1. Clinical Reasoning Track
Connectathon 14

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

3. 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

4. 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)

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

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

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

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

17. 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

18. Containers
Measure Processing Component packaged as a docker container:
processor/
Partners Healthcare successfully instantiated the container, populated it with appropriate data, and evaluated a measure