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Backporting R5 Subscriptions to R4 as an Implementation Guide (PSS in Confluence)

Basics

Backporting R5 Subscriptions to R4 as an Implementation Guide (PSS in Confluence)

1642
Ballot - STU to Normative


FHIR Implementation Guide

Implementation Guide

Details

The Subscription R5 Backport Implementation Guide enables servers running version R4 of FHIR to implement a subset of R5 Subscriptions in a standardized way.

temporary viewer here: https://healthedata1.github.io/tempIGViewer/index.html


The goal of publishing this guide is to define a standard method of back-porting newer subscriptions for greater compatibility and bridge adoption of subscriptions prior to the adoption of the R5 FHIR standard.

Current approach to subscriptions:

'Search semantics', sort of. More like 'new resource match' semantics.

Moderately flexible, like searches

Doesn't scale across resource types (?)

No criteria semantics for any named events

No way to advertise what able to subscribe to.

In R5, subscriptions are broken into a 1) topic, which defines the resource(s) for the subscription and the events on which they happen, and 2) a subscription, which is the registration of a communication channel optionally with some additional filtering.



Implementation Guide ready for January 2021 Ballot. - Tied to R4B publication. Now expected no later than March, 2022 - May need to update after R5 of FHIR core is published - Expect low-level maintenance to be necessary through Jan. 2025


https://github.com/HL7/fhir-subscription-backport-ig PSS: https://confluence.hl7.org/display/FHIRI/Backporting+R5+Subscriptions+to+R4+as+an+Implementation+Guide


R5 Subscriptions changes and ballots

Clinical and Public Health Laboratories, Immunization Registries, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors,Clinical and Public Health Laboratories; Emergency Services; Local and State Departments of Health; Medical Imaging Service; Healthcare Institutions (hospitals, long term care, home care, mental health),EHR, PHR; Clinical Decision Support Systems

TBD ( Da Vinci Public Health Use Cases) reference implementation Microsoft

Da Vinci

Subscription Backport IG. R5 to R4 Subscriptions

R5 Subscriptions

Don't Know


No

2025 April: TSC approved STU Extension Request for HL7 FHIR Implementation Guide: Subscription R5 Backport, Release 1 STU 1.1 for 2 years 2022 November: TSC approved Unballoted STU Update Publication Request for Subscriptions R5 Backport. 2022 June: TSC approved STU Publication Request for HL7 FHIR Implementation Guide: Subscriptions R5 Backport, Release 1
Organization & Realm

Universal

People

Eric Haas



FHIR Infrastructure Work Group


Status & Dates

Active

STU - Test Period/Accepting Comments

07/20/2020

09/01/2033

2033 Sept WGM/Ballot

01/01/2027

2027 Jan WGM/Ballot

2024 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 30 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Subscriptions R5 Backport, Release 1 2021 Jan Ballot Cycle Info: STU Ballot Results: Did not meet basic vote requirements. 22 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Subscriptions R5 Backport, Release 1
Approvals

10/26/2020


Not Needed


All Received




System Info






09/17/2026

Anne Wizauer