Skip to content Skip to navigation

ONC Announces CDS Framework and Interoperability Initiative

June 6, 2012
by Gabriel Perna
| Reprints

The Office of the National Coordinator for Health Information Technology (ONC) is launching a new standards and interoperability framework, Health eDecisions. According to the ONC, the initiative, formerly known as CDS, will address standards for the ability to exchange clinical decision support interventions. It will operate as part of the ONC Standards & Interoperability Framework in conjunction with the Office of the Chief Medical Officer, which was also recently launched.

According to the ONC, there is a gap between what’s been done already with the standards and interoperability framework for CDS and the industry goal of producing updatable, findable, distributable, maintainable CDS interventions for use by EHR vendors, knowledge vendors, providers, and quality program leaders. The ONC says the creation of a standard format for sharable CDS will make for easier integration into EHR systems, and it will be more likely that such a sharable CDS structure is actually used by care providers.

“It is the intent of this new ONC effort to assemble input from leading technical contributors toward the establishment of a standard format for CDS interventions,” the ONC’s Jacob Reider and Alicia Morton, wrote in an email. The ONC is looking for volunteers to participate, registration can be found at:



I think the ONC is on target...but a little late to the game. There is already a standard called "Open CDS". Several large organizations are already collaborating on this initiative. The industry can save a lot of time and money by getting behind this technical solution. It will require a wrapper of policies, rules of engagment, etc., but at least there is a technical solution.
Check out

As an industry we should strongly consider getting behind a non-profit initiative that already has some momentum, rather than starting from scratch.

Jim Turnbull, CIO
University of Utah

ONC's S&I Framework will be reusing its open source collaboration model and the principles and practices of the Open Government directive ( to produce the national Health eDecisions CDS standard.

The balloted IG produced will incorporate and build on the existing Open CDS standard just like the Lab Results/Lab Orders/eDOS standard IGs are being built upon the existing HL7 2.5.1-balloted ELINCs Lab Results and Lab Orders IGs and the previous eDOS effort headed by the ACLA.

And, the process is already underway because David Shields from Open CDS is one of the 76 attendees of the kick-off Web conference today which is accessible to any interested party at: .
Bob Coli, MD


CMS Hospital Compare Website Updated with VA Data

The Centers for Medicare & Medicaid Services (CMS) has announced the inclusion of Veterans Administration (VA) hospital performance data as part of the federal agency’s Hospital Compare website.

CMS Awards Funding to Special Innovation Projects

The Centers for Medicare & Medicaid Services (CMS) has awarded 20, two-year Special Innovation Projects (SIPs) aimed at local efforts to deliver better care at lower cost.

Center of Excellence in Genomic Science to be Established in Chicago

The National Human Genome Research Institute has awarded $10.6 million over five years for the establishment of a new research center in Chicago to advance genomic science.

EHNAC and HITRUST Combine HIPAA Security Criteria, CSF Framework

The Electronic Healthcare Network Accreditation Commission (EHNAC) and the Health Information Trust Alliance (HITRUST) announced plans to streamline their accreditation and certification programs.

Halamka on MACRA Final Rule: “CMS is Listening and I Thank Them”

Health IT notable expert John Halamka, M.D., CIO of Beth Israel Deaconess Medical Center in Boston, recently weighed in on the Medicare Access and CHIP Reauthorization Act (MACRA) final rule.

Texas Patient Care Clinic Hit with Ransomware Attack

Grand Prairie, Texas-based Rainbow Children's Clinic was the victim of a ransomware attack on its IT systems in August, affecting more than 33,000 patients, according to multiple news media reports this week.