CDS hooks is a vendor agnostic remote decision support specification. The specification defines a series of 'hooks' which provide information, or access to a SMART application, within a user's standard workflow.
In the most straightforward use case, a SMART app could access FHIR-based patient data and apply unique decision support logic, making the result available to the attending physician.
The Lush Group has been participating in the CDS-hooks Argonaut project and has created two services which demonstrate how this technology could be used to extend interoperability.
Health e-Check Adolescent Preventive Screening Report
The Health e-Check Adolescent Preventive Screening Report is a prototype which is intended to be part of a system to provide a screening report to providers of adolescents, to help them detect early substance abuse behaviors so they can intervene early.
Health e-Check is an Adolescent Heath Behavior/Emotional Screening Tool which is used in the clinician’s office immediately before an adolescent visit. The screening report is available to the clinician from the clinician’s EHR. The EHR presents 'cards' describing the available information and a link to specific report for the selected patient. This screening report was designed to help clinicians identify risky behaviors and provide counseling for a range of adolescent behavioral and emotional health risks, including substance use.
Health e-Check is owned by the University of California, SF and was developed with funding from the Agency for Healthcare Research and Quality (AHRQ) through a grant to PI Elizabeth M. Ozer, Ph.D.
This CDS-service was developed by The Lush Group to demonstrate a method to efficiently deliver these results to the physician during the patient visit.
HealthyMe Patient External Clinical Records
HealthyMePHR is a FHIR-based system that allows patients to control who has access to their health data, using the HEART profiles. The patient can choose to share their clinical data with a specific physician. This CDS-hooks service is a demonstration of how a physician could access clinical records from external systems, from within their EMR. There are countless use cases when a patient sees a new physician, and that patient's clinical data is not available. This demonstrates one approach to solve that problem which is patient directed.