Index of HL7 US Realm Implementation Guides

Index of HL7 US Realm Implementation Guides

Summary

IGDetailsPublishedCandidate
bfdrVital Records Birth and Fetal Death Reporting

Provides guidance to implementers and states on reporting birth and fetal death information based on the current revisions of the U.S. Standard Certificate of Live Birth and U.S. Standard Report of Fetal Death.

1.1.0
Jan-2023
v4.0.1
2.0.0-ballot
Jan-2023
v4.0.1
breast-radiologyHL7 FHIR Profile: Breast Radiology Report (BRR)

null

null

vnull
0.1.0
Jan-2019
v4.0.0
breastcancerBreast Cancer Data Logical Models and FHIR Profiles

This IG contains a subset of logical models for breast cancer focused on data elements used for breast cancer staging. FHIR profiles are provided as an example physical representation of the logical models. This IG defines logical models and FHIR profiles for supporting breast cancer staging estimation, including the traditional three-component staging involving primary tumor classification, regional lymph nodes and distant metastases, as well as other factors important to prognosis and recurrence risk, such as tumor grade, hormone receptor status (progesterone and estrogen), as well as human epidermal growth factor 2 (HER 2) status.

null

vnull
0.2.0
Jan-2018
v3.0.1
bserBidirectional Services eReferrals (BSeR)

The BSeR FHIR implementation guide provides guidance for using the HL7 Fast Healthcare Interoperability Resources (FHIR) standard as an exchange format for Bidirectional Services eReferral (BSeR). It is a collection of FHIR resource profiles design for use in information exchanges supporting service provider referral and service outcome reporting. A key concept adopted in the design of the BSeR FHIR Profiles is the concept of parsimony. Program area referral and feedback transactions contain common transaction data and program specific data. A critical design requirement is to limit the exchange of clinical information to program areas to only that data that pertain to the program. Transaction participant data such as Patient, Referring Provider, and Servicing Provider are common to both referral and feedback transactions. The data content of each transaction type is partitioned into common and program specific data items. Some program specific data items pertain to multiple program areas; others are specific to a single subject area.

1.0.0
Jan-2020
v4.0.1
2.0.0-ballot
Jan-2023
v4.0.1
cancer-reportingSharing eCC Data from Pathology Labs to EHR

null

1.0.0
Jan-2023
v4.0.1
carin-bbCARIN Blue Button Implementation Guide

This implementation guide describes the CARIN Blue Button® Framework and Common Payer Consumer Data Set (CPCDS), providing a set of resources that payers can display to consumers via a FHIR API.

2.0.0
Jan-2022
v4.0.1
carin-rtpbcConsumer Real-time Pharmacy Benefit Check

Using RTPBC, a patient can learn how their medications will be covered at the pharmacy, including out of pocket costs and any coverage restrictions or requirements that might apply.

1.0.0
Jan-2020
v4.0.1
ccdaC-CDA on FHIR Implementation Guide

The C-CDA on FHIR Implementation Guide is a US Realm Implementation Guide of the FHIR Specification addressing the key aspects of Consolidated CDA (C-CDA) required for Meaningful Use (MU). This IG focuses on the clinical document header and narrative constraints necessary for human readability, and references the Data Access Framework (DAF) implementation guide for coded data representation

1.2.0
Jan-2024
v4.0.1
cdmhCommon Data Models Harmonization FHIR IG

The CDMH FHIR IG provides guidance on how to map the various common data models namely PCORnet CDM, i2b2, OMOP and Sentinel to FHIR resources to facilitate data access by researchers

1.0.0
Jan-2021
v4.0.1
central-cancer-registry-reportingMaking EHR Data MOre available for Research and Public Health (MedMorph) Central Cancer Registry Reporting Content IG

The MedMorph Central Cancer Registry Reporting Content IG provides healthcare organizations the necessary data exchange mechanisms to report cancer data to public health agencies.

null

vnull
0.1.0
Jan-2021
v4.0.1
codex-radiation-therapyCodeX™ Radiation Therapy

The CodeX Radiation Therapy (RT) Implementation Guide (IG) describes how to represent, model, and exchange radiation therapy information that is generated during a patient's radiation therapy planning and treatment. This FHIR IG is intended for any individual involved in a patient's journey that would directly benefit from receiving radiation therapy information. The CodeX RT IG includes several radiotherapy profiles, based on existing FHIR resources, to represent the necessary radiation therapy concepts associated with patients' RT treatment. The goal is to capture all relevant information throughout the treatment process and make this information available for data sharing and reuse.

1.0.0
Jan-2023
v4.0.1
coreUS Core

The US Core Implementation Guide defines the minimum set of FHIR RESTful interactions for each of the US Core Profiles to access patient data. The US Core Profiles are informed by the prior Data Access Framework and the Argonaut DSTU2 Implementation Guides. The profiles here are stand alone and support the latest requirements from ONC U.S. Core Data for Interoperability (USCDI).

6.1.0
Jan-2023
v4.0.1
covid19libraryLogica COVID-19 FHIR Profile Library IG

The COVID-19 IG describes structured data to be collected and communicated between providers and aggregators.

1.0.0
Jan-2022
v4.0.1
cqfmeasuresQuality Measure STU2 for FHIR R4 Implementation Guide

This implementation guide describes an approach to representing electronic Clinical Quality Measures (eCQMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the U.S. Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the U.S. Realm.

4.0.0
Jan-2023
v4.0.1
dafData Access Framework

DAF (Data Access Framework) is a US Realm Implementation Guide of the FHIR Specification that specfies Basic arrangements for accessing patient data from EHR systems as described by Meaningful Use and related regulatory requirements

2.0.0
Jan-2017
v3.0.1
davinci-alertsDa Vinci Unsolicited Notifications

FHIR resources can be use to notify careteam members of patient events such as patient admission and discharge information in order to improve care coordination. An alert from the provider to the health plan can help track where care has been delivered and help ensure timely follow-up care is delivered as needed since healthcare stakeholders are increasingly responsible for knowing what care their patients have received and what care they need, regardless of where their patients sought care.

1.0.0
Jan-2020
v4.0.1
davinci-atrRisk Based Contracts Member Attribution List FHIR IG

The FHIR IG enables exchanging rosters of patients between Payers and Providers.

2.0.0
Jan-2024
v4.0.1
davinci-cdexDa Vinci Clinical Documentation Exchange

The CDex implementation guide defines combinations of exchange methods (push, pull, etc. ), specific payloads (Documents, Bundles, and Individual Resources), search criteria, conformance, provenance, and other relevant requirements to support the exchange of clinical information between provider and other providers and/or payers. The goal is to identify, document and constrain specific exchange patterns so that providers and payers can reliably exchange information for patient care (including coordination of care), risk adjustment, quality reporting, identifying that requested services are necessary and appropriate (e.g. should be covered by the payer) and other uses that may be documented as part of this effort. Clinical data payloads will include C-CDA, C-CDA on FHIR, compositions, bundles, and discrete resources conforming to the US Core specification.

2.0.0
Jan-2023
v4.0.1
davinci-crdDa Vinci Coverage Requirements Discovery (CRD) FHIR IG

This implementation guide allows practitioners and provider organizations to query payor organizations for any payor-specific expectations related to a proposed course of treatment. It leverages the CDS Hooks specification providing payer services with information about draft appointments, new encounters and other orders and proposals containing information such as drug codes, procedure codes and other service descriptions as well as information about the type of coverage or specific insurance involved. The payer can then provide information such guidelines for care, pre-authorization requirements, necessary first line treatments and/or other instructions and recommendations for care delivery related to the proposed course of treatment (and if specified), for the specified patient. This exchange can occur with either patient-identified or non-identified variants. This implementation guide does not replace existing standards such as the HIPAA X12 270, 271, and 278 transactions which are used to actually perform pre-authorizations and similar processes. Its purpose is to create awareness of what process steps are necessary.

The DaVinci CRD IG comes in 2 parts, for FHIR R3 and R4

2.0.1
Jan-2024
v4.0.1
davinci-deqmDa Vinci Data Exchange for Quality Measures (DEQM) FHIR IG

The Data Exchange for Quality Measures Implementation Guide (IG) will provide guidance to implementers who wish to request and report clinical and administrative data using FHIR resources and operations in support of quality measure reporting. The main IG will detail the base and profiled FHIR resources and operations which provides a framework to enable the Exchange of Quality Measure Data between Data Aggregators (organizations that want to evaluate quality measures) and Providers (organizations that deliver care to patients). This guide describes three methods of exchanging data quality and the specific use case of 30-Day Medication Reconciliation Post-Discharge will demonstrate how one of these method can be implemented to exchange the MRP measure data. This IG will span both FHIR STU3 and R4 with additional guidance for backward compatibility with STU3. A future release of this guide will include all the R4 artifacts when then US Core and QI Core profiles and the DEQM Profiles derived from them have been defined

4.0.0
Jan-2023
v4.0.1
davinci-drug-formularyUS Drug Formulary

null

2.0.1
Jan-2023
v4.0.1
davinci-dtrDocumentation Templates and Rules

The Documentation Templates and Rules (DTR) Implementation Guide (IG) specifies how payer rules can be executed in a provider context to ensure that documentation requirements are met. The IG is a companion to the Coverage Requirements Discovery (CRD) IG, which uses CDS Hooks to query payers to determine if there are documentation requirements for a proposed medication, procedure or other service.

2.0.1
Jan-2024
v4.0.1
davinci-hrexDa Vinci Health Record Exchange

The Da Vinci Payer Health Record exchange (HRex) initiative is specifying the FHIR profiles, functions, operations, such as CDS-Hooks and other aspects of Da Vinci Use Cases that are common across more than a single use case.

1.0.0
Jan-2022
v4.0.1
davinci-pasDa Vinci Prior Authorization Support (PAS) FHIR IG

This implementation guide defines a mechanism for submitting prior authorization requests in a manner that is mappable to the corresponding X12 transactions.

The DaVinci PAS IG is targeted to FHIR R4

2.0.1
Jan-2023
v4.0.1
davinci-pcdeDa Vinci Payer Coverage Decision Exchange (PCDE) FHIR IG

This implementation guide defines a mechanism for sharing information from an 'old' payer to a 'new' payer when a patient has switched plans to help ensure continuity of care and reduce/eliminate the need for repeating lab or diagnostic tests, re-trying previous therapies, etc.

The DaVinci PCDE IG is targeted to FHIR R4

1.0.0
Jan-2020
v4.0.1
davinci-pctDa Vinci Patient Cost Transparency Implementation Guide

This implementation guide defines a mechanism for requesting cost information for specific services and items from the payer and return them in near real-time to allow effective decision making by the patient in consultation with the 'ordering' provider.

1.1.0
Jan-2024
v4.0.1
davinci-pdexDa Vinci Payer Data Exchange

The Payer Data Exchange (PDex) Implementation Guide (IG) is provided for Payers/Health Plans to enable them to create a Member’s Health History using clinical resources (based on US Core Profiles based on FHIR R4) which can be understood by providers and, if they choose to, committed to their Electronic Medical Records (EMR) System. This IG uses the same Member Health History payload for member-authorized exchange of information with other Health Plans and with Third-Party Applications. It describes the interaction patters that, when followed, allow the various parties involved in managing healthcare and payer data to more easily integrate and exchange data securely and effectively.

2.0.0
Jan-2024
v4.0.1
davinci-pdex-plan-netDaVinci PDEX Plan Net

null

1.1.0
Jan-2022
v4.0.1
davinci-raDa Vinci Risk Adjustment FHIR Implementation Guide

The Da Vinci Risk Adjustment Implementation Guide will enable standard exchange of risk-based coding gaps among stakeholders such as payers, providers, and government care programs in support of driving towards accurate and complete documentation of health conditions that would lead to more accurate risk-adjustment payment calculations, reduced administrative burden, and improved quality of care.

1.0.0
Jan-2022
v4.0.1
2.0.0-ballot
Jan-2023
v4.0.1
davinci-vbprDa Vinci Value-Based Performance Reporting Implementation Guide

A value-based contract is a written contractual agreement between parties in which the payment for health care goods and services is tied to predetermined, mutually agreed upon terms that are based on clinical circumstances, patient outcomes, financial benchmarks, and other specified measures of the appropriateness and effectiveness of the services rendered. With the shift from fee-for-service to value-based care, value-based contracts have emerged as a mechanism that payers may use to better align their contracting structures with broader changes in the health care system. Standardization of payer/provider performance reporting for quality and risk contracts is crucial for health systems and other provider organizations to receive timely interim reports to track and manage their performance on value-based contracts during the term. This implementation guide standardizes the value-based performance reporting format and exchange methods between payers and providers. Standardized bi-directional, FHIR-based communication will connect payer baseline reporting data with provider organization data at the population level. It will also provide the flexibility to compare interim progress at different times during the contract performance period, in addition to notifying providers of non-clinical pre-defined events that may have a direct effect on financial performance and ultimately success.

null

vnull
1.0.0-ballot
Jan-2023
v4.0.1
dental-data-exchangeDental Data Exchange

null

1.0.0
Jan-2021
v4.0.1
directory-attestationNational Healthcare Directory Attestation

null

null

vnull
1.0.0-ballot
Jan-2022
v4.0.1
directory-exchangeNational Healthcare Directory Exchange

null

null

vnull
1.0.0-ballot
Jan-2022
v4.0.1
directory-queryNational Healthcare Query

null

null

vnull
1.0.0-ballot
Jan-2022
v4.0.1
dme-ordersPost Acute Orders FHIR IG

The Post Acute Orders (POA) specification is an Implementation Guide of the FHIR Specification that provides guidance on exchanging post-acute orders from the ordering provider to the rendering provider. This communication may be via an intermediary. The goal is to advance the ability for providers to supply services that are medically necessary and appropriate to patients. By enabling ordering providers to communicate orders and supporting documentation in real-time to performing provider , patients can receive appropriate treatment more rapidly and reduce the burden on all provider to comply with documentation requirements.

null

vnull
0.2.0
Jan-2020
v4.0.1
ecrelectronic Case Reporting (eCR)

eCR FHIR IG

2.1.1
Jan-2023
v4.0.1
eltsselectronic Long-Term Services and Supports Implementation Guide

electronic Long-Term Services and Supports Implementation Guide was developed to support exchange of data generated during the planning and provision of long-term services and supports and is currently scoped to data commonly found on LTSS service plans.

1.0.0
Jan-2019
v4.0.0
2.0.0-ballot
Jan-2023
v4.0.1
exchange-routingHybrid / Intermediary Exchange

This FHIR implementation guide provides guidance for enabling FHIR REST interactions across one or more intermediaries using a passive approach.

1.0.0
Jan-2022
v4.0.1
haiHealthcare Associated Infection Implementation Guide

The Healthcare Associated Infection Implementation Implementation Guide is a US Realm Implementation Guide of the FHIR Specification that specifies standards for electronic submission of Healthcare Associated Infection (HAI) reports to the National Healthcare Safety Network (NHSN) of the Centers for Disease Control and Prevention (CDC). This IG contains a library of FHIR profiles for electronic submission of HAI reports to the NHSN.

2.1.0
Jan-2023
v4.0.1
hai-ltcfHealthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF)

This implementation guide (IG) specifies standards for electronic submission of Healthcare Associated Infection (HAI) Long Term Care Facilities (LTCF) reports to the National Healthcare Safety Network (NHSN) of the Centers for Disease Control and Prevention (CDC).

1.1.0
Jan-2023
v4.0.1
health-care-surveys-reportingMaking EHR Data MOre available for Research and Public Health (MedMorph) Healthcare Surveys Reporting Content IG

The MedMorph Health Care Surveys Content Implementation Guide provides healthcare organizations the necessary data exchange mechanisms to report health care survey data to public health agencies.

1.0.0
Jan-2023
v4.0.1
home-lab-reportAt-Home In-Vitro Test Report

null

1.0.0
Jan-2023
v4.0.1
hsdsFHIR IG Human Services Directory

null

1.0.0
Jan-2023
v4.0.1
icsr-ae-reportingProfiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting

This FHIR Implementation Guide details a process where adverse event (AE) individual case safety reports (ICSR) are generated from EHR data. There are two main components to this process: detection and reporting. To support AE detection, this IG includes a set of Clinical Quality Language (CQL) algorithms which can be run on FHIR data. To support AE reporting, this IG includes a set of profiles that enables the creation of a FHIR-based ICSR report and mappings to ICH ICSR specification (FAERS and VAERS implementation of those specifications). This work was developed as part of the FDA’s Center for Biologic Evaluation and Research (CBER) Biologics Effectiveness and Safety (BEST) initiatve. This IG currently focuses on post-vaccination and post-tranfusion AE reporting.

1.0.1
Jan-2023
v4.0.1
identity-matchingInteroperable Digital Identity and Patient Matching

The objective of this IG is to provide guidance on identity verification and patient matching as used in workflows pertinent to FHIR exchange, to facilitate cross-organizational and cross-network interoperability.

1.0.0
Jan-2023
v4.0.1
immdsImmunization Decision Support Forecast FHIR IG

The scope of this project is to produce and ballot a Standard for Trial Use (STU) Fast Healthcare Interoperability Resources (FHIR) implementation guide (IG) for use in Immunization Decision Support Forecast.

1.0.0
Jan-2021
v4.0.1
insurance-cardCARIN Digital Insurance Card

This implementation guide describes the CARIN Digital Insurance Card Framework.

1.0.0
Jan-2022
v4.0.1
mccMCC eCare Plan Implementation Guide

null

null

vnull
1.0.0-ballot2
Jan-2023
v4.0.1
mcodeHL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1

mCODE™ (short for Minimal Common Oncology Data Elements) is an initiative intended to assemble a core set of structured data elements for oncology electronic health records.

3.0.0
Jan-2023
v4.0.1
mdiMedicolegal Death Investigation (MDI)

null

1.1.0
Jan-2023
v4.0.1
medmorphMaking EHR Data MOre available for Research and Public Health (MedMorph)

The MedMorph FHIR IG enables Public Health and Research Organizations to access EHR data without increasing provider burden.

1.0.0
Jan-2023
v4.0.1
medmorph-research-dexMaking EHR Data MOre available for Research and Public Health (MedMorph) Research Content IG

The MedMorph Research Data Exchange Content IG enables research organizations to access data from EHRs for research purposes leverage the MedMorph Reference Architecture.

null

vnull
0.1.0
Jan-2021
v4.0.1
medsUS-Medication FHIR IG

The US-Medication FHIR Implementation Guide promotes consistent use of the FHIR pharmacy resources in the US for providing patient and provider access to patient medications.

1.2.0
Jan-2019
v3.0.1
mihrMaternal and Infant Health Research

null

1.0.0
Jan-2023
v4.0.1
military-serviceHL7 FHIR Implementation Guide for Military Service History and Status

This implementation guide design document is intended to create a set of profiles and extensions to support Military Service History and Status reporting. It harmonizes the requirements of the U.S. Department of Veterans Affairs (VA) and the Centers for Disease Control and Prevention (CDC) to more easily record this information in support of administrative and clinical workflows and the work and social history of patients who are also Veterans. ZMH (Military Service History) Z-segment used to represent service and deployment history in HL7 Version 2 transactions.ServiceHistoryEpisode and Deployment Schemas for the VA Veteran Verification API (https://developer.va.gov/explore/verification/docs/veteran_verification?version=current)HL7 FHIR Profile: odh-CombatZonePeriod from Occupational Data for Health (ODH), Release 1.0 (Standard for Trial Use) (http://hl7.org/fhir/us/odh/)

1.0.0
Jan-2023
v4.0.1
ndhNational Directory of Healthcare Providers and Services (NDH) Implementation Guide

This implementation guide (IG) specifies standards for the National Directory of Healthcare Providers and Services (NDH) in cooperation with the National Coordination for Health Information Technology (ONC, Federal Health Architecture (FHA), and Centers for Medicare and Medicaid Service (CMS).

null

vnull
1.0.0-ballot
Jan-2023
v4.0.1
nhsn-adeNHSN Reporting of Adverse Drug Events - Hypoglycemia

US Realm IG providing guidance to implementers on reporting data elements to CDC National Healthcare Safety Network (NHSN) related to inpatient blood glucose laboratory (including point-of-care) results and medication administration data (medications received during inpatient stay) based on FHIR resources. This IG addresses how inpatient EHR systems should format patient, blood glucose, and medication information to enable hospital reporting of these data to NHSN. Query parameters are defined for each type of data element based on FHIR resources.

1.0.0
Jan-2021
v4.0.1
nhsn-med-adminNHSN Reporting: Inpatient Medication Administration

US Realm IG providing guidance to implementers on reporting data elements to CDC's National Healthcare Safety Network (NHSN) related to inpatient medication administration for hospitalized patients diagnosed with COVID-19, based on FHIR resources and as part of NHSN COVID-19 reporting pathways.

1.0.0
Jan-2021
v4.0.1
0.1.0
Jan-2021
v4.0.1
odhOccupational Data for Health (ODH) FHIR IG

This Implementation Guide contains guidance, new logical models, profiles and extensions to implement support for Occupational Data for Health (ODH). ODH is primarily designed to facilitate clinical care, including population health; ODH also can be used to support public health reporting, population health, and similar value-based care. ODH is not designed to support billing activities. This STU Ballot for the Occupational Data for Health (ODH) Implementation Guide (IG) is sponsored by the National Institute of Safety and Health (NIOSH), a federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is a part of the Centers for Disease and Prevention (CDC). The project to define ODH was done with a group representing a variety of stakeholders including NIOSH subject matter experts, epidemiologists, occupational health providers, and vendors.

1.3.0
Jan-2023
v4.0.1
pacio-adiPACIO Advance Directive Information Implementation Guide

This implementation guide describes the CARIN Blue Button® Framework and Common Payer Consumer Data Set (CPCDS), providing a set of resources that payers can display to consumers via a FHIR API.

1.0.0
Jan-2024
v4.0.1
pacio-csPACIO Cognitive Status Implementation Guide

Poor quality discharge information is a major barrier to safe and effective transitions. With 45% of Medicare beneficiaries requiring post-acute care (PAC) services after hospitalization, the need for a seamless exchange of health information is great.

In 2014, the Social Security Act was amended to include the Improving Medicare Post-Acute Care Transformation (IMPACT) Act, which required the standardization and interoperability of patient assessment in specific categories for post-acute care (PAC) settings, including long-term care hospitals (LTCHs), home health agencies (HHAs), skilled nursing facilities (SNFs), and inpatient rehabilitation facilities (IRFs). It focuses on standardizing data elements in specified quality measure domains and patient assessment domains for cross setting comparison and clinical information exchange, respectively. The Act requires:

  • Reporting of standardized patient assessment data through commonly used PAC assessment instruments for LTCHs, SNFs, HHAs, and IRFs
  • Minimum Data Set (MDS) for SNFs
  • Inpatient Rehabilitation Facility – Patient Assessment Information (IRF – PAI) for IRFs
  • LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) for LTCHs
  • Outcome and Assessment Information Set (OASIS) for HHAs
  • Implementation of data elements specified in each assessment domain using standardized data elements to be nested within the assessment instruments currently required for submission by LTCH, IRF, SNF, and HHA providers
  • Data to be standardized and interoperable to allow exchange of data between PAC providers, among others, using common standards and definitions to provide access to longitudinal information and facilitate coordinated care.

ecessaryRequired assessment content includes standardized questions and response options (aka data elements) for assessing a patient’s cognitive status.

This FHIR R4 IG leverages the eLTSS work to provide the profiles and necessary extensions required to specify how to syntactically and semantically exchange that cognitive status post-acute care assessment data between care settings.

1.0.0
Jan-2021
v4.0.1
pacio-fsPACIO Functional Status Implementation Guide

Poor quality discharge information is a major barrier to safe and effective transitions. With 45% of Medicare beneficiaries requiring post-acute care (PAC) services after hospitalization, the need for a seamless exchange of health information is great.

In 2014, the Social Security Act was amended to include the Improving Medicare Post-Acute Care Transformation (IMPACT) Act, which required the standardization and interoperability of patient assessment in specific categories for post-acute care (PAC) settings, including long-term care hospitals (LTCHs), home health agencies (HHAs), skilled nursing facilities (SNFs), and inpatient rehabilitation facilities (IRFs). It focuses on standardizing data elements in specified quality measure domains and patient assessment domains for cross setting comparison and clinical information exchange, respectively. The Act requires:

  • Reporting of standardized patient assessment data through commonly used PAC assessment instruments for LTCHs, SNFs, HHAs, and IRFs
  • Minimum Data Set (MDS) for SNFs
  • Inpatient Rehabilitation Facility – Patient Assessment Information (IRF – PAI) for IRFs
  • LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) for LTCHs
  • Outcome and Assessment Information Set (OASIS) for HHAs
  • Implementation of data elements specified in each assessment domain using standardized data elements to be nested within the assessment instruments currently required for submission by LTCH, IRF, SNF, and HHA providers
  • Data to be standardized and interoperable to allow exchange of data between PAC providers, among others, using common standards and definitions to provide access to longitudinal information and facilitate coordinated care.

Required assessment content includes standardized questions and response options (aka “data elements”) for assessing a patient’s functional status.

This FHIR R4 IG leverages the eLTSS work to provide the profiles and necessary extensions required to specify how to syntactically and semantically exchange that functional status post-acute care assessment data between care settings.

1.0.0
Jan-2021
v4.0.1
pacio-pfePACIO Personal Functioning and Engagement Implementation Guide

To advance interoperable health data exchange between post-acute care (PAC) and other providers, patients, and key stakeholders

1.0.0
Jan-2024
v4.0.1
pacio-rtPACIO Re-Assessment Timepoints Implementation Guide

This implementation guide describes a means to break up extended Post-Acute admissions into consumable blocks that can reflect the evolution of care over time of the encounter or episode of care.

1.0.0
Jan-2022
v4.0.1
patient-reported-outcomesPatient Reported Outcomes (PRO) FHIR IG

A landscape analysis on the use of Patient Reported Outcomes (PROs) in clinical care and research settings were conducted the outcomes of which have identified the lack of standardization in the creation, administration and sharing of PRO data even if they would help with the outcome for patients. In order to improve the use of PRO data in the clinical workflow the following needs have been identified for standardization

  • Need to identify relevant Patient Reported Outcome Measures (PROMs) for each domain using defined data elements and vocabularies
  • Need to enable PROM administration within EMRs
  • Need to enable PROM administration using apps outside of EMRs
  • Need to share PROM responses to clinicians, researchers and care managers
null

vnull
0.2.0
Jan-2019
v4.0.0
ph-libraryUS Public Health Profiles Library

null

1.0.0
Jan-2023
v4.0.1
phcpPharmacist Care Plan FHIR IG

The Pharmacist Care Plan FHIR Implementation Guide is a US Realm Implementation Guide of the FHIR Specification adescribes constraints on the Clinical Document Architecture Release 2 (CDA R2) header and body elements for the Pharmacist Care Plan, which are derived from requirements set forth by the Pharmacy Health Information Technology (HIT) Collaborative1 and the National Council for Prescription Drug Programs (NCPDP) WG10 Professional Pharmacy Services, 2 vendors, and Health Level Seven (HL7) stakeholder workgroups.

1.0.0
Jan-2021
v4.0.1
physical-activityU.S. Physical Activity IG

Defines U.S. interoperability expectations related to physical activity, including primary assessment, supporting measures, plans, goals, referrals and patient-engagement. Supports interoperability between care managers (e.g. EHRs, community health systems, etc.), service providers (physical activity professionals including exercise physiologists, personal trainers, community fitness centers, etc.), as well as patient-facing applications.

1.0.0
Jan-2023
v4.0.1
qicoreQuality Improvement Core Framework

The QI-Core (Quality Improvement Core Framework) Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guide derive from and extend the US Core profiles to provide a common foundation for building, sharing, and evaluating knowledge artifacts across quality improvement efforts in the US Realm.

6.0.0
Jan-2024
v4.0.1
registry-protocolsProtocols for Clinical Registry Extraction and Data Submission (CREDS) IG

The IG demonstrates a process and workflow to support the needs of clinical registries to define how registry submissions can be automatically extracted from multiple data sources and combined into a registry submission. It profiles the definitional resources needed to collect data and construct a registry submission using existing FHIR resource profiles.

1.0.0
Jan-2023
v4.0.1
resp-netRespiratory Virus Hospitalization Surveillance Network (RESP-NET) Content Implementation Guide

The Respiratory Virus Hospitalization Surveillance Network (RESP-NET) comprises three platforms that conduct population-based surveillance for laboratory-confirmed hospitalizations associated with COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) among children and adults.

null

vnull
1.0.0-ballot
Jan-2023
v4.0.1
sdcdeStructured Data Capture - Data Element Exchange Specification

The SDC (Structured Data Capture) specification is a US Realm Implementation Guide of the FHIR Specification that is a supplement to the base Structured Data Capture (SDC) implementation guide. It defines expectations for Data Element registries, as well as those systems that are responsible for the creation and maintenance of data elements within those registries.

2.0
Jan-2017
v3.0.1
sdoh-clinicalcareSDOH Clinical Care for Multiple Domains

Profiles on FHIR R4 resources (using US Core as the basis where possible) used to document social determinants of health (SDOH) for an individual which covers many different factors considered social risks and social needs, e.g. Food Insecurity, Housing Stability and Quality, Transportation Access and others. The IG covers use cases identified from the clinical care setting that include : assessment of SDOH risks; evaluation of which risks can be addressed; setting goals, documenting and tracking to completion SDOH interventions; and sharing SDOH information for an individual with organizations for secondary uses.

2.1.0
Jan-2023
v4.0.1
sirbSingle Institutional Review Board (sIRB) Implementation Guide

null

1.0.0
Jan-2023
v4.0.1
specialty-rxSpecialty Medication Enrollment

This FHIR IG focuses on the exchange of data (Demographic, prescription, clinical and financial) for dispensing specialty medications by pharmacies as well as facilitating the enrolment of patients in programs offered by third parties such as but not limited to Hub vendors and Pharmaceutical manufacturers.

2.0.0
Jan-2023
v4.0.1
udap-securitySecurity for Scalable Registration, Authentication, and Authorization

This implementation guide describes a framework for scalable registration, authentication, and authorization based on the UDAP framework.

1.0.0
Jan-2022
v4.0.1
vitalsVital Signs FHIR IG

The scope of this project is to produce and ballot a Standard for Trial Use (STU) Fast Healthcare Interoperability Resources (FHIR) implementation guide (IG) for use in reporting vital signs observations with qualifying extensions. Such as cuff size, clothing worn during measure, etc.

1.0.0
Jan-2022
v4.0.1
vr-common-libraryVital Records Common Profile Library

Library containing profiles used by other Vital Records IGs such as Birth and Fetal Death Reporting and Birth Defects Reporting.

1.1.0
Jan-2023
v4.0.1
2.0.0-ballot
Jan-2023
v4.0.1
vrdrVital Records Death Reporting FHIR Implementation Guide

The scope of this project is to produce and ballot a Standard for Trail Use (STU) Fast Healthcare Interoperability Resources (FHIR) implementation guide (IG) for use in reporting of death events to the U.S. National Center for Health Statistics (NCHS) by State and Local Public Health Agencies (PHA).The VRDR FHIR IG will be based upon FHIR STU 3

2.2.0
Jan-2023
v4.0.1
womens-health-registriesWomens Health Technology Coordinated Registry Network FHIR IG

A landscape analysis of women’s health related registries have identified the lack of standardization in the capturing and exchange of data elements that can be used for multiple outcome research related use cases. The ability to link and query multiple registries will increase the effectiveness of the registries when used by researchers. In order to make this feasible, an interoperable standards-based platform is essential so that one can administer instruments, collect data and exchange data from EHRs and other Health IT systems with Registries. In order to achieve this the following specific needs have been identified:

  • Identify and define data elements in a common format that will be used for defining the instrument
  • Identify and outline the mechanisms to create data collection instruments based on standards
  • Identify and outline the mechanisms to administer the instrument and collect the data
  • Identify and outline the mechanisms to store and exchange the captured data with Registries and other Researchers
  • Identify and outline mechanisms that can be used to link registries to increase the efficiencies and effectiveness
null

vnull
0.2.0
Jan-2019
v4.0.0
}}

By Date

IGNameVersionTypeDateAge
ccdaC-CDA on FHIR Implementation Guide1.2.0Publication2024-01-1260 days
pacio-adiPACIO Advance Directive Information Implementation Guide1.0.0Publication2024-01-1161 days
davinci-dtrDocumentation Templates and Rules2.0.1Publication2024-01-1161 days
davinci-atrRisk Based Contracts Member Attribution List FHIR IG2.0.0Publication2024-01-0963 days
davinci-crdDa Vinci Coverage Requirements Discovery (CRD) FHIR IG2.0.1Publication2024-01-0864 days
davinci-pdexDa Vinci Payer Data Exchange2.0.0Publication2024-01-0666 days
pacio-pfePACIO Personal Functioning and Engagement Implementation Guide1.0.0Publication2024-01-0567 days
davinci-pctDa Vinci Patient Cost Transparency Implementation Guide1.1.0Publication2024-01-0369 days
qicoreQuality Improvement Core Framework6.0.0Publication2024-01-0171 days
bserBidirectional Services eReferrals (BSeR)2.0.0-ballotCandidate2023-01-31406 days
davinci-vbprDa Vinci Value-Based Performance Reporting Implementation Guide1.0.0-ballotCandidate2023-01-31406 days
ndhNational Directory of Healthcare Providers and Services (NDH) Implementation Guide1.0.0-ballotCandidate2023-01-30407 days
coreUS Core6.1.0Publication2023-01-30407 days
military-serviceHL7 FHIR Implementation Guide for Military Service History and Status1.0.0Publication2023-01-30407 days
icsr-ae-reportingProfiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting1.0.1Publication2023-01-29408 days
mihrMaternal and Infant Health Research1.0.0Publication2023-01-29408 days
cqfmeasuresQuality Measure STU2 for FHIR R4 Implementation Guide4.0.0Publication2023-01-28409 days
codex-radiation-therapyCodeX™ Radiation Therapy1.0.0Publication2023-01-28409 days
mccMCC eCare Plan Implementation Guide1.0.0-ballot2Candidate2023-01-28409 days
davinci-raDa Vinci Risk Adjustment FHIR Implementation Guide2.0.0-ballotCandidate2023-01-28409 days
sdoh-clinicalcareSDOH Clinical Care for Multiple Domains2.1.0Publication2023-01-27410 days
odhOccupational Data for Health (ODH) FHIR IG1.3.0Publication2023-01-26411 days
mcodeHL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 3.0.0Publication2023-01-26411 days
physical-activityU.S. Physical Activity IG1.0.0Publication2023-01-25412 days
home-lab-reportAt-Home In-Vitro Test Report1.0.0Publication2023-01-25412 days
health-care-surveys-reportingMaking EHR Data MOre available for Research and Public Health (MedMorph) Healthcare Surveys Reporting Content IG1.0.0Publication2023-01-22415 days
davinci-cdexDa Vinci Clinical Documentation Exchange2.0.0Publication2023-01-21416 days
resp-netRespiratory Virus Hospitalization Surveillance Network (RESP-NET) Content Implementation Guide1.0.0-ballotCandidate2023-01-21416 days
sirbSingle Institutional Review Board (sIRB) Implementation Guide1.0.0Publication2023-01-20417 days
hai-ltcfHealthcare Associated Infection Reports (HAI) Long Term Care Facilities (LTCF)1.1.0Publication2023-01-19418 days
bfdrVital Records Birth and Fetal Death Reporting2.0.0-ballotCandidate2023-01-18419 days
vrdrVital Records Death Reporting FHIR Implementation Guide2.2.0Publication2023-01-17420 days
ph-libraryUS Public Health Profiles Library1.0.0Publication2023-01-17420 days
vr-common-libraryVital Records Common Profile Library2.0.0-ballotCandidate2023-01-16421 days
mdiMedicolegal Death Investigation (MDI)1.1.0Publication2023-01-16421 days
eltsselectronic Long-Term Services and Supports Implementation Guide2.0.0-ballotCandidate2023-01-15422 days
ecrelectronic Case Reporting (eCR)2.1.1Publication2023-01-14423 days
registry-protocolsProtocols for Clinical Registry Extraction and Data Submission (CREDS) IG1.0.0Publication2023-01-14423 days
cancer-reportingSharing eCC Data from Pathology Labs to EHR1.0.0Publication2023-01-11426 days
medmorphMaking EHR Data MOre available for Research and Public Health (MedMorph)1.0.0Publication2023-01-08429 days
haiHealthcare Associated Infection Implementation Guide2.1.0Publication2023-01-06431 days
hsdsFHIR IG Human Services Directory1.0.0Publication2023-01-04433 days
specialty-rxSpecialty Medication Enrollment2.0.0Publication2023-01-04433 days
davinci-deqmDa Vinci Data Exchange for Quality Measures (DEQM) FHIR IG4.0.0Publication2023-01-03434 days
identity-matchingInteroperable Digital Identity and Patient Matching1.0.0Publication2023-01-02435 days
davinci-pasDa Vinci Prior Authorization Support (PAS) FHIR IG2.0.1Publication2023-01-01436 days
davinci-drug-formularyUS Drug Formulary2.0.1Publication2023-01-01436 days
carin-bbCARIN Blue Button Implementation Guide2.0.0Publication2022-01-27775 days
pacio-rtPACIO Re-Assessment Timepoints Implementation Guide1.0.0Publication2022-01-27775 days
udap-securitySecurity for Scalable Registration, Authentication, and Authorization1.0.0Publication2022-01-26776 days
exchange-routingHybrid / Intermediary Exchange1.0.0Publication2022-01-25777 days
covid19libraryLogica COVID-19 FHIR Profile Library IG1.0.0Publication2022-01-24778 days
davinci-hrexDa Vinci Health Record Exchange1.0.0Publication2022-01-22780 days
insurance-cardCARIN Digital Insurance Card1.0.0Publication2022-01-12790 days
vitalsVital Signs FHIR IG1.0.0Publication2022-01-11791 days
directory-queryNational Healthcare Query1.0.0-ballotCandidate2022-01-08794 days
directory-exchangeNational Healthcare Directory Exchange1.0.0-ballotCandidate2022-01-08794 days
directory-attestationNational Healthcare Directory Attestation1.0.0-ballotCandidate2022-01-08794 days
davinci-pdex-plan-netDaVinci PDEX Plan Net1.1.0Publication2022-01-03799 days
immdsImmunization Decision Support Forecast FHIR IG1.0.0Publication2021-01-241143 days
nhsn-med-adminNHSN Reporting: Inpatient Medication Administration0.1.0Candidate2021-01-121155 days
nhsn-adeNHSN Reporting of Adverse Drug Events - Hypoglycemia1.0.0Publication2021-01-111156 days
phcpPharmacist Care Plan FHIR IG1.0.0Publication2021-01-101157 days
central-cancer-registry-reportingMaking EHR Data MOre available for Research and Public Health (MedMorph) Central Cancer Registry Reporting Content IG0.1.0Candidate2021-01-081159 days
medmorph-research-dexMaking EHR Data MOre available for Research and Public Health (MedMorph) Research Content IG0.1.0Candidate2021-01-081159 days
cdmhCommon Data Models Harmonization FHIR IG1.0.0Publication2021-01-051162 days
pacio-csPACIO Cognitive Status Implementation Guide1.0.0Publication2021-01-021165 days
pacio-fsPACIO Functional Status Implementation Guide1.0.0Publication2021-01-021165 days
dental-data-exchangeDental Data Exchange1.0.0Publication2021-01-011166 days
carin-rtpbcConsumer Real-time Pharmacy Benefit Check1.0.0Publication2020-01-241509 days
davinci-pcdeDa Vinci Payer Coverage Decision Exchange (PCDE) FHIR IG1.0.0Publication2020-01-221511 days
davinci-alertsDa Vinci Unsolicited Notifications1.0.0Publication2020-01-141519 days
dme-ordersPost Acute Orders FHIR IG0.2.0Candidate2020-01-091524 days
breast-radiologyHL7 FHIR Profile: Breast Radiology Report (BRR)0.1.0Candidate2019-01-291869 days
womens-health-registriesWomens Health Technology Coordinated Registry Network FHIR IG0.2.0Candidate2019-01-261872 days
patient-reported-outcomesPatient Reported Outcomes (PRO) FHIR IG0.2.0Candidate2019-01-261872 days
medsUS-Medication FHIR IG1.2.0Publication2019-01-241874 days
breastcancerBreast Cancer Data Logical Models and FHIR Profiles0.2.0Candidate2018-01-302233 days
sdcdeStructured Data Capture - Data Element Exchange Specification2.0Publication2017-01-202608 days
dafData Access Framework2.0.0Publication2017-01-202608 days