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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: Canonical Resource Management Infrastructure (CRMI), Edition 2

DESCRIPTION

The Canonical Resource Management Infrastructure implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content.

 

See the specification at http://hl7.org/fhir/uv/crmi/STU2

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Canonical Resource Management Infrastructure (CRMI), Edition 2 may also go by the following names or acronyms:

"HL7 FHIR® IG: Canonical Resource Management Infrastructure (CRMI), R1",,CRMI

BENEFITS

  • Enables consistent management of FHIR resources related to the distribution of clinical knowledge artifacts such as quality measures, decision support rules, cohort definitions, and questionnaires
  • Provides a way to establish versioned dependencies for each release of a related set of artifacts, which is critical to ensuring consistent implementation
  • Defines capability statements for enabling a knowledge artifact ecosystem including an artifact terminology service and artifact repository.

IMPLEMENTATIONS/CASE STUDIES

  • NLM VSAC (Artifact Terminology Service)
  • MITRE (Artifact Repository)
  • Optum (Artifact Repository)

DEVELOPMENT BACKGROUND

This implementation guide is based upon work in multiple quality improvement and reporting domains. Various implementation guides have developed similar infrastructure-level profiles for conformance and knowledge artifacts. These profiles are being refactored into universal-realm, domain-independent profiles that can then be re-used in future versions of those specifications, as well as proposed for inclusion in future versions of the base FHIR specification.

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Canonical Resource Management Infrastructure (CRMI), Edition 2

STU DOCUMENTS

HL7 FHIR® Implementation Guide: Canonical Resource Management Infrastructure (CRMI), Edition 2 See the standard at '>http://hl7.org/fhir/uv/crmi/STU2'>. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: Canonical Resource Management Infrastructure (CRMI), Edition 1 See the standard at http://hl7.org/fhir/uv/crmi/STU1. Expiration May 2026

TOPICS

  • Clinical Quality
  • Decision Support
  • Public Health
  • Terminology

BALLOT TYPE

  • STU

STATUS DATE

2026-07-28

RESPONSIBLE WORK GROUP

Clinical Decision Support

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • HIS Vendors
  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • US Realm