This page is part of the SMART IG STARTER KIT (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Governance Overview

SMART Guidelines artifacts are meant to be interoperable, shared and adaptable. One of the implications is that the artifacts can be maintained and possibly reused and referenced across Guidelines. This is one of the reasons for the SMART Guidelines to use machine-readable content.

In the authoring processes, there are some artifacts that are subject to “common” governance - this means that such artefacts are maintained not within one single guideline, but as possibly reusable artifacts:

• Concept definitions may be defined in a common base - for example “Patient given name” and “Pregnancy status” are definitions that should be common across SMART Guidelines
• Business Processes, Personas - several of such artifacts can be used when building up an architecture from the modular components, aiming at reuse or consistency
• ValueSets and CodeSystems - Terminology assets are inherently reusable across specifications.
• CQL Common Libraries - code libraries can be maintained for reuse
• Common profiles - Reusing technical parts of the specification allows further technical interoperability.

Reusable artifacts would be managed not only by their immediate author, but would have a different governance process - as an example, A central Glossary, hosted on a repository, may contain commonly agreed definitions. Authors are then encouraged to use terms from that glossary, instead of recreating definitions.