Index of HL7 International Realm Implementation Guides
| IG | Details | Published | Candidate |
| ae-research-backport-ig | Adverse Event Clinical Research R4 Backport The intent of this guide is to provide a profile on the FHIR AdverseEvent Resource suitable for Clinical Research, this is a convenience backport into FHIR R4. | 1.0.1 Jan-2024 v4.0.1 | |
| ae-research-ig | Adverse Event Clinical Research The intent of this guide is to provide a profile on the FHIR AdverseEvent Resource suitable for Clinical Research. | 1.0.1 Jan-2024 v5.0.0 | |
| bulkdata | FHIR Bulk Data Access (Flat FHIR) null | 2.0.0 Jan-2021 v4.0.1 | |
| cardx-htn-mng | CardX Hypertension Management IG This implementation guide is intended to increase the quality of blood pressure data observed by the patient taken in a non-clinical setting or at home. | null vnull | 1.0.0-ballot Jan-2024 v4.0.1 |
| cdisc-lab | CDISC Lab Semantics in FHIR The CDISC Lab Semantics in FHIR Implementation Guide provides guidance on how to use FHIR resources to capture data. | 1.0.0 Jan-2020 v4.0.1 | |
| cdisc-mapping | CDISC Mapping FHIR IG This implementation guide defines authoritative mappings between the CDISC LAB, SDTM and CDASH standards and the corresponding HL7 FHIR resources to ease interoperability and data conversion between systems implementing these standards. | 1.0.0 Jan-2021 v4.0.1 | |
| cpg | Clinical Guidelines This implementation guide supports the development of standards-based computable representations of the content of clinical care guidelines. Its content pertains to technical aspects of digital guidelines implementation and is intended to be usable across multiple use cases across clinical domains as well as in the International Realm. | 1.0.0 Jan-2021 v4.0.1 | 2.0.0-ballot Jan-2023 v4.0.1 |
| cql | Using CQL with FHIR Implementation Guide The Using CQL with FHIR implementation guide defines profiles, operations and guidance for the use of CQL with FHIR, both as a mechanism for querying, as well as inline and integrated usage as part of knowledge artifacts. | null vnull | 1.0.0-snapshot Jan-2024 v4.0.1 |
| crmi | Canonical Resource Management Infrastructure Implementation Guide The Canonical Resource Management Infrastructure implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content. | null vnull | 1.0.0-snapshot Jan-2024 v4.0.1 |
| ebm | Evidence Based Medicine on FHIR Implementation Guide This implementation guide covers the broad scope of representation of scientific knowledge, including (1) citations to represent identification, location, classification, and attribution for knowledge artifacts; (2) components of research study design including study eligibility criteria (cohort definitions) and endpoint analysis plans; (3) research results including the statistic findings, definition of variables for which those findings apply, and the certainty of these findings; (4) assessments of research results; (5) aggregation and synthesis of research results; (6) judgments regarding evidence syntheses and contextual factors related to recommendations; (7) recommendations; and (8) compositions of combinations of these types of knowledge. The types of interoperability covered include syntactic (Resource StructureDefinitions) and semantic (value sets). | null vnull | 1.0.0-ballot Jan-2023 v5.0.0 |
| ehrs-rle | EHRS Functional Model - Record Lifecycle Events Implementation Guide null | 1.1.0 Jan-2024 v5.0.0 | |
| emedicinal-product-info | Electronic Medicinal Product Information (ePI) FHIR Implementation Guide null | 1.0.0 Jan-2023 v5.0.0 | |
| eyecare | HL7 FHIR® Implementation Guide: Ophthalmology Retinal, Release 1 This overarching goal is to develop a suite of projects and comprehensive implementation guides to serve the interoperability requirements of the ophthalmic community. | null vnull | 0.1.0 Jan-2021 v4.0.1 |
| fhir-for-fair | FHIR for FAIR - FHIR Implementation Guide null | 1.0.0 Jan-2022 v4.3.0 | |
| fhircast | FHIRcast FHIRcast synchronizes healthcare applications in real time to show the same clinical content to a common user. | 2.0.0 Jan-2021 v4.0.1 | 3.0.0-ballot Jan-2024 v4.0.1 |
| genomics-reporting | Genetic Reporting Implementation Guide Genomics is a rapidly evolving area of healthcare that involves complex data structures. There is significant value in sharing this information in a way that is consistent, computable and that can accommodate ongoing evolution of medical science and practice. The value comes from the ability to easily sort, filter and perform decision support on such information and the resulting improvements in care and reduction in costs such as the elimination of redundant testing. The implementation guide is also transmission protocol-independent - the data structures presented here could be used in RESTful, messaging, document or other paradigms. This guide covers all aspects of human genomic genomics-reporting, including:
At present, this implementation guide focuses solely on data structures - what data should be/might be present and how it should be organized. It does not address workflows around how reports are requested, created, approved, routed, delivered, amended, etc. The implementation guide is also paradigm-independent - the data structures presented here could be used in RESTful, messaging, documents or other mechanisms. | 2.0.0 Jan-2022 v4.0.1 | 3.0.0-ballot Jan-2023 v4.0.1 |
| ibcm | International Birth And Child Model Implementation Guide During a pregnancy clinical systems communicate data about the mother, the unborn fetus(es), the pregnancy, and child(ren). This includes information shared among EHR, ultrasound, radiology, lab and pharmacy systems. This IG explains how you model and communicate data and relate the fetus(es) to the mother using the FHIR resource Patient with extension indicating a distinct fetal record. Options for referencing information such as observation about the fetus as a body site within the maternal record will also be included. Examples and diagrams are provided to illustrate the use cases. | null vnull | 1.0.0-ballot Jan-2023 v5.0.0 |
| ichom-breast-cancer | ICHOM FHIR Implementation Guide: Breast Cancer null | 1.0.0 Jan-2023 v4.0.1 | |
| ihe-sdc-ecc | IHE SDC/eCC on FHIR null | 1.0.0 Jan-2023 v4.0.1 | |
| immds | Immunization 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. | null vnull | 0.2.0 Jan-2019 v4.0.0 |
| ipa | International Patient Access The International Patient Access implementation guide (IPA) defines a minimal, base set of FHIR profiles and FHIR RESTful interactions. In addition, IPA specifies the use of SMART on FHIR for authentication and authorization. It can be used as-is or as a foundation for developing national standards to enable patients access to their healthcare data via FHIR-enabled patient-facing apps. The IPA Profiles are informed by a range of national base FHIR specifications circa 2022. As a foundational guide with an international focus, its content will continue to grow to meet global needs. | 1.0.0 Jan-2023 v4.0.1 | |
| ips | International Patient Summary Implementation Guide The International Patient Summary (IPS) is a minimal and non-exhaustive patient summary, specialty-agnostic, condition-independent, but readily usable by clinicians for the cross-border unscheduled care of a patient. It supports:
| 1.1.0 Jan-2022 v4.0.1 | |
| livd | Loinc/IVD Mapping FHIR IG The LIVD Implementation Guide provides a industry standard expression for an IVD device manufacturer As an LIS manager/analyst is configuring a device to be connected to the LIS, the suggested mappings can focus the manager/analyst on the most likely LOINC codes to consider, thus enabling a choice relevant to the specific context of the device`s use and purpose within the Laboratory that is more consistent across the industry. | null vnull | 1.0.0-ballot Jan-2023 v4.0.1 |
| mhealth-framework | Application Data Exchange Assessment Framework and Functional Requirements for Mobile Health Document the functional requirements that can be used to assess devices, applications, and FHIR profiles to ensure that the essential data needed for clinical, patient and research uses is present in communications between applications. | null vnull | 0.1.0 Jan-2020 v4.0.1 |
| order-catalog | Order Catalog Implementation Guide Order Catalog Implementation Guide | null vnull | 0.1.0 Jan-2020 v4.0.1 |
| patient-corrections | Patient Request for Corrections Implementation Guide The Patient Request for Corrections Implementation Guide provides a method for communicating a patient's request for corrections to their patient data, as well as a way for health care organizations to respond to those requests. | null vnull | 1.0.0-ballot Jan-2022 v4.0.1 |
| pddi | Potential Drug-Drug Interaction (PDDI) Clinical Decision Support (CDS) (FHIR IG) This implementation guide is targeted at drug-drug interaction CDS implementers who seek to increase the specificity and clinical relevance of potential drug-drug interaction (PDDI) alerts presented through the electronic health record. | null vnull | 1.0.0-ballot Jan-2022 v4.0.1 |
| pharm-quality | Pharmaceutical Quality (Industry) The FHIR resource profiles specified in this implementation guide represent data in the ICH Quality Guidelines (https://www.ich.org/page/quality-guidelines). This implementation guide defines universal realm structured data elements to support structured authoring (e.g., master data; advanced analysis) for the creation and exchange of Quality information internationally. | 1.0.0 Jan-2024 v5.0.0 | |
| phd | Personal Health Device FHIR IG The Personal Connected Health Alliance (PCHA) Continua implementation guide describes how information from Continua-certified personal health devices (PHDs) is represented in FHIR. PHDs are devices that are mostly used in home-care contexts and include Continua-certified devices such as glucose meters, blood pressure cuffs, weight scales, thermometer, etc. The purpose of this implementation guide is to specify the FHIR components and their mappings to the PHD information. This Implementation Guide was developed by the Continua Alliance Health and Fitness Server Working group with eventual participation in the Devices on FHIR (DoF) working group and the DoF initiative. This is a collaborative effort between the HL7 Health Care Devices Working Group, Integrating the Healthcare Enterprise (IHE), and Continua/Personal Connected Health Alliance (PCHAlliance). | 1.0.0 Jan-2022 v4.0.1 | |
| pocd | Point-of-care Device FHIR IG This Implementation Guide defines the use of FHIR resources to convey measurements and supporting data from acute care point-of-care medical devices (PoCD) to receiving systems for electronic medical records, clinical decision support, and medical data archiving for aggregate quality measurement and research purposes. The Point-of-Care Device (PoCD) Implementation Guide was developed by the Devices on FHIR (DoF) initiative. This is a collaborative effort between the HL7 Health Care Devices Working Group, Integrating the Healthcare Enterprise (IHE), and the Personal Connected Health Alliance (PCHAlliance) / Continua. The objective of the DoF group is to ensure a consistent use of FHIR for exchanging health device information, including:
| null vnull | 0.3.0 Jan-2021 v4.0.1 |
| radiation-dose-summary | Radiation Dose Summary for Diagnostic Procedures on FHIR Radiation Dose Summary for Diagnostic Procedures on FHIR standardizes the sharing of minimal radiation information following a performed exam. | null vnull | 0.1.0 Jan-2021 v4.0.1 |
| rtls | Real Time Location Services Implementation Guide This implementation guide defines the use of FHIR resources to exchange information that describes the location of patients, providers, staff, equipment, or other permanent assets within a hospital or other healthcare facility. This data is typically exchanged between a healthcare system (e.g. EHR software) and a Real Time Location System (RTLS) that captures, processes, and stores information about the location of tracking tags. The tracking tags are associated with an assigned subject (i.e. patients, providers, assets) and their location data is recorded as the associated subject moves throughout a healthcare facility. This location data has many applications in the healthcare context, such as workflow automation, staff/asset tracking, and patient monitoring. The communication workflows that this implementation guide enables includes tag location updates, association/disassociation from subjects, co-location notifications, status updates, availability updates, and other auxiliary functions (e.g. button presses) a tag may offer. Note that it only provides a communication model for notifying interested parties that these events occurred, and does not define the situational requirements for which each event is applicable. | null vnull | 1.0.0-ballot Jan-2023 v5.0.0 |
| saner | Situational Awareness for Novel Epidemic Response The goal of publishing this guide is to encourage the creation of a community interested in extremely rapid development of interfaces that can support communication Bed and other resources to Public Health in this time of crisis. It is the technical part of a multi-pronged effort to develop a workable, quickly deployable, national approach for situational awareness. The initial short-term goals of this are three fold:
| 1.0.0 Jan-2021 v4.0.1 | |
| sdc | Structured Data Capture FHIR IG The SDC (Structured Data Capture) specification is an Implementation Guide of the FHIR Specification that provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR. | 3.0.0 Jan-2022 v4.0.1 | 3.0.0-preview Jan-2022 v4.0.1 |
| security-label-ds4p | FHIR Data Segmentation for Privacy Application of FHIR meta.security to segment FHIR Bundles and Resources per applicable policy. | 1.0.0 Jan-2023 v4.0.1 | |
| shc-vaccination | SMART Health Cards Vaccination and Testing, Release 1 | STU 1 Defines the clinical and patient information contained within a SMART Health Card related to vaccination and lab results for an infectious disease. | null vnull | 0.6.2 Jan-2021 v4.0.1 |
| shorthand | FHIR Shorthand FHIR Shorthand (FSH) is a domain-specific language (DSL) for defining the content of FHIR Implementation Guides (IG). | 2.0.0 Jan-2022 v4.0.1 | 3.0.0-ballot Jan-2023 v4.0.1 |
| smart-app-launch | Smart App Launch Implementation Guide null | 2.0.0 Jan-2021 v4.0.1 | 2.1.0-ballot Jan-2022 v4.0.1 |
| smart-web-messaging | SMART Web Messaging Implementation Guide: STU1 The SMART Web Messaging Implementation Guide enables SMART-launched apps a standard way to communicate with the fixture that launched the app. | 1.0.0 Jan-2022 v4.0.1 | |
| subscriptions-backport | Subscriptions R5 Backport This guide defines a standard method of back-porting the R5 subscriptions API to R4 implementations as to bridge for pre-adopting R5 Subscriptions prior to adoption of the R5 FHIR standard. | 1.1.0 Jan-2023 v4.3.0 | 1.2.0-ballot Jan-2023 v4.3.0 |
| v2mappings | HL7 Version 2 to FHIR The HL7 V2 to FHIR Implementation Guide supports the mapping of HL7 Version 2 messages segments, datatypes and vocabulary to HL7 FHIR Release 4.0 Bundles, Resources, Data Types and Coding Systems. | null vnull | 1.0.0-ballot Jan-2023 v4.0.1 |
| vhdir | Validated Healthcare Directory FHIR IG The Validated Healthcare Directory (VHDir) Implementation Guide defines the minimum conformance requirements for accessing or exposing validated healthcare directory data. It provides a specification for the exchange of directory data between a source of validated provider data and local workflow environments (e.g. local directories). The specification is supports international stakeholders and also meet the specific needs of the US Realm. This implementation guide is developed in cooperation with the Office of the National Coordinator for Health Information Technology (ONC) and the HL7 International Patient Administration Work Group, and the HL7 US Realm Steering Committee. | null vnull | 0.2.0 Dec-2017 v3.5.0 |
| vulcan-rwd | Retrieval of Real World Data for Clinical Research null | 1.0.0 Jan-2023 v4.0.1 | |
| vulcan-schedule | Clinical Study Schedule of Activities null | 1.0.0 Jan-2023 v4.0.1 |
| IG | Name | Version | Type | Date | Age |
| ae-research-backport-ig | Adverse Event Clinical Research R4 Backport | 1.0.1 | Publication | 2024-01-30 | 99 days |
| ae-research-ig | Adverse Event Clinical Research | 1.0.1 | Publication | 2024-01-30 | 99 days |
| fhircast | FHIRcast | 3.0.0-ballot | Candidate | 2024-01-10 | 119 days |
| pharm-quality | Pharmaceutical Quality (Industry) | 1.0.0 | Publication | 2024-01-08 | 121 days |
| crmi | Canonical Resource Management Infrastructure Implementation Guide | 1.0.0-snapshot | Candidate | 2024-01-05 | 124 days |
| cql | Using CQL with FHIR Implementation Guide | 1.0.0-snapshot | Candidate | 2024-01-05 | 124 days |
| cardx-htn-mng | CardX Hypertension Management IG | 1.0.0-ballot | Candidate | 2024-01-05 | 124 days |
| ehrs-rle | EHRS Functional Model - Record Lifecycle Events Implementation Guide | 1.1.0 | Publication | 2024-01-02 | 127 days |
| shorthand | FHIR Shorthand | 3.0.0-ballot | Candidate | 2023-01-30 | 464 days |
| rtls | Real Time Location Services Implementation Guide | 1.0.0-ballot | Candidate | 2023-01-30 | 464 days |
| emedicinal-product-info | Electronic Medicinal Product Information (ePI) FHIR Implementation Guide | 1.0.0 | Publication | 2023-01-26 | 468 days |
| ipa | International Patient Access | 1.0.0 | Publication | 2023-01-26 | 468 days |
| vulcan-rwd | Retrieval of Real World Data for Clinical Research | 1.0.0 | Publication | 2023-01-25 | 469 days |
| livd | Loinc/IVD Mapping FHIR IG | 1.0.0-ballot | Candidate | 2023-01-21 | 473 days |
| ichom-breast-cancer | ICHOM FHIR Implementation Guide: Breast Cancer | 1.0.0 | Publication | 2023-01-21 | 473 days |
| v2mappings | HL7 Version 2 to FHIR | 1.0.0-ballot | Candidate | 2023-01-20 | 474 days |
| cpg | Clinical Guidelines | 2.0.0-ballot | Candidate | 2023-01-19 | 475 days |
| subscriptions-backport | Subscriptions R5 Backport | 1.2.0-ballot | Candidate | 2023-01-18 | 476 days |
| genomics-reporting | Genetic Reporting Implementation Guide | 3.0.0-ballot | Candidate | 2023-01-18 | 476 days |
| vulcan-schedule | Clinical Study Schedule of Activities | 1.0.0 | Publication | 2023-01-18 | 476 days |
| ebm | Evidence Based Medicine on FHIR Implementation Guide | 1.0.0-ballot | Candidate | 2023-01-17 | 477 days |
| security-label-ds4p | FHIR Data Segmentation for Privacy | 1.0.0 | Publication | 2023-01-17 | 477 days |
| ihe-sdc-ecc | IHE SDC/eCC on FHIR | 1.0.0 | Publication | 2023-01-12 | 482 days |
| ibcm | International Birth And Child Model Implementation Guide | 1.0.0-ballot | Candidate | 2023-01-01 | 493 days |
| patient-corrections | Patient Request for Corrections Implementation Guide | 1.0.0-ballot | Candidate | 2022-01-28 | 831 days |
| fhir-for-fair | FHIR for FAIR - FHIR Implementation Guide | 1.0.0 | Publication | 2022-01-27 | 832 days |
| ips | International Patient Summary Implementation Guide | 1.1.0 | Publication | 2022-01-21 | 838 days |
| sdc | Structured Data Capture FHIR IG | 3.0.0-preview | Candidate | 2022-01-15 | 844 days |
| phd | Personal Health Device FHIR IG | 1.0.0 | Publication | 2022-01-11 | 848 days |
| pddi | Potential Drug-Drug Interaction (PDDI) Clinical Decision Support (CDS) (FHIR IG) | 1.0.0-ballot | Candidate | 2022-01-06 | 853 days |
| smart-web-messaging | SMART Web Messaging Implementation Guide: STU1 | 1.0.0 | Publication | 2022-01-05 | 854 days |
| smart-app-launch | Smart App Launch Implementation Guide | 2.1.0-ballot | Candidate | 2022-01-03 | 856 days |
| cdisc-mapping | CDISC Mapping FHIR IG | 1.0.0 | Publication | 2021-01-30 | 1194 days |
| bulkdata | FHIR Bulk Data Access (Flat FHIR) | 2.0.0 | Publication | 2021-01-25 | 1199 days |
| pocd | Point-of-care Device FHIR IG | 0.3.0 | Candidate | 2021-01-13 | 1211 days |
| shc-vaccination | SMART Health Cards Vaccination and Testing, Release 1 | STU 1 | 0.6.2 | Candidate | 2021-01-12 | 1212 days |
| eyecare | HL7 FHIR® Implementation Guide: Ophthalmology Retinal, Release 1 | 0.1.0 | Candidate | 2021-01-11 | 1213 days |
| radiation-dose-summary | Radiation Dose Summary for Diagnostic Procedures on FHIR | 0.1.0 | Candidate | 2021-01-07 | 1217 days |
| saner | Situational Awareness for Novel Epidemic Response | 1.0.0 | Publication | 2021-01-06 | 1218 days |
| cdisc-lab | CDISC Lab Semantics in FHIR | 1.0.0 | Publication | 2020-01-26 | 1564 days |
| mhealth-framework | Application Data Exchange Assessment Framework and Functional Requirements for Mobile Health | 0.1.0 | Candidate | 2020-01-15 | 1575 days |
| order-catalog | Order Catalog Implementation Guide | 0.1.0 | Candidate | 2020-01-04 | 1586 days |
| immds | Immunization Decision Support Forecast FHIR IG | 0.2.0 | Candidate | 2019-01-28 | 1927 days |
| vhdir | Validated Healthcare Directory FHIR IG | 0.2.0 | Candidate | 2017-12-31 | 2320 days |
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