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Clinical care requirements

Clinical decision support and alerts

Rules, alerts, models, governance.

How to read status labels: In the pilot (v0.2.0, synthetic data) Simulated in the pilot Coming (Wave 2, rolling out) Designed, not yet built Open decision Not offered / no claim made Planned partner integration

C0698Does AuroraMed provide rule-based alerts (drug, allergy, duplicate, dose, best-practice) with interruptive and non-interruptive modes?

No. The specification describes it, but the pilot does not include it. REQ-0801 says the system must provide rule-based alerts (drug, allergy, duplicate, dose, best-practice) with interruptive and non-interruptive modes. Its acceptance check: alert mode per rule configurable.

Designed, not yet builtPermalink

C0699Does AuroraMed record alert overrides with coded reasons and provide alert analytics?

REQ-0802 is a high-priority requirement for the medium and large tiers: the system must record alert overrides with coded reasons and provide alert analytics. Not yet. It is designed in the specification and not built in the pilot. To verify it, the specification says override rate report available.

Designed, not yet builtPermalink

C0700Does AuroraMed support CDS Hooks and FHIR clinical reasoning (PlanDefinition, ActivityDefinition, CQL)?

The clinical decision support and alerts part of the specification (REQ-0803) says the system must support CDS Hooks and FHIR clinical reasoning (PlanDefinition, ActivityDefinition, CQL). Designed, not built: there is no code for this in the pilot. Acceptance check: cDS Hooks patient-view test passes.

Designed, not yet builtPermalink

C0701Does AuroraMed provide early-warning scores (NEWS, MEWS) and sepsis screening with model version display?

How would it be tested? The specification says score inputs shown to user. That is the check for REQ-0804: the system must provide early-warning scores (NEWS, MEWS) and sepsis screening with model version display. This is on the design side of the line. Nothing in v0.2.0 does it.

Designed, not yet builtPermalink

C0702Does AuroraMed expose decision-support intervention source attributes for predictive models as required for certification?

No. The specification describes it, but the pilot does not include it. For reference, REQ-0805 (a medium-priority requirement, the medium and large tiers) says the system must expose decision-support intervention source attributes for predictive models as required for certification. Check: attributes visible on demand (to be verified).

Designed, not yet builtPermalink

C0703Does AuroraMed provide health-maintenance reminders and immunization forecasting (CDC CDSi)?

The system must provide health-maintenance reminders and immunization forecasting (CDC CDSi). That is REQ-0806, a high-priority requirement for all three tiers. Not yet. It is designed in the specification and not built in the pilot. Test in the specification: forecast matches CDC test cases.

Designed, not yet builtPermalink

C0704Does AuroraMed provide sound-alike/look-alike (Tall Man) display?

Designed, not built: there is no code for this in the pilot. REQ-0807 says the system must provide sound-alike/look-alike (Tall Man) display. Its acceptance check: configured pairs shown.

Designed, not yet builtPermalink

C0705Does AuroraMed support pharmacogenomic decision support?

REQ-0808 is a lower-priority requirement for the large tier only: the system must support pharmacogenomic decision support. This is on the design side of the line. Nothing in v0.2.0 does it. To verify it, the specification says rule cites CPIC guideline version.

Designed, not yet builtPermalink

C0706Does AuroraMed provide suicide risk screening alerts, SDOH screening and radiation dose alerts?

The clinical decision support and alerts part of the specification (REQ-0809) says the system must provide suicide risk screening alerts, SDOH screening and radiation dose alerts. No. The specification describes it, but the pilot does not include it. Acceptance check: positive screen creates task.

Designed, not yet builtPermalink

C0707Does AuroraMed govern AI/predictive tools with a model inventory, validation and monitoring before enablement?

How would it be tested? The specification says tool cannot be enabled without inventory entry. That is the check for REQ-0810: the system must govern AI/predictive tools with a model inventory, validation and monitoring before enablement. Not yet. It is designed in the specification and not built in the pilot.

Designed, not yet builtPermalink
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