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  1. FHIR Specification Feedback
  2. FHIR-36373

Clarify US Core expectations

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci DTR (FHIR)
    • 1.0.0 [deprecated]
    • Clinical Decision Support
    • Technical Background and Underlying Technologies [deprecated]
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      Remove 3.3 and move the reference to needing knowledge regarding US Core to the background page. Will need the knowledge to access information for pre population via CQL calls to 21st Century compliant FHIR APIs. The light client should import the US Core Server capability statement.

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      Remove 3.3 and move the reference to needing knowledge regarding US Core to the background page. Will need the knowledge to access information for pre population via CQL calls to 21st Century compliant FHIR APIs. The light client should import the US Core Server capability statement.
    • Bob Dieterle / Jeff Brown : 12-0-2
    • Clarification
    • Non-substantive

    Description

      "Clinical systems SHALL use the specification defined by US Core in exchanging information with payers"

      1. DTR doesn't involve sharing clinical information with payers except temporarily through adaptive forms.  (And in that case, they're not using the US Core spec to do so.)
      2. We don't want to limit the ability of the CQL to only US Core data.
      3. Expectations around support for US Core should be reflected in the CapabilityStatement for EHRs
      4. Conformance statements don't belong on background pages

      Drop this, set expectations for US Core support in the EHR and SMART CapabilityStatements.  The only addition that might be useful is - in the section on CQL design - say something like "CQL that queries EHR systems SHOULD limit itself to the resources and search parameters defined in U.S. core and SHALL gracefully handle the failure to execute any non-US Core based query."

       

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            lloyd Lloyd McKenzie
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