Guideline Appropriate Ordering (GAO)

This profile supports communication of decision support guidance on whether or not an order is appropriate from EHR, hospital or departmental information systems,and enables receivers to validate that decision support was used to determine the appropriateness of those orders according to guidelines.

Summary

The Guideline Appropriate Ordering Profile supplies a mechanism by which EHR and departmental systems can evaluate orders to determine whether these orders conform to guidelines. The profile enables the results of the evaluation to be stored and transmitted, and the receiver of those results to verify that an order was evaluated with regard to appropriateness. Under a new US law, starting in 2017, providers ordering imaging procedures must use physician approved appropriateness guidelines to reduce unnecessary imaging in patients for whom it is not appropriate. In order to be paid for Medicare outpatient care, facilities and physicians who perform certain imaging procedures (either the technical or the clinical component) have to be able to show that decision support was used in the ordering process. The European Society of Cardiology and the European Association of Cardiovascular Imaging have also identified a need for use of appropriateness criteria in cardiovascular imaging.

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Benefits

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Details

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Systems Affected

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Actors & Transactions:

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Specification

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Documents:

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Underlying Standards:

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See Also

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Related Profiles

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Consumer Information

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Implementer Information

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Reference Articles

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