Clinical Reasoning Track Connectathon 14

Participants University of Utah Epic Regenstrief Prepared Mind Partners Healthcare Transcend Insights IBM NCCN Evinance Apelon NCQA Optum Health

NCCN Chemotherapy Order Templates Working on a Chemotherapy Order Tempmlate IG Profiles for PlanDefinition, ActivityDefinition, MedicationRequest Definition of NCCN KDN5 Order Template Kidney Cancer Service to apply the definition to a specific patient

Scenario: Apply an Order Template for a specific patient PlanDefinition (Order Template) $evaluate InputData Condition Observations Decision Support Service GuidanceResponse result  RequestGroup (applied Order Template)

Chemotherapy Breakout Q3 - Frio Discuss alignment and coordination for creating a Chemotherapy Regimen IG

FHIR Clinical Reasoning CDS Service for Zika Infection Management (www FHIR Clinical Reasoning CDS Service for Zika Infection Management (www.opencds.org) © 2016, Kensaku Kawamoto

End-User Experience in Epic (Enabled Via Free, Open-Source Middleware)

Next Steps Enhance and share middleware Ballot simple IG to support pattern Harmonize with CDS Hooks Refine and validate through production implementations

Payer Extract CQL Execution Plugin for HAPI JPA Server Reads CQL from Library resources Accesses data through JPA Layer Expanded definition of COL and CBP Measures CQL-Based HEDIS measures expressed by NCQA More testing w/ terminology services Loaded all terminologies locally Looking at caching/switching per valueset Successfully runs CQL-Based HEDIS measure expressed by Transcend Insights

Containers Measure Processing Component packaged as a docker container: https://hub.docker.com/r/polyakov/cql-measure- processor/ Partners Healthcare successfully instantiated the container, populated it with appropriate data, and evaluated a measure