Page Comparison

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DS-02.1 - Decision Support Configuration
DCF Core Capability
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

DS-03.1 - Alerts
DCF Core Capability
As a Clinical Professional, I want notifications and alerts about patient preferences, patient specific risks and safety compliance, potential conflicts and anomalies, deadlines and other relevant information, And this should be based on the relevant, evidence based, guidance, standards, and treatment options, So that I can provide best practice clinical care as part of digital clinical workflows and care pathways. Acceptance criteria 1: Given when adding or modifying a patients details When the detection of escalating risk, deteriorating clinical conditions Then an alert is presented to the clinician to enable preventative intervention Acceptance criteria 2: Given when adding or modifying a patients details When the detection of escalating risk, deteriorating clinical conditions Electronic observation functionality is linked to Early Warning Scores (EWS), best practice guidance, or locally configured threshold
Application Function	Description
AF173 Generate clinical alerts	The ability of an application to run algorithms based upon patient data (observations, conditions, test results etc.) to proactively identify conditions or deterioration in conditions and generate clinical alerts where issues are identified (scores are beyond defined thresholds).
AF186 Clinical notification configuration	The ability of an application to enable either opt out of receiving a notification when requesting a test or to set the parameters for the specific test which would trigger a notification being sent. This function should be enabled/disabled centrally.

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DS-09.1 - Risk Based Alerts and Configuration
DCF Transformation & Innovation Capability
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)