Service Candidates

Technical Capability	Functionality	Collaborations	Responsibilities	MVP Priority	Existing Component	Existing Resources	Description	Preserve Concept?	Code Worth Keeping?	Coordinators	Questions
Terminology Management	Provides terminology / value set definition and management capabilities, including translation mappings between different vocabularies. Scope includes semantic reasoning using description logic such as subsumption.	Ontologies Databases	Maintains reference terminology relationships Lookup Translations between vocabularies Subsumption/equivalence Realtime response	Low	CTS2 Semantic Terminology Server	No applicable open source equivalent	Terminology mapping tools & technologies Semi-structured parsing Alignment (model, terms) Entity extraction	Yes	Yes with significant refactoring	Claude
Rule-Based Reasoning	Provides reasoning capabilities based on traditional production rules.	Fact Base Logical Model		High	Framework	Drools/Guvnor/KIE	Issues with KIE stability and performance	Yes		Esteban
Decision Support Invocation	Provides intelligent CDS invocation and request routing to one or more different reasoning services. Manages metadata potentially important to the invocation such as intent/goal, clinical context, requestor role, etc.	Reasoning Environment Management State Management Work Product management	Route Reasoning Reasoning Environment Setup Result Hand-off	Low	Services	OpenCDS-DSS eHM Invocation Framework Decision Support Agent	Coordination with CDS-on-FHIR team What version?	Yes	ASMR code base that needs to be repackaged under Socratic Grid	Jerry Esteban
"Event" Source Management	Provides the functional ability to respond to "events" within the environment, including messages, application events, scheduled evaluations, and features identified in data streams.	Decision Support Invocation Event Publish and Subscribe	Manage Event Source Integration Act as EPS Publisher	High	Framework	Mirth Fusion		Yes	Yes	Esteban Jerry
Clinical Data Repository	Provides a repository of clinical data that can be used for demonstrations, rule/workflow validation, development, etc.		Provide data for testing Provide data for demonstration Allow data to be added/edited	High	Repositories	FHIRBase		Yes	Evaluate	Claude	Should thiis component be capable of time shifting all data returned?
User Interaction Patterns	Provides capabilities for integrating CDS work product into clinical UIs. Approaches might include complete applications, portlets, widgets, or other components for desktop or mobile clients.			High	Framework			Yes	Evaluate	Claude
GUI Frameworks	Provides a consistent and re-usable framework for building client GUIs and visual interfaces.					KMR Portal CareWeb SMART on FHIR Portal? HSPC
Transformation Capabilities	Provides capabilities for transforming data between different HL7 data models, including FHIR, vMR, CDA and FHIM. Might be implemented as a set of librabries and/or exposed as a service.	Terminology Management	Structurally Transform Content Translate Terms Validate Data	Medium	Services	Mirth Open Health Tools MDHT ken lord		Yes	Yes	Jerry
General Security	Provides reliable, role-based access control to services and components within the environment.	Fine grained access control Decision Support Invocation		High	Framework	OAuth /OAuth2		Yes	No	Jerry	Do we want a delegate model here?
Application SDKs (plugable functional façades etc)	Provides a consistent and well organized set of APIs for application developers - abstracts the complexity of midtier services and renders structured data into a human- readable format. Allows developers to "plugin" new application specific components and functional behavior. For example, provides a standard FHIR API with a plugin to handle profile management.			Low	Services			Yes	Evaluate	Claude
Data Source Integration Framework	Provides specific integration plugins to vendor EHR platforms such as Epic and Cerner. For example, components that bin as well. to existing EMR interfaces OR a component that registers interest in EMR events/messages. Not restricted solely to clinical information, but might include configuration or administration data.	Transformation	Access Vendor data Access Vendor events	High	Services			Yes	Evaluate	Amnon
Logical Model	Provides a clean information model for organizing and representing clinical data in a semantically precise, logically consistent way that is optimized for CDS and Quality Measures.	Transformation	Provide a consistent easy to use model for reasoning	High	Models, Terminologies & Value Sets			Yes	Yes	Claude
Canonical Data Model	Provides a clean and consistent instance representation that enhances, non-inference secondary use, fro example, reporting, transport, auditing, etc.
Communications Framework	Provides standardized functionality for communicating between parties (machine and/or human), i.e delivering alerts, recommendations, and other communications acts using a variety of transport mechanisms to include, but not limited to, email, Short Message Service (SMS), VOIP, or Instant Messaging (IM).	Transport Plugins Requesting System	Provide System to Human Communication Escalation and Routing?	Low	Services	UCS reference implementation		Yes	Yes	Esteban Amnon	What scope of the SFM are we addressing here?
Knowledge Artifact Persistence (stores)	Provides a central, secure repository for storing knowledge artifacts during development and governance, and then as source of runtime knowledge bases during deployment. Also includes persistence of canonical informational models, and/or pointers to non-standard information models.			Low	Repositories	KIE KMR	Need to think about registries for shared resources.
Healthcare Settings/Resources Registries	Provides registries and repositories of metadata, equipment, inventories, facility and other resources that define the context and settings in which and by which care is delivered. Provides data about local availability of material and human resources.			Low	Repositories	TBD	Need to think about registries for shared resources. Formularies, Service inventories, etc...
Work Product Repository	Provides a configurable, potentially centralized store for CDS work product (recommendations, alerts, orders, tasks, etc.) that ensures the necessary level of durability and availability to support both reference and transactional use cases.	Work Product Management	Work Product CRUD	High	Repositories		Work product lifecycle management		ASMR code base that needs to be repackaged under Socratic Grid	Jerry Esteban
Work Product Management	Provides the essential services for the management of generated work product. This include the essential CRUD services, assignment, reassignment, status update, suppression etc.	Work Product Repository	Retain Work Product State Retain User specific information relating to the Work Product Provide a audit trail of work product actions. Help avoid duplication	High	Services Framework					Service to support Work Product management activities, e,g, view of work products,assignments, events on work products [e.g. read, supress].
Metrics and Feedback Management	Provides facilities to collect a variety of CDS system and performance metrics including what rules are fired, what advice was given, whether advice was followed, how long the analysis took, etc.			Low	Framework				ASMR code base that needs to be repackaged under Socratic Grid	Jerry Esteban
Predictive Analytics	Provides predictive analytics and other non-rule based reasoning capabilities.			Low	Services
Complex Event Processing	Provides for performant consumption, analysis, and feature extraction for medical device data and other sources of high volume data. Ensures effective communication of evidentiary data for storage and alerting.			Low			waveform information can be provided in a number of forms: snapshots, continuous "real-time" stream. Independent of the form of waveform. it accommodates additional metadata (Type, Rate, Time….)	IHE-WCM Profile
Access Control, Security, and Compliance	Provides capabilities for enforcing patient, provider or organizational policies regarding the access, visualization, or use of clinical data.	Work Product Management Transformation Services Event Pub/Sub	Redaction and Info Access	Low	Framework	Duane's framework	Security labeling/Policy enforcement EP
State Persistence & Retrieval	Provides facilities for managing the persistence and retrieval of state in support of the reasoning environment.	Reasoning System Decision Support Invocation	Capture Process State Restore Process State Capture Fact State Restore Fact State	Low	Framework	Drools platform	Must fully expose workflow. Requires needed expressivity. Support multitenancy. Performant and scalable.	Yes	Evaluate	Jerry
Reasoning Environment Management	Provides provisioning, configuration and monitoring capabilities for the core CDS framework environment. Provides session management, knowledge base deployment, "fact" caches, data queries etc.			Medium	Framework	(DSA) and other 'profiler' functionality.	How to configure a dynamic patient-based tool and manage that session flexibly - loading/unloading rules within given clinical context. Patient, provider, facility-specific sessions/customizations, etc...			Infrastructure to manage reasoning, including trigger based reasoning, longer term fact environments, data querie etc.
Knowledge Artifact Authoring	Provides graphical authoring and governance tools specifically targeted to the non-technical domain expert, allowing them to author standards-based artifacts tht can be translated into runtime code.			Medium	Authoring	Enhanced Clinical Editor Assertion Editor KIE HeD Editor	Need to define what is the scope of this: - HeD Artifacts? - Guidelines? - Workflows?	HeD Decision Modeling Notation (DMN) BPMN API4KB
Knowledge Governance, Configuration, Utilization, etc		Reasoning Environment Management		Medium	Framework	KIE			ASMR code base that needs to be repackaged under Socratic Grid	Jerry
Event Publish and Subscribe	Provides pub-sub, topic management, and content intervention capabilities important for managing SOA at scale.	"Event" Source Management	Support Pub/Sub Message Delivery Mange Topic Trees	Medium	Services	EPS reference implementation	Need to begin open source community. Need to move from prototype to production grade library.	EPS
Classification Capabilities	Leverages predictive analytics, rule and non-rule based reasoning capabilities to facilitate the classification of patients into one or more clinical or administrative cohorts. This is an essential feature for population health programs or for assessing patient risk/prognoses.	Cohort Management	Identify potential membership in a cohort	Low		Cohort Service		Yes	Yes	Andrew Jonathan
Cohort Management	Provides services for managing cohorts, e.g. manually adding or removing patients from disease registries, confirming set membership, cohort maintenance.	Classification Capabilities
Entity Identification	Identifies whether there is an individual patient matching demographic search criteria (e.g., name, gender, date of birth). Also may be applied to identify other entities such as healthcare providers or facilities. Answers the question...are n things the same , different, or maybe/partially the same. Also...what is the canonical id of this thing?	Entity Base OpenMPI		Low	Services			IXS		Needs careful discusssion regarding overlap with Cohort service and resource registries
Order Management	Provides a consistent, structured methodology for ordering a variety of services and products, including, but not limited to, pharmacy, nutrition, radiology, and laboratory items. For knowledge artifact and orderable catalog management see Knowledge Artifact Store below.	Order Fulfillment	Manage Order Lifecycle	Low	Services	OS reference implementation	Not sure of use cases at this time	Yes	Yes	Claude
Order Fulfillment	Provides a consistent, structured methodology for communicating effectively with ordering services regarding the fulfillment of a variety of services and products.	Order Management	Support Order fulfillment Coordinate with Order Management	Low	Services			Yes	No	Claude
Unstructured Data Management	Provides capabilities for extracting structured or semi-structured data from unstructured sources such as free text documents, images, or waveforms.			Low	Tools	UIMA with plugins?
Data Generation	Provides capabilities for producing clinical data, values, distributions, etc. that are appropriate for specific use cases. Provides ability to declaratively generate potentially millions of data instances in RDF or FHIR formats for testing and demonstration purposes. Also includes ability to derive anonymous or de-identified instances from actual source data using a variety of sampling criteria.		Generate Representative data for Demonstration Generate Representative data for Testing	High	Tools	Prototype	Should also include event streams
Expression Syntax Translation	Provides for pluggable components that offer the ability to translate various rule and expression syntaxes into runtime code, for example, those written in CQL into the corresponding Drools DRL.			Low	Tools	Prototype
Data Query Mediation	Provides capabilities to locate, query, and manage the retrieval of clinical and administrative data from distributed and/or heterogenous sources. Typically these queries will be patient centric, but the scope also includes population queries where the query key is not a patient id, for example a disease or lab.			Low			Supports retrospective query of PCD data from databases. Supports Use Cases such as Clinical Decision Support	IHE-WCM Profile
Optimization/Planning	Provides reasoning capabilities specific to planning or optimization tasks.			Low	TAP-Resource Capacity Simulator
Reporting & Business Intelligence	Provides canned, ad hoc, or parameterized reporting and other traditional BI analysis capabilities.			Medium	TAP-Spago Integration
Evidence / Reference / Educational Content Delivery	Provides information (links, references, actual articles) to sources of reliable evidentiary material for justifying CDS advice, meeting meaningful use requirements, or providing "help" content using a variety of orthogonal concerns, e.g. if a provider is dyslexic, visually impaired, etc.		Curate Content Deliver Content	Low		Infobutton resource providers, IB clients and libraries.		Infobutton?
Task Management	Provides for the management and state monitoring of "tasks", including human tasks. Provides a tasking model of discrete building blocks that can be used to define higher level compositions.		Task Initiation Task Status review Task Update and Control	Medium	Services
Common libraries and tooling	Certain functionality is 'cross-cutting' and can be pulled out into common libraries that need to be carefully managed. This may include libraries for logging, security, etc...				Framework	KMS/OpenCDS