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  1. FHIR Specification Feedback
  2. FHIR-35237

FHIR US Core 3.1 is required for providers/payers to support adjacent ONC/CMS regulation



    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • US Da Vinci Patient Cost Transparency (PCT) (FHIR)
    • 0.1.0 [deprecated]
    • Financial Mgmt
    • STU
    • PCT Location [deprecated]
      PCT Organization
      PCT Patient [deprecated]
      PCT Practitioner
      PCT PractitionerRole [deprecated]
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      Change dependency to US Core 3.1.1


      Change dependency to US Core 3.1.1  
    • Rachel Foerster / Pat Taylor : 14-0-2
    • Enhancement
    • Compatible, substantive


      While this IG is not covered under the ONC regulations and CMS Interoperability and Patient Access API regulations, it does sit within the landscape of IGs that do and so the following should be considered:


      The ONC in line with the 21st Century Cures act and previous law has defined a set of standards and implementation guides that are required for its programs. The CMS Interoperability and Patient Access rule requires several of those standards and specifications. One of these requirements is FHIR US Core 3.1. 

      The SVAP currently has adopting the new version (FHIR US Core 4.0.0), under consideration.

      This means that until SVAP approves the use of the new standard, implementers may have a problem implementing this version of Plan Net. It should be discussed whether the movement to US Core 4.0 should be decoupled from the rest of the update in order to make those updates more readily implementable and move to US Core 4.0 when approved for regulatory use. This concern applies across all Da Vinci IGs covered under the same regulation.


      Additionally, HRex, for which this IG bases its Practitioner, PractitionerRole, and Organization profiles on, currently uses US Core 3.1. This may cause confusion in the expectations/requirements.




            Unassigned Unassigned
            corey_spears Corey Spears
            Corey Spears
            2 Start watching this issue