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  1. FHIR Specification Feedback
  2. FHIR-30252

Trust Service operation definitions lacking specificity

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Making EHR Data More available for Research and Public Health (MedMorph) (FHIR)
    • 0.1.0
    • Public Health
    • Trust Service Provider
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      1. Add definitions to each of the trust service operations.

      • Point to existing definitions from HHS/HL7/IHE/CDC.
        2. Content IG Guidance
      • Add a section on how to specify trust service operations for the use case.
      • Defining the content profiles for which the operations have to applied, specifically identifying the data elements over which the operation has to be applied.
      • Specify links or URLs which host trust services that can be used to perform the operation provided the necessary authorities and policies exist. These are preferrably hosted within the healthcare organization to avoid PHI/PII breaches along with the backend service app. So the security and policy infrastructure needs to cover all the actors involved in the trust service operations.
        3. Add note about approaches for extensions, (trust service operations will remove extensions if not understood).
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      1. Add definitions to each of the trust service operations. Point to existing definitions from HHS/HL7/IHE/CDC. 2. Content IG Guidance Add a section on how to specify trust service operations for the use case. Defining the content profiles for which the operations have to applied, specifically identifying the data elements over which the operation has to be applied. Specify links or URLs which host trust services that can be used to perform the operation provided the necessary authorities and policies exist. These are preferrably hosted within the healthcare organization to avoid PHI/PII breaches along with the backend service app. So the security and policy infrastructure needs to cover all the actors involved in the trust service operations. 3. Add note about approaches for extensions, (trust service operations will remove extensions if not understood).
    • Becky Angeles / Maria Michaels : 22-0-0
    • Correction
    • Compatible, substantive

    Description

      The Trust Services contains the following statement: 

      Content IGs will identify specific data elements within resources that need to be processed by Trust Services based on the use case.

       

      The trust service operation definitions only accept a bundle as a parameter.  If content IGs will supply additional information to the trust services than the means in which this happens need to be defined and included (At a minimum in the narrative content) within the operation definitions. 

       

      The means in which Content IG's will specify this data also needs to be defined. 

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            nageshbashyam Nagesh Bashyam
            rdingwell Rob Dingwell
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              Updated:
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