AI Transparency on FHIR, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 1.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/aitransparency-ig/ and changes regularly. See the Directory of published versions

About

Page standards status: Informative

Highlight text changes?

Downloadable Resources

• this entire guide,
• the definition resources in json, xml, ttl, or csv format, or
• the example resources in json, xml or ttl format.

The source code for this Implementation Guide can be found on HL7 AI Transparency Github Repo.

Credits

• Sam Schifman (Health Forge Consulting LLC)
• John Moehrke (Moehrke Research LLC)
• May Terry (MITRE)
• Brian Alper (Computable Publishing LLC)
• Michael Faughn (NIST)
• Gregory Shemancik (CHAI)
• Reynalda Davis (CMS)
• Gail Winters
• Mark Kramer (MITRE)

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.uv.aitransparency.r4) and R4B (hl7.fhir.uv.aitransparency.r4b) are available.

Intellectual Property Considerations

This publication includes IP covered under the following statements.

• The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
  Show Usage
  • Unified Code for Units of Measure (UCUM): Bundle/b3c1f2d4-5c8e-4b0a-9f6d-7c8e1f2d4b5c, Observation/glasgow, Observation/other-model-result and Observation/satO2
• These codes are excerpted from ISO Standard, TS 21089-2017 - Health Informatics - Trusted End-to-End Information Flows, Copyright by ISO International. Copies of this standard are available through the ISO Web Site at www.iso.org.
  Show Usage
  • ISO 21089 2017 Health Record Lifecycle Events: Provenance/AI-Generated-Lab-Results
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  • LOINC: Bundle/b3c1f2d4-5c8e-4b0a-9f6d-7c8e1f2d4b5c, DocumentReference/Lab-Results-PDF... Show 4 more, Observation/f206, Observation/glasgow, Observation/other-model-result and Observation/satO2
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
  Show Usage
  • SNOMED Clinical Terms® (SNOMED CT®): DiagnosticReport/f202, DocumentReference/Lab-Results-PDF, Observation/f206 and Procedure/proc
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  • StatisticCertaintyRating: AIconfidence and Procedure/proc
  • Claim Type Codes: ClaimResponse/AI-PriorAuth-Determination
  • Observation Category Codes: Observation/satO2
  • Provenance participant type: Provenance/AI-Authored-Element, Provenance/AI-Contributed... Show 8 more, Provenance/AI-Contributed-OtherModel, Provenance/AI-Generated-Lab-Results, Provenance/AI-PriorAuth-Provenance, Provenance/AI-full-lorem-ipsum, Provenance/AI-generated-patient-resource, Provenance/AIdeviceTypeCS-first-history, Provenance/AIdeviceTypeCS-initial-history and Provenance/AIinputsCS-initial-history
  • diagnosticServiceSectionId: DiagnosticReport/f202
  • identifierType: Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890
  • ActCode: DiagnosticReport/f202
  • ActReason: Provenance/AI-full-lorem-ipsum, Provenance/AI-generated-patient-resource, Provenance/AIdeviceTypeCS-first-history, Provenance/AIdeviceTypeCS-initial-history and Provenance/AIinputsCS-initial-history
  • DataOperation: Provenance/AI-Contributed, Provenance/AIdeviceTypeCS-first-history, Provenance/AIdeviceTypeCS-initial-history and Provenance/AIinputsCS-initial-history
  • ObservationInterpretation: Observation/f206 and Observation/satO2
  • ObservationValue: AIProvenance, AIdeviceTypeCS... Show 17 more, Bundle/b3c1f2d4-5c8e-4b0a-9f6d-7c8e1f2d4b5c, ClaimResponse/AI-PriorAuth-Determination, DiagnosticReport/f202, Observation/f206, Observation/glasgow, Observation/other-model-result, Observation/satO2, Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890, Procedure/proc, Provenance/AI-Authored-Element, Provenance/AI-Contributed, Provenance/AI-Contributed-OtherModel, Provenance/AI-Generated-Lab-Results, Provenance/AI-PriorAuth-Provenance, Provenance/AI-full-lorem-ipsum, Provenance/AI-generated-patient-resource and Provenance/AIdeviceTypeCS-first-history

Globals Profiles

There are no Global profiles defined

Dependencies

Package hl7.fhir.uv.extensions.r4#5.3.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, May 16, 2026 18:32+1000+10:00)

Package hl7.fhir.uv.security-label-ds4p#1.0.0 FHIR data segmentation for privacy security label implementation guide (built Mon, Apr 17, 2023 19:19+0000+00:00)

Package hl7.fhir.uv.tools.r4#1.3.0 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Oct 6, 2026 15:55+1100+11:00)