the the EHR vendor's capabilities and tools in this area.

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WHO

• Together with several software development organizations, the WHO is putting together "Digital Accelerator Kits" (DAKs) that provide templated tools for eliciting, structuring, and translating guideline content including required data elements, activities specified by recommendations, decision tables used in recommendation logic, questionnaires to be completed by either clinicians or inferred through logic, and more to aid in the knowledge engineering/ translation, and specification activities requisite in developing computable Clinical Practice Guidelines (CPGs).

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BPM+ Health

• A consortium of provider organizations, vendors, and professional societies have coalesced around a set of modeling languages governed by the Object Model Group (OMG), specifically Decision Modeling Notation (DMN), Business Process Modeling Notation (BPMN), and Case Management Modeling Notation (CMMN) as well as are actively developing some additional standards to support computable care process use cases. There are already a set of vendors outside the Healthcare IT Industry that support these languages.  In some cases, if these care processes are thoughtfully modeled to address Clinical Practice Guidelines, they may then be translated into HL7 FHIR CPG-IG STU v1.0.  There is further work ongoing to identify micro-patterns in these models to provide "profiles" (requirements and constraints) in order to ensure the models are care processes and/or to fit the CPG use case.

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