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HL7 Standards - Section 1c: FHIR®

HL7® FHIR® is an interoperability standard intended to facilitate the exchange of healthcare information between organizations. It consists of 2 main parts – a content model in the form of ‘resources’, and a specification for the exchange of these resources in the form of real-time RESTful interfaces as well as messaging and Documents.

Click a Standard to link to more detail.

Name Description Type
FHIR® (HL7 Fast Healthcare Interoperability Resources)

FHIR is an interoperability standard intended to facilitate the exchange of healthcare information between healthcare providers, patients, caregivers, payers, researchers, and any one else involved in the healthcare ecosystem. It consi...

Normative, STU
HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm

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 (EHR...

STU
HL7 FHIR Implementation Guide: Profiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting, Release 1 - US Realm

The FHIR Implementation Guide provides a set of profiles for detection, validation, reporting, and ultimately recording/persisting Adverse Events associated with blood transfusions and vaccinations.

...

STU
HL7 FHIR® Guidance: Quality Reporting, Release 1 - US Realm

This informative document provides an overview of the electronic quality measurement domain with specific reference to HL7's Clinical Quality Framework. The document further describes the case for using FHIR for quality measu...

Informative
HL7 FHIR® IG: Payer Coverage Decision Exchange, R1 - US Realm

This U.S. implementation guide defines a standardized way for a 'new' payer to access the clinical and financial information held by a previous payer that is necessary to ensure that a member who is switching coverage is able to enjoy...

STU
HL7 FHIR® IG: SMART Web Messaging Implementation Guide, Release 1

SMART Web Messaging enables tight UI integration between EHRs and embedded SMART apps via HTML5’s Web Messaging. SMART Web Messaging allows applications to push unsigned orders, note snippets, risk scores, or UI sugge...

STU
HL7 FHIR® Implementation Guide: Bidirectional Services eReferrals (BSeR), STU1, Release 1 - US Realm

The Bidirectional Services eReferral (BSeR) FHIR implementation guide provides guidance for using the HL7 Fast Healthcare Interoperability Resources (FHIR) standard as an exchange format for clinical and non-clinical service requests. It is a ...

STU
HL7 FHIR® Implementation Guide: Bulk Data Access IG, Release 2

This Implementation Guide defines secure FHIR export Operations that use this capability to provide an authenticated and authorized client with the ability to register as a backend service and retrieve all data in a FHIR server, data on all p...

STU
HL7 FHIR® Implementation Guide: C-CDA on FHIR, Release 1

Consolidated CDA (C-CDA) is one of the most widely implemented implementation guides for CDA and covers a significant scope of clinical care. Its target of the ‘common/essential’ elem...

STU
HL7 FHIR® Implementation Guide: Clinical Data Exchange (CDex), Release 1 STU1.1.0 - US Realm

This IG provides detailed guidance that helps implementers use FHIR-based interactions to support specific exchanges of clinical data between providers and payers (or other providers). This guide documents Direct Query, Task Based and Attac...

STU
HL7 FHIR® Implementation Guide: Clinical Decision Support for Immunizations, Release 1 - US Realm

Clinical Decision Support for Immunizations is increasingly being used in health information systems to indicate which vaccinations a patient is due for next. Many of these expert systems are buil...

STU
HL7 FHIR® Implementation Guide: Clinical Genomics, STU2

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 evolu...

STU
HL7 FHIR® Implementation Guide: Clinical Guidelines, Release 1

The FHIR Clinical Guidelines Implementation Guide (CPG IG) provides a means of creating a computable representation of a narrative clinical guideline that is faithful to guideline intent and supp...

STU
HL7 FHIR® Implementation Guide: Clinical Research Sponsor Laboratory Semantics in FHIR, Release 1

FHIR provides an effective standard for sites and sponsors to utilize in exchanging clinical research laboratory data. The end-to-end process includes site data storage, site data preparation/transformation, production of FHIR forma...

STU
HL7 FHIR® Implementation Guide: Common Data Model Harmonization for Research (CDMH), Release 1 - US Realm

The Common Data Models Harmonization (CDMH) FHIR Implementation Guide (IG) will focus on mapping and translating observational data extracted for Patient Centered Outcome Research (PCOR) and other purposes into FHIR format. The proje...

STU
HL7 FHIR® Implementation Guide: Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), Release 1 - US Realm

This implementation guide describes the CARIN for 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.

STU
HL7 FHIR® Implementation Guide: Consumer-facing Real-time Pharmacy Benefit Check, Release 1- US Realm

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.

STU
HL7 FHIR® Implementation Guide: Coverage Requirements Discovery (CRD), Release 1 - US Realm

Provides a mechanism for healthcare providers to discover guidelines, pre-authorization requirements and other expectations from payor organizations related to a proposed medication, procedure or other service assoc...

STU
HL7 FHIR® Implementation Guide: COVID-19 FHIR Clinical Profile Library, Release 1 - US Realm

The IG is a library of commonly used FHIR profiles, not specific to any use case.

 

See the specification at http://hl7.org/fhir/us/covid19library/informative1. 

...
Informative
HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures STU3.1 for FHIR R4 - US Realm

The purpose of this implementation guide is to support value based care data exchange in the US Realm. It describes three groups of quality reporting scenarios. The first group is exchange scenarios which focus on exchanging subsets of the data ...

STU
HL7 FHIR® Implementation Guide: DaVinci Payer Data Exchange US Drug Formulary, Release 1 STU2 - US Realm

This project defines a FHIR interface to a health insurer's drug formulary information for patients/consumers. A drug formulary is a list of brand-name and generic prescription drugs a health insurer agrees to pay for, at least parti...

STU
HL7 FHIR® Implementation Guide: Dental Data Exchange, Release 1 - US Realm

This implementation guide provides the FHIR R4 artifacts necessary to construct a Dental Referral Note Bundle and Dental Consultation Note Bundle. These standardized documents are intended to support bi-directional information exchange betwe...

STU
HL7 FHIR® Implementation Guide: Digital Insurance Card, Release 1 - US Realm

This IG developed artifacts (FHIR implementation guides, code mappings, reference implementations, etc) to retrieve proof of insurance coverage information via FHIR REST API when requested or shared by a Patient in order to creat...

STU
HL7 FHIR® Implementation Guide: Documentation Templates and Payer Rules (DTR), Release 1- US Realm

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.

STU
HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR), Release 2.1 - US Realm

The FHIR Implementation Guide (IG) specifies a US Realm FHIR electronic Case Reporting (eCR) implementation guide. It profiles FHIR for electronic initial case report (eICR), Reportability Response and trigger code / business logic...

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

The electronic Long-Term Services and Supports (eLTSS) Implementation Guide (IG) is based on FHIR R4. It was developed to support exchange of data generated during the planning and provision of long-term services and supports and is cu...

STU
HL7 FHIR® Implementation Guide: FHIR for FAIR, Release 1

The FHIR for FAIR Implementation Guide provides guidance on how the HL7 FHIR standard can be used for supporting the implementation and the assessment of the FAIR principles for health data.

...

STU
HL7 FHIR® Implementation Guide: FHIR Shorthand, Release 2

FHIR Shorthand (FSH) is a domain-specific language for defining FHIR artifacts involved in creation of FHIR Implementation Guides (IG). The goal of FSH is to allow Implementation Guide (IG) crea...

Normative, STU
HL7 FHIR® Implementation Guide: FHIR to CDISC Joint Mappings, Release 1

This implementation guide, a joint effort of CDISC and HL7, defines mappings between FHIR release 4.0 and three specific CDISC standards: SDTM, CDASH and LAB.

STU
HL7 FHIR® Implementation Guide: FHIRcast, Release 1, STU2

The FHIRcast specification describes the APIs used to synchronize disparate healthcare applications' user interfaces in real time, allowing them to show the same clinical content to a user (or group of users).

...
STU
HL7 FHIR® Implementation Guide: Health Record Exchange (HRex) Framework, Release 1- US Realm

A foundational implementation guide that defines core profiles, terminologies, methodology and other guidelines that are used by other - and in some cases all Da Vinci implementation guides.

...

STU
HL7 FHIR® Implementation Guide: Healthcare Associated Infection Reports, Release 1, STU 2 —US Realm

This project developed an implementation guide constraining FHIR STU 3. The implementation guide supports electronic submission of HAI data to the National Healthcare Safety Network. CDC provided NHSN developers, vocabulary experts and FHIR ...

STU
HL7 FHIR® Implementation Guide: Hybrid/Intermediary Exchange, Release 1- US Realm

The Hybrid / Intermediary Exchange FHIR implementation guide provides guidance enabling FHIR REST interactions across one or more intermediaries using a passive approach in which the intermediary is ‘passing through’ the i...

STU
HL7 FHIR® Implementation Guide: International Patient Summary, Release 1

An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care. The IPS dataset is minimal and non-exhaustive; specialty-agnostic and condi...

STU
HL7 FHIR® Implementation Guide: Medicolegal Death Investigation (MDI), Release 1 - US Realm

Standards and guidance on the use of FHIR resources for exchange of death investigation information between medical examiner/coroner case management systems, jurisdictional electronic death registration system (EDRS), toxicology and other...

STU
HL7 FHIR® Implementation Guide: NHSN Adverse Drug Event - Hypoglycemia Report, Release 1- US Realm

This IG supports electronic submission of adverse drug event (ADE) data to the National Healthcare Safety Network (NHSN). The project establishs an electronic submission standard that is vendor-neutral that leverages existing workf...

STU
HL7 FHIR® Implementation Guide: NHSN Inpatient Medication COVID-19 Administration Reports, Release 1 - US Realm

This IG supports electronic submission of line-level medication administration data to the National Healthcare Safety Network (NHSN). The project establishes an electronic submission standard that is vendor-neutral that leverages exist...

STU
HL7 FHIR® Implementation Guide: PACIO Re-assessment Timepoints, Release 1 - US Realm

The Re-Assessment Timepoints implementation guide (IG) describes a means to break up extended Post-Acute admissions into consumable blocks that can reflect the evolution of care over time of the enco...

STU
HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex) Payer Network, Release 1 - US Realm

This implementation guide defines a FHIR interface to a health insurer’s insurance plans, their associated networks, and the organizations and providers that participate in these networks. Publication of this data through a stand...

STU
HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Release 1 - US Realm

Using Payer Data Exchange enables payers to publish Financial and clinical data to Consumers and other payers using US Core clinical resources and additional profiles that are specific to the paye...

STU
HL7 FHIR® Implementation Guide: Personal Health Device (PHD), Release 1

This Implementation Guide (IG) defines the use of FHIR resources to convey measurements and supporting data from communicating Personal Health Devices (PHDs) to receiving systems for electronic medi...

STU
HL7 FHIR® Implementation Guide: Pharmacist Care Plan Document, Release 1 - US Realm

This implementation guide specifies FHIR profiles and other artifacts for the Pharmacist Care Plan, which are derived from requirements set forth by the Pharmacy Health Information Technology (HIT) Collaborative and the National Counc...

STU
HL7 FHIR® Implementation Guide: Post-Acute Care Cognitive Status, Release 1- US Realm

The PACIO Cognitive Status Implementation Guide (IG) is for exchanging cognitive status and mental functioning observations primarily involving post-acute care (PAC) transitions between various healthcare settings, including ambul...

STU
HL7 FHIR® Implementation Guide: Post-Acute Care Functional Status, Release 1- US Realm

The PACIO Functional Status Implementation Guide (IG) is for exchanging mobility, self-care, and domestic life observations primarily involving post-acute care (PAC) transitions between various heal...

STU
HL7 FHIR® Implementation Guide: Prior-Authorization Support (PAS), Release 1- US Realm

Prior Authorization Support allows a provider's system to request authorization of products and services using FHIR where the content may be altered downstream to conform to HIPAA or other regulated specifications.

...

STU
HL7 FHIR® Implementation Guide: Quality Measures, Release 1 STU3 – US Realm

The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing electronic Clinical Quality Measures (eCQMs) using the FHIR Clinical Reasoning Module and C...

STU
HL7 FHIR® Implementation Guide: Risk Based Contract Member Identification, Release 1 - US Realm

The implementation guide defines the mechanisms, resources, profiles and extensions required to exchange Member Attribution Lists. The Member Attribution Lists enable providers and payer organization to validate enrollment in Value...

STU
HL7 FHIR® Implementation Guide: SDOH Clinical Care, Release 2.0 - US Realm

This IG defines focuses on the exchange of information related to social determinates of health (such as Food Insecurity, Housing Instability, and Transportation). The IG defines FHIR Profiles for Observation, Condition, Goals, Task,...

STU
HL7 FHIR® Implementation Guide: Security for Registration, Authentication, and Authorization, Release 1- US Realm

This implementation guide describes how to extend OAuth 2.0 to support secure and scalable workflows for business-to-business (B2B) apps that implement the client credentials flow or authorization code flow.

...
STU
HL7 FHIR® Implementation Guide: Situational Awareness for Novel Epidemic Response (SANER) STU 1

The Situational Awareness for Novel Epidemic Response Implementation Guide enables transmission of high level situational awareness information from inpatient facilities to centralized data repo...

STU
HL7 FHIR® Implementation Guide: SMART Application Launch Framework, Release 2

SMART App Launch 2.0.0 defines a foundational patterns based on OAuth 2.0 for client applications to authorize, authenticate, and integrate with FHIR-based data systems (e.g., Electronic Health Record system, Patient Portal, or Be...

STU
HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Release 1 DSTU

This implementation guide is intended to support clinical systems in the creation and population of forms with patient-specific data. It defines a mechanism for linking questions in forms to pre-defined data elements to enable systems to autom...

HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Release 3

This implementation guide is intended to support clinical systems in the creation and population of forms in the healthcare domain. It refines and expands the content in the base FHIR specification to provide additional guidance on:&n...

STU
HL7 FHIR® Implementation Guide: Subscription R5 Backport, Release 1

The Subscription R5 Backport Implementation Guide enables servers running FHIR R4B to implement a subset of R5 Subscriptions in a standardized way.

STU
HL7 FHIR® Implementation Guide: Unsolicited Notifications, Release 1- US Realm

This implementation guide describes a framework method for the communication of relevant notifications to support the real-time exchange of information that impacts patient care and value based or risk based services. Providers and Payers may n...

STU
HL7 FHIR® Implementation Guide: Vital Records Birth and Fetal Death Reporting, Release 1 - US Realm

This is a FHIR IG that defines birth and fetal death reporting in the USA. Birth and fetal death reporting includes the transmission of data from health care providers to jurisdictional Vital Reco...

STU
HL7 FHIR® Implementation Guide: Vital Records Common FHIR Profile Library, Release 1

This guide is a FHIR Resources Library to support the needs of multiple Vital Records Implementation Guides. It does not provide any use case or scenario specific content or additional guidance on how to use these artifacts, but serves as a ...

STU
HL7 FHIR® Implementation Guide: Vital Records Death Reporting (VRDR), Release 1 STU2 - US Realm

The VRDR FHIR IG provides guidance regarding the use of FHIR resources as a conduit for data required in the bidirectional exchange of mortality data between State-run Public Health Agencies (PHA) Vital Records offices and U.S. Natio...

STU
HL7 FHIR® Implementation Guide: Vital Signs, Release 1- US Realm

Vital signs are collected on nearly every patient encounter. Oftentimes, the clinician needs to know the patient position, device, body location or method the measures were taken.

Blood pressure as a component of vital signs also...

STU
HL7 FHIR® Profile: Data Access Framework (DAF), Release 1

The Data Access Framework Initiative identifies and recommends standards for the interoperable representation and transmission of data using the notion of a Query Stack which modularizes the various layers of the Data Access Frame...

DSTU
HL7 FHIR® Profile: Occupational Data for Health (ODH), Release 1

This Implementation Guide contains profiles 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 healt...

STU
HL7 FHIR® Profile: Pharmacy; Medication, Release 2

This FHIR Implementation Guide has been withdrawn and should not be considered for use. The Guide underwent an HL7 ballot but the comments from that ballot have not been reconciled and no further work has been done on the guide since that ballo...

STU
HL7 FHIR® Profile: Quality, Release 1 - US Realm

The QI Core Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guid...

STU
HL7 FHIR® US Core Implementation Guide STU 5 Release 5.0.1

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.

...

STU
HL7/NCPDP FHIR® Implementation Guide: Specialty Medication Enrollment, Release 1 - US Realm

This FHIR implementation Guide describes the exchange of patient demographic, clinical and coverage data to support fulfillment of specialty medication prescriptions by pharmacies, and enrollment of patients into related support progr...

STU