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. 2023 Jun 21;6(2):ooad038.
doi: 10.1093/jamiaopen/ooad038. eCollection 2023 Jul.

Playing in the clinical decision support sandbox: tools and training for all

Andrey Soares  1 , Majid Afshar  2 , Chris Moesel  3 , Michael A Grasso  4 , Eric Pan  5 , Anthony Solomonides  6 , Joshua E Richardson  7 , Eleanor Barone  8 , Edwin A Lomotan  9 , Lisa M Schilling  1
Affiliations

Playing in the clinical decision support sandbox: tools and training for all

Andrey Soares et al. JAMIA Open. .

Abstract

Objectives: Introduce the CDS-Sandbox, a cloud-based virtual machine created to facilitate Clinical Decision Support (CDS) developers and implementers in the use of FHIR- and CQL-based open-source tools and technologies for building and testing CDS artifacts.

Materials and methods: The CDS-Sandbox includes components that enable workflows for authoring and testing CDS artifacts. Two workshops at the 2020 and 2021 AMIA Annual Symposia were conducted to demonstrate the use of the open-source CDS tools.

Results: The CDS-Sandbox successfully integrated the use of open-source CDS tools. Both workshops were well attended. Participants demonstrated use and understanding of the workshop materials and provided positive feedback after the workshops.

Discussion: The CDS-Sandbox and publicly available tutorial materials facilitated an understanding of the leading-edge open-source CDS infrastructure components.

Conclusion: The CDS-Sandbox supports integrated use of the key CDS open-source tools that may be used to introduce CDS concepts and practice to the clinical informatics community.

Keywords: CDS Hooks; CQL; FHIR; clinical decision support.

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Conflict of interest statement

CM is an employee of the MITRE Corporation, technical lead of AHRQ’s CDS Connect Authoring Tool and CQL Services, and co-author of the HL7 CQL standard. EAL is an employee of AHRQ. ASoa, MA, MAG, EP, ASol, JER, EB, and LMS have no disclosures to report.

Figures

Figure 1.
Figure 1.
Steps used in the tutorial to demonstrate the CDS-Sandbox components.
Figure 2.
Figure 2.
Sample triggering of CDS Hooks cards with (A) Statin recommendation and (B) link to a Statin Decision Aid tool.
See this image and copyright information in PMC

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