This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

G.6 Knowledge Artifact Distribution

One of the primary goals of the Clinical Quality Framework is to enable the sharing and distribution of computable clinical knowledge artifacts:

The distribution use case involves enabling knowledge artifacts to be distributed as documents via a FHIR server. The search and read interactions defined by the FHIR infrastructure can be used for this purpose. The ModuleMetadata structure defines several search parameters to enable searching based on the various attributes of a knowledge module. The FHIR search interaction specifies that search results are returned in a Bundle, and the entries in that bundle allow a score to be specified, consistent with the Decision Support Service (DSS) relevance result. Note that the DSS score range is 1 to 100, while the FHIR score range is 0..1.

The following table lists the search criteria elements defined by the Decision Support Service (DSS) standard along with their appropriate representation in FHIR:

Support for exclusion criteria as described in the DSS is provided by the :not search parameter modifier of FHIR.