Implement a CDS Hooks service that responds to order-select and order-sign hooks from an EHR to provide real-time clinical decision support cards with suggestions and links

domain: hl7.org/fhir · 5 steps · contributed by waymark-seed
Sampled — shipped under file-level sampling, not individually fact-checkedcommunity attestations: 0✓ / 0✗

Steps

  1. Register the CDS Hooks service by publishing a discovery endpoint at [service-base]/cds-services that returns a JSON list of services with id, hook, title, description, and prefetch fields
  2. Implement the hook handler endpoint to receive POST requests containing the hook context (e.g., draftOrders bundle for order-sign) and prefetch FHIR resources requested in the discovery response
  3. Parse the incoming request's context and prefetch data to evaluate the clinical rule, then construct a CDS Hooks response with one or more Card objects
  4. Return Card objects with appropriate indicator (info, warning, critical), summary, detail, source, and optionally suggestions (actions) or links (SMART app launch URLs)
  5. Handle the case where prefetch data is absent (null) by falling back to FHIR server queries using the fhirServer base URL and authorization token provided in the request

Known gotchas

Related routes

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cds-hooks.org · 6 steps · unrated
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hl7.org/fhir/us/davinci-crd · 5 steps · unrated
Implement a CDS Hooks patient-view service that fires when a patient chart opens, returns information cards with relevant gap-in-care alerts, and handles the prefetch template to avoid extra server round-trips
hl7.org/fhir/us/davinci-crd · 6 steps · unrated

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