EPR MDF Core Capability

DS-02.1 - Decision Support Configuration

As a Senior Responsible Officer (SRO),

I want the appropriate users to be able to configure the decision support processes, including guidance, notifications and alerts,

So that these processes can be kept up to date with the latest clinical practices.

Acceptance criteria 1

Given I am configuring the decision support processes,

When I save the configuration,

Then the guidance, notifications and alerts are updated for clinical users.

Acceptance Criteria 2

Given the need to incorporate clinical guidance into the decision support configuration

When including guidance

Then such guidance should be compliant with published clinical guidelines

Supporting Application Functions

Description

AF171 Business Rules configuration

The ability of an application to support the configuration of rules based upon data which has been captured about a patient. This includes:

• Creating decision support algorithms to process data held within the application

• Setting the trigger point when algorithms should be run , e.g. when observation record, test result recorded.

• Setting the frequency upon which algorithms should be run

• Amending parameters used to set alerts

• Adding/amending variables used in algorithms

• Defining the clinicians/groups who need to receive alerts.

Standards Compliance

• STD090 RCEM Clinical Guidance Clinical Guidelines | RCEM

EPR MDF Transformation & Innovation Capability

DS-09.1 - Risk Based Alerts and Configuration

As a Clinical Professional,

I want to view alerts based on configurable risk rules and, in the order of risk stratification,

So that, I am aware and can manage risk factors in treatment.

Acceptance criteria 1

Given the need to configure risk rules based on risk stratification

When updating or reviewing risk rules

Then risk rules can be configured based on risk stratification

Acceptance criteria 2

Given the need to configure rules around risk

When configuring risk rules

Then such configuration should comply with the standards for Clinical Risk Management and follow published clinical guidelines

Application Function

Description

AF171 Business Rules configuration

The ability of an application to support the configuration of rules based upon data which has been captured about a patient. This includes:

• Creating decision support algorithms to process data held within the application

• Setting the trigger point when algorithms should be run , e.g. when observation record, test result recorded.

• Setting the frequency upon which algorithms should be run

• Amending parameters used to set alerts

• Adding/amending variables used in algorithms

• Defining the clinicians/groups who need to receive alerts.

AF182 Calculate Risk Scores

The ability to calculate risk scores, e.g. risk of re-admission, risk of morbidity based upon a patients medical history which can be presented to clinicians to support clinical decision making.

Standards Compliance

• STD090 RCEM Clinical Guidance Clinical Guidelines | RCEM

• STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems - DCB0129 Guidance (NHS Digital)

• STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems - DCB0160 Guidance (NHS Digital)

The following standards are applicable to the secondary care setting.

• Secondary Care Standards

• STD090 RCEM Clinical Guidance Clinical Guidelines | RCEM

• STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems - DCB0129 Guidance (NHS Digital)

• STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems - DCB0160 Guidance (NHS Digital)

• STD085 The Core Information Standard - The Core Information Standard