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National Healthcare Directory (PSS in Confluence)

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Basics

National Healthcare Directory (PSS in Confluence)

1690
Ballot - STU to Normative


FHIR Implementation Guide; FHIR Profile

Implementation Guide

Details

Create FHIR based standards for

1) the exchange of validated healthcare directory information in a federated access environment based on the Validated Healthcare Directory standard localized for the US Realm using work completed for the PDex Plan Net FHIR IG (includes 11-14 in drawing below),

2) query for FHIR endpoints from any federated directory instance (includes 15-16 in the drawing below), and

3) submitting attested information to the validated directory and verifying the information against primary sources


This project is needed to provide standards for the population, validation, exchange and query of a federated access national healthcare directory. It will 1) minimize the burden on providers in supplying this information to multiple payers, healthcare organizations, and professional societies, 2) improve the quality of demographic and relationship information associated with healthcare organizations and individuals, 3) provide a reliable source of electronic endpoints to facilitate the exchange of healthcare information (e.g. patient records and referrals). In particular, the standards will facilitate the creation, population, and use of a national resource to support the scaling of FHIR based exchanges to support more efficient and better informed delivery of health care services



Submit Exchange IG for STU Ballot (First Ballot Cycle) Submit Query IG for STU Ballot (First Ballot Cycle) Submit Attestation/Validation IG for Informative Ballot (First Ballot Cycle) Target: 2021 Sept Ballot Complete reconciliation on Query IG STU and submit publication request - Target: 2021 December Complete reconciliation on Exchange IG STU and submit publication request - Target: 2022 January Complete reconciliation on Attestation/Validation IG and ballot for STU - Target: 2022 January Ballot Complete reconciliation on Attestation/Validation IG STU and submit publication request - Target: 2022 May STU 2 ballot for all three IGs - Target: 2023 January Ballot Complete STU 2 reconciliation and submit publication request for all three IGs - Target: 2023 May-June Normative ballot for all three IGs - Target: 2025 January Ballot Complete normative reconciliation and submit publication request for all three IGs - Target: 2025 May-June Project End Date (all objectives have been met) - Target: 2025 June


To be determined PSS In Confluence: https://confluence.hl7.org/display/PA/National+Healthcare+Directory

based on projects 1345 and 1489

Project ID: 1345 Validated Healthcare Directory Project ID: 1489 Payer Data Exchange

Clinical and Public Health Laboratories, Immunization Registries, Quality Reporting Agencies, Regulatory Agency, 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); Other (specify in Misc. Notes below),EHR, PHR; Health Care IT; Clinical Decision Support Systems; Lab; HIS

1) MITRE 2) CMS

Providing electronically access to FHIR endpoints to facilitate scaling FHIR based solutions in response to both CMS and ONC Final Rules

Validated Healthcare Directory, Payer Directory, Provider Directory, Endpoint Directory

Utilizes the work done for the Validated Healthcare Directory and the PDex PlanNet FHIR IGs.

Yes

N/A

No

2025 April: TSC approved STU Publication Request for HL7 FHIR® Implementation Guide: FAST National Directory for Healthcare (NDH), Edition 1 - US Realm for 2 years 2025 Jan: BPostlewhaite: Update the end date Jan 2024 to Sep 2025, we will be discussing with project team if they plan to continue beyond that (the current version is about to be published, hopefully before the May meeting). Other Providers: Potentially any organization or individual associated with the delivery or provisioning of healthcare (except for patients and non-licensed care givers)
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Robert Dieterle



Patient Administration Work Group

Financial Management Work Group; Payer/Provider Info Exchange Work Group

Status & Dates

Active

STU - Request Publication

12/09/2020

09/01/2027

2025 Sept WGM/Ballot

01/01/2027

2027 Jan WGM/Ballot

2023 Sept Ballot Cycle Info: STU Ballot Results: Did not meet basic vote requirements. 31 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: National Directory for Healthcare (NDH), Release 1 - US Realm 2022 Sept Ballot Cycle Info: STU Ballot Results: Did not meet basic vote requirements. 38 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: National Directory Attestation and Validation, Release 1 - US Realm (See Jira Ballot Dashboard) 2022 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 26 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: National Directory Endpoint Query, Release 1 - US Realm (See Jira Ballot Dashboard) 2022 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 29 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: National Directory Exchange, Release 1 - US Realm (See Jira Ballot Dashboard) 2022 May Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 FHIR Implementation Guide: National Directory Attestation and Validation, Release 1 - US Realm 2022 May Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 FHIR Implementation Guide: National Directory Endpoint Query, Release 1 - US Realm 2022 May Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 FHIR Implementation Guide: National Directory Exchange, Release 1 - US Realm
Approvals

04/09/2021


Received


All Received




System Info



View Ballot Items (with NIBs)



05/20/2026

Lynn Laakso
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