Consider Review and Updates to the Service Documentation Page

[gregoryawhite]

1. The entire content of this page should be reviewed by artifact developers as service architecture, terminology processes, and implementation approaches may have evolved since it was authored. Some updated content should be available here https://github.com/cqframework/cqf-ruler/wiki/Architecture

2. Consider updating this language as Epic and Altera Digital Health (formerly Allscripts) currently support CDS Hooks. “The CDS Hooks interoperability framework was used for the integration of the guideline recommendations into EHR systems. This framework was chosen primarily due to EHR vendors including Epic, Cerner, Allscripts, and Athena Health expressing their strong support of the framework and in anticipation that these EHR vendors will support the framework in the near future.”

3. Update examples of condition logic in Core Logic Processing Java Class https://build.fhir.org/ig/cqframework/opioid-cds-r4/branches/267-profiles-path-to-ig-tables/service-documentation.html#solution-component-3-core-logic-processing-java-class to align with 2022 exclusion criteria. Consider removing this condition as it is not used in 2022 artifacts “The patient has been on an opioid abused in ambulatory care consistently for the past 3 months”, and update the source of the CDC conversion factors code system (no longer derived from an Excel CDC research set)

4. Is this section of the Service Documentation page current? https://build.fhir.org/ig/cqframework/opioid-cds-r4/branches/267-profiles-path-to-ig-tables/service-documentation.html#solution-component-5-epic-cds-hooks-adapter Epic provides native support for three hooks. Consider removing or updating.

5. Consider updating or removing the alert screenshot on this page. The screenshot represents an implementation of the 2016 version of Recommendation 5. The 2022 Guideline Recommendation 5 does not provide MME thresholds.

6. At least in one section, DSTU2 is referenced. Where appropriate, update or remove legacy FHIR version references.