Da Vinci Health Record Exchange (HRex), published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ehrx/ and changes regularly. See the Directory of published versions

Version history

Page standards status: Informative

STU 1.1.0

• FHIR-48672 - Added support for US Core 7.0 as well as 6.1
• FHIR-48414 - Clarified that EHRs weren't required to move forward US Core 6.1/7.0 adoption to comply with the guide
• FHIR-48440 - Added extension to allow conveying davinci wellknown file in Coverage, and added support for payer identifier in file
• FHIR-46678 - Added a CDex endpoint to the endpoint discovery list
• FHIR-47996 - Removed the details of the SMART app dynamic registration section and pointed to the FAST security guide instead
• FHIR-48302 - Dropped the Practitioner profile

A variety of technical correction and non-substantive improvements to wording and artifacts.

STU 1.1.0-ballot

The following is a list of the substantive changes since the last official release

General:

• FHIR-46472 - Updated profiles to comply with both US Core 3.1.1 (USCDI v1) and US Core 6.1.0 (USCDI v2)
• FHIR-46473 - Migrated the 'exchanging FHIR' content to the FHIR core specification
• FHIR-44696 - Defined a mechanism to support discovery of payer Da Vinci endpoints
• FHIR-46208 - Added guidance on how implementers should handle validation in multi-version and multi-profile environments
• FHIR-37533 - Defined profiles for use on Reference to allow setting expectations for use of RESTful vs. logical references
• FHIR-34523 - Drop expectations for support of UDAP at the HRex level
• FHIR-34039 - Added additional guidance around mutual TLS

Member Match:

• FHIR-44933 - Corrections where the specification wasn't clear that the patient identifier needs to have a type of UMB and clarified the definition
• FHIR-42710 - Made consent optional in $member-match
• FHIR-42810 - Extended the member-match operation to support returning an optional FHIR reference to the payer's Patient instance
• FHIR-38701 - Ensured member match refers to HRex patient demographics, not US-Core patient
• FHIR-38691 - Added guidance on how to manage a match when consent expectations can't be met

Consent:

• FHIR-42737 - Tightened policy element to be 1..1 instead of 1..*
• FHIR-36013 - Added expectation to capture who gave consent, not just what patient it was for
• FHIR-35912 - Ensure consent captures who is authorized to disclose

Other resources:

• FHIR-40782 - Relaxed coverage constraints to align with US Core
• FHIR-37809 - Dropped ccn identifier expectation from Practitioner and dropped it as mustSupport for Organization

A variety of minor wording clarifications, correction of typos and other non-substantive changes

Also, see the comparison between this release and release 1.0.0

STU 1.0.0

Initial 'official' release