ATTACHMENT C - Sample conceptual Structure for ECA Rule.docx

ATTACHMENT C – SAMPLE CONCEPTUAL STRUCTURE FOR ECA RULE

The sample conceptual structure shown below is from the referenced HL7 CDS KAS, Section 2.3.1.

Title: Hemoglobin A1C Reminder for Patients with Poorly Controlled Diabetes Adapted From: CDSC L3 Diabetes Mellitus Assessment Rule Clinical Focus: Diabetes Mellitus Trigger

1. Start of encounter in primary care clinic [defined as: _______________]

Conditions

1. Patient is an adult, and [“adult” defined as patients >= 18 years of age as of date of encounter; (plus any clinical references noted, where applicable)]

1. Patient has diabetes, and [diabetes defined as ___________________]

1. Patient has not had a Hemoglobin A1C test [Hemoglobin A1c test defined with _____________] in the last three months, and

1. Patient had an abnormal Hemoglobin A1C test [abnormal Hemoglobin A1c test defined as] sometime in the nine-month period before the last three months

Actions

1. Notify the provider

1. Order the Hemoglobin A1C in the next three days