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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: Identity Matching, Edition 2 - US Realm

DESCRIPTION

This Implementation Guide provides guidance that can be used to enhance current workflows that support patient matching and Digital Identity, and envisions a longer term path for both providing more specific guidance and incorporating emerging identity concepts over time. In addition to extending the patient $match operation for cross-organizational use by highlighting best practices in the use of matching attributes and their verification prior to responding to a patient match request or interpreting match results, this specification will also offer guidance on identity assurance best practices for attribute and evidence verification and on establishing Digital Identity which is another longer-term objective for this project.

See the specification at http://hl7.org/fhir/us/identity-matching/STU2

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Identity Matching, Edition 2 - US Realm may also go by the following names or acronyms:

FAST Identify

BENEFITS

  • Enables cross organizational or internal patient match via FHIR when requested for a permitted purpose or authorized by the Patient directly or by the Patient’s delegate
  • Enable those who are requesting a match in health records to securely share or make discoverable attributes such as verified address(es), email address, mobile number, date of birth, facial photo, and possibly other attributes and identifiers

IMPLEMENTATIONS/CASE STUDIES

  • Optum,
  • EMR Direct,
  • Lumedic,
  • Okta,
  • Evernorth,
  • Surescripts 

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Identity Matching, Edition 2 - US Realm

STU DOCUMENTS

HL7 FHIR® Implementation Guide: Identity Matching, Edition 2 - US Realm See the standard at http://hl7.org/fhir/us/identity-matching/STU2. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: Identity Matching, Release 1 - US Realm See the standard at http://hl7.org/fhir/us/identity-matching/STU1. Expiration May 2025

ADDITIONAL DETAILS

This project is intended to develop artifacts (FHIR implementation guides, guidance documentation, reference implementations, etc.) to inform and or/execute a cross organizational or internal patient match via FHIR when requested for a permitted purpose or authorized by the Patient directly or by the Patient’s delegate. This will include identity verification guidance, best practice matching recommendations, and match workflow examples, to enable those who are requesting a match in health records to securely share or make discoverable attributes such as verified address(es), email address, mobile number, date of birth, facial photo, and possibly other attributes and identifiers. The IG may incorporate elements from other industry best practices, as this group will seek to harmonize identity and matching efforts already under way elsewhere in the industry and in the broader global community.

TOPIC

  • Patient Administration

BALLOT TYPE

  • STU

STATUS DATE

2025-12-10

RESPONSIBLE WORK GROUP

Patient Administration

PRODUCT TYPE

  • Implementation Guide

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
  • HIS Vendors
  • Immunization Registries
  • Lab Vendors
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Payors
  • Pharmaceutical Vendors
  • Quality Reporting Agencies
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • US Realm