Starter FHIR Implementation Guide
1.0.1 - draft International flag

Starter FHIR Implementation Guide, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jembi/Starter-FHIR-IG/ and changes regularly. See the Directory of published versions

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Official URL: http://jembi.org/fhir/ImplementationGuide/jembi.starter.ig Version: 1.0.1
Draft as of 2020-02-26 Computable Name: StarterIG

This is a "Starter" FHIR® Implementation Guide (IG) with the purpose of providing guidance to the community with regard to getting started with FHIR® and how to create use case specific FHIR® profiles to meet exchange requirements. A FHIR® profile allows you to author and publish a customized, more specific resource definition, by specifying a set of constraints and/or extensions on the base resource. Profiling is an essential part of FHIR® adoption and development because FHIR® resources are not a one-size-fits-all.

This documentation and set of artefacts are still undergoing development. This content is only for demonstrative purposes.

 

Content

This publication contains the full set of specifications...

There is also an overview of the projects and motivation for the specifications.

The top menu allows quick navigation to the different sections, and a Table of Contents is provided with the entire content of this Implementation Guide. (Be aware that some pages have multiple tabs).

Download

Download

You can also download:

The source code for this Implementation Guide can be found on GitHub.

Cross Version Analysis

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 (jembi.starter.ig.r4) and R4B (jembi.starter.ig.r4b) are available.

Dependency Table

Dependency Table

IGPackageFHIRComment
.. Starter FHIR Implementation Guidejembi.starter.ig#1.0.1R4
... HL7 Terminology (THO)hl7.terminology.r4#6.0.2R4Automatically added as a dependency - all IGs depend on HL7 Terminology
... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.1.0R4Automatically added as a dependency - all IGs depend on the HL7 Extension Pack
... Quality Measure Implementation Guide (STU4)hl7.fhir.us.cqfmeasures#4.0.0R4
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#1.0.0R4
.... Clinical Quality Framework Common FHIR Assetsfhir.cqf.common#4.0.1R4
..... Clinical Practice Guidelineshl7.fhir.uv.cpg#1.0.0R4
.... QI-Core Implementation Guidehl7.fhir.us.qicore#5.0.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
..... US Core Implementation Guidehl7.fhir.us.core#5.0.1R4
...... HL7 Terminology (THO)hl7.terminology.r4#3.1.0R4
...... Bulk Data Access IGhl7.fhir.uv.bulkdata#2.0.0R4
...... SMART App Launchhl7.fhir.uv.smart-app-launch#2.0.0R4
...... VSACus.nlm.vsac#0.7.0R4
...... Structured Data Capturehl7.fhir.uv.sdc#3.0.0R4
.... HL7 Terminology (THO)hl7.terminology#5.2.0R4
... Using CQL with FHIRhl7.fhir.uv.cql#1.0.0R4
.... HL7 Terminology (THO)hl7.terminology#5.5.0R4
... SQL on FHIRhl7.fhir.uv.sql-on-fhir#2.0.0-preR5
.... HL7 Terminology (THO)hl7.terminology.r5#6.0.2R5

Package hl7.fhir.uv.extensions.r4#5.1.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.extensions.r4#1.0.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.cpg#1.0.0

Implementation guidance for creating Clinical Practice Guidelines with formal artifacts to facilitate sharing and implementation of the guideline (built Thu, Feb 11, 2021 20:29+0000+00:00)

Package fhir.cqf.common#4.0.1

This implementation guide contains common FHIR assets for use in CQFramework content IGs, including FHIRHelpers and the FHIR-ModelInfo libraries. (built Fri, Nov 12, 2021 16:25+1100+11:00)

Package hl7.fhir.uv.bulkdata#2.0.0

FHIR based approach for exporting large data sets from a FHIR server to a client application (built Fri, Nov 26, 2021 05:56+1100+11:00)

Package hl7.fhir.uv.sdc#3.0.0

The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR.
This includes two components:
* Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains.
*Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)

Package hl7.fhir.us.core#5.0.1

The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Wed, Jun 22, 2022 19:44+0000+00:00)

Package hl7.fhir.us.qicore#5.0.0

The QICore Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guide derive from and extend the US Core profiles to provide a common foundation for building, sharing, and evaluating knowledge artifacts across quality improvement efforts in the US Realm. (built Tue, Apr 4, 2023 13:39+0000+00:00)

Package hl7.fhir.us.cqfmeasures#4.0.0

The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing Quality Measures (QMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the US Realm. (built Mon, Aug 28, 2023 20:07+0000+00:00)

Package hl7.fhir.uv.cql#1.0.0

This implementation guide defines profiles, operations and guidance for the use of CQL with FHIR, both as a mechanism for querying, as well as inline and integrated usage as part of knowledge artifacts. (built Fri, May 31, 2024 14:18+0000+00:00)

Globals Table

Globals Table

IP Statements

IP Statements

This publication includes IP covered under the following statements.

Intellectual Property Consideration

Intellectual Property Considerations

While this implementation guide and the underlying FHIR are licensed as public domain, this guide may include examples making use of terminologies such as LOINC, SNOMED CT and others which have more restrictive licensing requirements. Implementers should make themselves familiar with licensing and any other constraints of terminologies, questionnaires, and other components used as part of their implementation process. In some cases, licensing requirements may limit the systems that data captured using certain questionnaires may be shared with.

Disclaimer

Disclaimer

This specification is provided without warranty of completeness or consistency, and the official publication supersedes this draft. No liability can be inferred from the use or misuse of this specification, or its consequences.