{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T04:35:02Z","timestamp":1769834102814,"version":"3.49.0"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643683867","type":"print"},{"value":"9781643683874","type":"electronic"}],"license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,2]]},"abstract":"<jats:p>Background: To deploy clinical decision support (CDS) systems in routine patient care they have to be certified as a medical device. The European Medical Device Regulation explicitly asks for the use of standards and interoperability in the approval process. Objectives: We extended an existing dermatological CDS system with emerging standards for CDS interoperability, to facilitate a future integration into existing healthcare infrastructure, and approval as a medical device. Methods: The data collection part of a CDS system was extended with the endpoints required by the CDS Hooks specification. FHIR QuestionnaireResponse resources trigger a newly defined hook. Results: One hundred and seventeen clinical observations and patient variables needed for the ranking of a disease were mapped to SNOMED CT or LOINC and modeled as FHIR Questionnaire which is rendered using LHC LForms in a SMART on FHIR app with the SMART Dev Sandbox. Conclusion: SMART on FHIR in combination with CDS Hooks facilitates the integration of existing CDS systems into EHR systems, potentially improving education and patient care.<\/jats:p>","DOI":"10.3233\/shti230002","type":"book-chapter","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T09:04:02Z","timestamp":1683709442000},"source":"Crossref","is-referenced-by-count":2,"title":["Evaluating a CDS Hook for FHIR Questionnaires in a SMART on FHIR App and an Existing Dermatological CDS System"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0391-7810","authenticated-orcid":false,"given":"Philipp","family":"Tschandl","sequence":"first","affiliation":[{"name":"Department of Dermatology, Medical University of Vienna, Vienna, Austria"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3847-5664","authenticated-orcid":false,"given":"Christoph","family":"Rinner","sequence":"additional","affiliation":[{"name":"Center for Medical Data Science, Medical University of Vienna, Vienna, Austria"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","dHealth 2023"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI230002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T09:04:08Z","timestamp":1683709448000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI230002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,2]]},"ISBN":["9781643683867","9781643683874"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti230002","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,2]]}}}