Health Record Exchange (HRex) Framework (Da Vinci Pjt; PSS in Confluence)

Providers and Payers need to exchange information regarding prior and current healthcare services planned for or received by the patient/member to more effectively manage the patients care. Currently, no FHIR implementation guides exist to standardize the method of exchange (push, pull, triggers, subscription, etc.) and the formal representation (e.g. Documents, Bundles, Profiles and Vocabulary) for the range of exchanges between providers and providers or providers and payers of current and emerging interest to the involved parties. To satisfy this need, a number of specific implementation guides will need to be created, each of which will span multiple version of FHIR (DSTU2, STU3, R4,...) and multiple methods of exchange. To avoid defining the same profiles and exchanges multiple times, we propose to create a US Realm focused Framework Implementation guide for use by Da Vinci and other FHIR standards development efforts to defined the appropriate use of the exchange methods, specific FHIR resources, profiles, values sets, etc. once and allow them to be reference by each of the specific implementation guides. This implementation guide will provide a standard framework for inclusion in multiple use case specific implementation guides focused on the exchange of provider and payer originated information to improve patient care and reduce provider and payer burden.