Project Summary for US FHIR Core Update to FHIR R4 (Jira PSS-1835)
Visit Project Insight to see the full project details. *
Project Details
| Number | 1372 View Ballot Items List (with NIBs) |
|---|---|
| Name | US FHIR Core Update to FHIR R4 (Jira PSS-1835) |
| Sponsor(s) | Cross-Group Projects Work Group |
| Co-Sponsor(s) | Structured Documents Work Group |
| Steering Division | Infrastructure |
| Description | The original US FHIR Core publication profiled several key resources to meet the requirements of the ONC 2015 Common Clinical Data Set (CCDS). HL7 published US FHIR Core R1 in March 2017 (Project Insight: 1265) and produced an additional update to add 3 new profiles (Project Insight: 1372) in September 2018. This project will develop a new US FHIR Core profile for Clinical Notes based on the lessons of the Argonaut. This project will address project trackers logged against prior releases of US Core. Additionally, any vocabulary omissions or errors in previously developed profiles will be considered. Efforts to align with C-CDA on FHIR value sets is considered in scope if participants are available to identify gaps and recommend resolutions. New profiles, outside a new US Regulatory Requirement, are not in scope. -- Prior project which lead to creation of US FHIR Core: Project 1265 Recent project to update US FHIR Core with 3 new profiles:Project 1372 -- |
| Project Facilitator | Brett Marquard and Eric Haas |
| Status | STU - Test Period/Accepting Comments |
| SD Approval Date | Oct 26, 2017 |
| TSC Approval Date | Sep 17, 2021 |
| Type | Ballot - STU to Normative |
| Objectives / Deliverables | Submit for STU Ballot (First Ballot Cycle) - Target: 2019 Jan Ballot Complete STU Reconciliation - Target: 2019 March WGM Submit Publication Request - Target: 2019 May WGM |
| Next Milestone Date | 2024 May WGM |
| Project End Date | 2024 May WGM |
| Project Intent | Revise Current Standard |
| Project Need | - US FHIR Core is based on FHIR R3, and needs to updated to the latest version of FHIR - HL7 does not currently provide formal US profiles for clinical notes |
| Implementers | 1) Argonaut Participants |
| Security Risks | No |
| External Drivers | N/A |
| Common Names / Keywords/ Aliases | US Core, Argonaut |
| Lineage | Update to US FHIR Core Release 2 |
| Dependancies | Ongoing FHIR IG publication tooling support |
| Project Document Repository |
2020 August PSS Updates: https://jira.hl7.org/browse/PSS-1835 https://github.com/HL7/US-Core-R4 |
| Backwards Compatibility | No |
| External Vocabularies | Yes |
| Products | FHIR Implementation Guide |
| Joint Copyright? | No |
| External Pjt Collaborators | Development done with HL7. |
| Realm | Realm Specific - Enter "U.S." or name of HL7 Affiliate below |
| HL7 Affiliate | U.S. |
| Stakeholders | Regulatory Agency, Payors |
| Vendors | EHR, PHR; Equipment; Health Care IT; HIS |
| Providers | Healthcare Institutions (hospitals, long term care, home care, mental health) |
| Ballot Cycle Info | 2023 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 53 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: US-Core, Release 6.0.0 - US Realm 2022 Jan Ballot Cycle Info: STU Ballot Results: Did not meet basic vote requirements. 62 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: US-Core, Release 4.1.0 - US Realm (See Jira Ballot Dashboard) 2021 Jan Ballot Cycle Info: STU Ballot Results: Did not meet basic vote requirements. 61 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: US-Core, Release 3.2.0 - US Realm 2018 Jan Ballot Cycle Info: STU Ballot results: Did not meet basic vote requirements Document Name: HL7 FHIR Profile: US-Core, Release 1 STU Release 2 |
| Misc Notes | 2022 May: TSC approved STU Publication Request for HL7 FHIR US Core Implementation Guide STU5 Release 5.0.0 2020 August Updated PSS: This PSS covers current and future US Core FHIR balloted updates, allowing for future USCDI updates and ITEMS that meet criteria defined in the Future of US Core in the US Core Implementation guide 2019 Nov: TSC approved STU Extension Request for HL7 FHIR US Core Implementation Guide STU 3.1.0 for 18 months 2019 June: TSC Approved STU Publication Request for HL7 FHIR R4 Profile: US-Core, 3.0.0 for 18 months. 2018 November: TSC approved STU publication request for HL7 FHIR Profile: US Core, Release 1 STU Release 2 at TSC Tracker 19486 2018 November: Updated PSS submitted If revising a current standard, indicate the following: - US FHIR Core Release 2 - September 2018 - Adding new profile. - Improvement to existing standard – update issues reported on prior release. External vocabularies: NUCC, SNOMED, http://www.ihe.net/Technical_Frameworks/, https://www.rfc-editor.org/bcp/bcp13.txt#, LOINC, CPT, ICD-10, http://www.nubc.org/patient-discharge |
| U.S. Govt Interest? | Yes |
| USRSC Approval | Received |
| FMG Approval | All Received |
| ARB Approval | Received |
| Start Date | Oct 4, 2017 |
* A Project Insight User ID and password is required to access Project Insight. Contact the HL7 PMO at for more information.
Visit the Projects, Ballots and Standards Metrics Excel Report to view projects that are behind 120+ days along with other ballots and standards requiring a Work Group's attention.
Visit the Projects, Ballots and Standards Metrics Excel Report to view projects that are behind 120+ days along with other ballots and standards requiring a Work Group's attention.