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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Release 1 DSTU

DESCRIPTION

This implementation guide is intended to support clinical systems in the creation and population of forms with patient-specific data. It defines a mechanism for linking questions in forms to pre-defined data elements to enable systems to automatically populate portions of the form based on existing data, either locally or by invoking an operation on a third-party system. Specifically, this implementation guide explains how the four resources (using defined profiles) – DataElement, Questionnaire, QuestionnaireAnswers, and ValueSet – can be used to support auto-population of forms and data extraction. It also describes secure interaction specifications using Representational State Transfers (REST) services to allow access, display, population, and saving of resources.

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Release 1 DSTU may also go by the following names or acronyms:

"HL7 FHIR(®) Profile: Structured Data Capture (SDC), R1",

TARGETS

  • Clinical and Public Health Laboratories
  • Immunization Registries
  • Regulatory Agency
  • Federal Agencies: Office of the National Coordinator for Health IT, National Institutes of Health, Agency for Healthcare Research and Quality, Food and Drug Administration, Centers for Medicare and Medicaid Services, Center for Disease Control
  • Payors
  • Pharmaceutical Vendors
  • EHR, PHR Vendors
  • Equipment Vendors
  • Health Care IT Vendors
  • Clinical Decision Support Systems Vendors
  • Lab Vendors
  • Emergency Services Providers
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • Creates consistency around how common data elements are captured and used in healthcare systems
  • Enables data elements to be clearly identified in forms for the purpose of auto-population and data-extraction
  • Supports retrieval of data elements from a Data Element (DE) repository, retrieval of a form from a form repository with or without pre-populated data, provision of patient data (CCD or FHIR equivalent) as part of the query to the form repository, and submission of a completed form to an intended patient

 

IMPLEMENTATIONS/CASE STUDIES

  • The Office of the National Coordinator for Health IT sponsored the development of this specification.

DEVELOPMENT BACKGROUND

This implementation guide provides implementers with guidance on how to achieve conformance with the standards recommended by the Office of the National Coordinator for Health Information Technology (ONC) Standards and Interoperability Framework (S&I), Structured Data Capture Initiative.

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Release 1 DSTU

TOPICS

  • Clinical Genomics
  • Patient Care

STATUS DATE

2021-05-28

RESPONSIBLE WORK GROUP

Orders and Observations

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Emergency Services Providers
  • Equipment Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • Immunization Registries
  • Lab Vendors
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Payors
  • Pharmaceutical Vendors
  • Regulatory Agency

FAMILY

  • FHIR

CURRENT STATE

  • Retired

REALM

  • Universal