<status value="active"/> <date value="2025-12-19T08:44:27+00:00"/> <publisher value="HL7 International / Electronic Health Records"/> <contact> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/ehr"/> </telecom> </contact> <description value="Capture the decision support prompts and manage provider actions to accept or override decision support prompts."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <purpose value="Provider actions in response to prompts offered from decision support are captured. Management of these actions be accomplished at the patient level or aggregated for patient population, research protocol, or organizational trending."/> <derivedFrom value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CPS.3.8"/> <statement> <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"> <valueBoolean value="false"/> </extension> <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"> <valueCode value="C"/> </extension> <key value="DHFPR2-CPS.3.8-01"/> <label value="CPS.3.8#01"/> <conformance value="SHALL"/> <conditionality value="false"/> <requirement value="The system SHALL provide the ability to capture that clinical decision support prompts have been rendered and user response to accept or override those prompts. In dental electronic records, a Prompt is usually called an "Alert." Dental examples include allergies, a pre-med requirement, or Rx opioid use."/> <derivedFrom value="CPS.3.8#1"/> </statement> <statement> <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"> <valueBoolean value="false"/> </extension> <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"> <valueCode value="C"/> </extension> <key value="DHFPR2-CPS.3.8-02"/> <label value="CPS.3.8#02"/> <conformance value="SHALL"/> <conditionality value="false"/> <requirement value="The system SHALL provide the ability to capture the reason for variation from the decision support prompt. For Dental, the reason could be documented in a progress note."/> <derivedFrom value="CPS.3.8#2"/> </statement> <statement> <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"> <valueBoolean value="false"/> </extension> <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"> <valueCode value="NC"/> </extension> <key value="DHFPR2-CPS.3.8-03"/> <label value="CPS.3.8#03"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD provide the ability to render recorded variances from decision support prompts."/> <derivedFrom value="CPS.3.8#3"/> </statement> <statement> <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"> <valueBoolean value="false"/> </extension> <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"> <valueCode value="NC"/> </extension> <key value="DHFPR2-CPS.3.8-04"/> <label value="CPS.3.8#04"/> <conformance value="MAY"/> <conditionality value="false"/> <requirement value="The system MAY provide the ability to render a notification to users that a decision support alert has been disabled (e.g., notification to administrators or the user who disabled the alert)."/> <derivedFrom value="CPS.3.8#4"/> </statement> </Requirements>

Description I:

Provider actions in response to prompts offered from decision support are captured. Management of these actions be accomplished at the patient level or aggregated for patient population, research protocol, or organizational trending.

Criteria N:

CPS.3.8#01

SHALL profiled

The system SHALL provide the ability to capture that clinical decision support prompts have been rendered and user response to accept or override those prompts. In dental electronic records, a Prompt is usually called an "Alert." Dental examples include allergies, a pre-med requirement, or Rx opioid use.

CPS.3.8#02

SHALL profiled

The system SHALL provide the ability to capture the reason for variation from the decision support prompt. For Dental, the reason could be documented in a progress note.

CPS.3.8#03

SHOULD

The system SHOULD provide the ability to render recorded variances from decision support prompts.

CPS.3.8#04

MAY

The system MAY provide the ability to render a notification to users that a decision support alert has been disabled (e.g., notification to administrators or the user who disabled the alert).