SMART Guidelines Starter Kit
2.1.0 - ci-build International flag

SMART Guidelines Starter Kit, published by WHO. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-ig-starter-kit/tree/main and changes regularly. See the Directory of published versions

Libraries

Libraries are FHIR Artifacts containing the definitions of data querying and processing that are used in the indicators and scheduling / decision logic.

Each CQL library SHALL have a corresponding Library resource in the SMART Guideline. See the CQL topic for a description of authoring the CQL libraries.

Inputs

  • L3 Indicators, PlanDefinitions
  • Library resources in dependencies

Outputs

  • Library resources - populated with the necessary metadata and content

Metadata

Shareable
Element Guidance
id SHALL be populated with
url SHALL be populated with /Library/
version SHALL be populated with
versionAlgorithm SHALL be populated with
versionPolicy SHALL be populated with strict
name SHALL be populated with
title SHALL be populated with
status SHALL be populated with (draft for non-released content, active for released content)
experimental SHALL be populated with
publisher SHALL be populated with
description SHALL be populated with
knowledgeRepresentationLevel SHALL be populated with
** Publishable **
Element Guidance
identifier ????
date SHALL be populated with
contact SHALL be populated with
useContext SHALL be populated with & ???? Decision Support Logic? Scheduling Logic? Indicator Logic? Data Element Logic? Concepts? Common? Settings? Configuration?
jurisdication SHALL be populated with
purpose SHALL be populated with
copyright SHALL be populated with
copyrightLabel SHALL be populated with
approvalDate SHALL be populated with
lastReviewDate SHALL be populated with
effectivePeriod SHALL be populated with
topic SHALL be populated with and optionally additional topics specific to the library
author SHALL be populated with
editor SHOULD be populated with
reviewer SHOULD be populated with
endorser SHOULD be populated with
relatedArtifact SHALL be populated with citation references to L2 content
Computable and Executable
  • Computable Libraries SHALL conform to CQLLibrary (base64-encoded text/cql content)
  • Executable Libraries SHALL conform to ELMJSONLibrary (base64-encoded application/elm+json content)

Activities

  • The L3 Author creates Library resources for each CQL Library
  • Library Types:
Library Type Description
Common CQL utility and helper declarations
Concepts CQL terminology declarations for concepts in the SMART Guidelines IG
Elements CQL expressions representing SMART Guidelines data elements, from the general patient perspective
EncounterElements CQL expressions representing data elements from the perspective of an encounter (i.e. parameterized with an EncounterId)
IndicatorElements CQL expressions representing data elements from the perspective of an indicator (i.e. parameterized with a Measurement Period)
Logic CQL expressions containing artifact logic, either specific to a particular artifact or shared by multiple artifacts

Output Criteria / Definition of Done

  • Each CQL Library in the IG SHALL have a Library resource
  • Each Library SHALL indicate the type of library according to the above (with a useContext slice)
  • Each Library resource SHALL conform to CRMIShareableLibrary
  • Each active published Library SHALL conform to CRMIPublishableLibrary
  • Each Library resource representing a CQL Library SHALL conform to CQLLibrary
  • Each Library resource representing a CQL Library SHALL conform to CQLModule

Change tracking

As with all FHIR Conformance resources, change management is critical. Do not set the version element of Libraries defined in the SMART Guideline, the version element will be set by the publication process. See the versioning topic for more information on change management.

In addition to the change tracking provided generally for all resources:

  • Each CQL Expression SHALL provide a reference back to the source of the expression ** Concepts: The reference is implicit in the code ** Elements: A tag referring to the L2 Element by ID ** Decisions: A tag referring to the L2 Decision Table (at the library level) ** Scheduling: A tag referring to the L2 Scheduling Table (at the library level) ** Indicators: A tag referring to the L2 Indicator (at the library level)

Tooling

Tool Usage Doc
Publisher As part of the publication process (use path-binary)  
CQF Tooling Run _refresh…  

Informative examples

Known issues and dependencies