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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® US Core Implementation Guide STU 5 Release 5.0.1

DESCRIPTION

US Core 5.0.1 is a technical correction to US Core 5.0.0 to correct critical errata and update value set presentation. Detailed links to the changes are available on the specification's Change Log page.

The US Core Implementation Guide (available at http://hl7.org/fhir/us/core/STU5.0.1) is based on FHIR Version R4  and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and the ONC U.S. Core Data for Interoperability (USCDI) v2 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by many other US Realm implementation guides. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. Prior versions and detailed changes are available: http://hl7.org/fhir/us/core/history.html.

 

ALTERNATIVE NAMES

HL7 FHIR® US Core Implementation Guide STU 5 Release 5.0.1 may also go by the following names or acronyms:

"HL7 FHIR® IG: US-Core, R1 STU4", DAF, Data Access Framework, US-Core, US Core, USCore, USCDI

TARGETS

  • Clinical and Public Health Laboratories
  • Immunization Registries
  • Regulatory Agency
  • Pharmaceutical Vendors
  • EHR, PHR Vendors
  • Equipment Vendors
  • Health Care IT Vendors
  • Clinical Decision Support Systems Vendors
  • Emergency Services Providers
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • Encourages consistency around how data access is accomplished between healthcare systems within and across organizations between healthcare systems
  • Encourages consistency around what data is accessed including vocabularies and value sets
  • Encourages consistency around security standards used to allow authentication, authorization and auditing of data access

 

IMPLEMENTATIONS/CASE STUDIES

  • Argonaut
  • Cerner
  • Epic

 

RELATED DOCUMENTS

HL7 FHIR® US Core Implementation Guide STU 5 Release 5.0.1
HL7 FHIR® Implementation Guide: Electronic Long-Term Services & Supports (eLTSS), Release 1 - US Realm (View Brief)

STU DOCUMENTS

HL7 FHIR® Implementation Guide: US-Core, STU4 Release 5.0.1 - US Realm See the standard at http://hl7.org/fhir/us/core/STU5.0.1. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: US-Core, STU4 Release 4.0.0 - US Realm See the standard at http://hl7.org/fhir/us/core/STU4.
Submit comments here.
(Submit Feedback on STU)
HL7 FHIR® US Core Implementation Guide STU 3.1.0 - US Realm Please see the resource detail for link and download instructions. Expiration Nov 2021
HL7 FHIR® Profile: US-Core, Release 1.0.0 STU Please see the resource detail for link and download instructions. Expiration Mar 2019

ADDITIONAL DETAILS

For an important clarification of the term “Must Support” as used in this guide, see the US Core Clarification Letter from 2020 October. The complete clarification statement with examples is posted at http://www.hl7.org/announce/

 

These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes.

TOPICS

  • Healthcare Devices
  • Laboratory
  • Patient Care
  • Pharmacy

BALLOT TYPE

  • STU

STATUS DATE

2022-05-13

RESPONSIBLE WORK GROUPS

Cross-Group Projects

FHIR Infrastructure

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Emergency Services Providers
  • Equipment Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • Immunization Registries
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Pharmaceutical Vendors
  • Regulatory Agency

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • US Realm