CLINICAL DECISION SUPPORT PLATFORM (242)    PACKAGE (9.4)

Clinical Decision Support Platform is the core system to power Clinical
interact with electronic health record data, as well as specific
applications providing clinical decision support such as Covid-19 Patient
Manager (CPM), Lung Cancer Screening Platform (LCSPv2).
 
This patch will distribute an updated Option CDSP RPC CONTEXT. The OPTION 
CDSP RPC CONTEXT contains additional RPCs, all of which have new approved 
Integration Agreements.These additional RPCs will enable new Applications
to be launched from the Clinical Decision Support Platform as listed below.
 
Lung Cancer Screening Pv2: TIU CREATE RECORD Text Integration Utility and 
Decision Support (CDS) applications. This platform enables rapid
PXRPC SAVE2 Patient Care Encounter. These RPCs will give the Lung Cancer
Screening App the ability to create TIU Documents that document actions 
taken during a LCSPv2 encounter.
 
Precision Oncology: ORWPT LIST ALL Order Entry Results Reporting. Get and 
filter list of patients. This RPC returns a set of patient names for use 
with a long list box for selection by the user.
 
Clinical Decision Support Platform: VPR GET PATIENT DATA JSON Virtual 
Patient Record. This RPC will be added to supports APPs such as Lung 
development and deployment of applications that follow Substitutable
Cancer Screening and Precision Oncology. The RPC is to be used as an 
alternative to VPR GET PATIENT DATA, which returns data in XML.  There 
are frameworks identified where XML libraries often have vulnerabilities 
(expat and friends) and deserializing XML is more difficult than JSON.
 
Clinical Decision Support Platform: LHS CHECK OPTION ACCESS Lighthouse. 
This RPC scours Primary Menu Options, Secondary Menu Options and Common 
Options to determine if the DUZ passed in has access to the option passed 
in.
 
Medical Applications and Reusable Technologies (SMART) family of 
Task Manager: Several OR Team access RPC are being added to streamline 
patient selection.
standards such as SMART on FHIR (Fast Healthcare Interoperability
Resources) and CDS Hooks. CDSP facilitates the launch of CDS applications
from within the VA Electronic Health Record (EHR) - CPRS and Clinical
Context Management (CCOW) vault patient context synchronization. The
system encompasses technical infrastructure and shared capabilities to

This patch will install additional necessary components to support the 
Interoperability Resources) and CDS Hooks. CDSP facilitates the launch of 
CDS applications from within the VA Electronic Health Record (EHR) - 
CPRS. The CDS Platform also relies on the Clinical Context Management 
(CCOW) vault to carry patient context and the synchronization of the 
selected patient between CPRS and the CDS Platform and thus CDS App 
launched from the CDS Platform. The system encompasses technical 
infrastructure and shared capabilities to interact with electronic health 
record data, as well as specific applications providing clinical decision 
support such as Covid-19 Patient Manager (CPM), Lung Cancer Screening 
Risk Calculator.  
Clinical Decision Support Platform (CDSP).  
 
The CDSP RPC CONTEXT menu option contains the following RPCs. The RPCs 
added with this patch are listed below with the Integration Control
Agreement number.
 
Added with CDSP*1.0*2 
1635:  TIU GET RECORD TEXT 
3954:  TIU SET DOCUMENT TEXT 
1790:  TIU SIGN RECORD 
3194:  TIU AUTHORIZATION 
 
6083:  TIU GET DOCUMENT STATUS 
1841:  ORWRP REPORT TEXT 
CDSP is the core system to power Clinical Decision Support (CDS) 
applications. This platform enables rapid development and deployment of 
applications that follow Substitutable Medical Applications and Reusable 
Technologies (SMART) family of standards such as SMART on FHIR (Fast 
Healthcare