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Num	Name	Sponsor(s)/ Co-Sponsor(s)	Description	Project Facilitator	TSC Approval Date	Status	Next Milestone Date
1,342	Clinical Decision Support (CDS) for Immunizations FHIR Implementation Guide	Sponsor(s): Public Health Work Group Co-Sponsor(s): Clinical Decision Support Work Group; Patient Care Work Group	Clinical Decision Support for Immunizations is increasingly being used in health information systems to indicate which vaccinations a patient is due for next. Many of these expert systems are built as stand- alone systems that respond to web service reques. . .	Nathan Bunker	Dec 21, 2017	STU - Test Period/Accepting Comments	Sep 1, 2027
1,495	Clinical Data Exchange (CDex) (Da Vinci Pjt; PSS in Confluence)	Sponsor(s): Payer/Provider Info Exchange Work Group Co-Sponsor(s): Structured Documents Work Group	The Clinical Data exchange (CDex) is part of the larger Da Vinci use case for Health Record exchange (HRex). After careful evaluation, the e HRx project was decomposed into four independent efforts (and tied to 4 separate PSSs). The exchange of Quality . . .	Lisa Nelson, Rick Geimer	Apr 1, 2019	STU - Test Period/Accepting Comments	Jan 1, 2027
1,746	CHOICE Guideline for the use of a Fetal Resource (Jira PSS- 1946)	Sponsor(s): Patient Care Work Group Co-Sponsor(s): Public Health Work Group	Goal of the project is provide guidance in handling data relevant to the foetus in order to facilitate making those data available at the time of birth. Ultrasonographic and other imaging findings, pertinent genetic and labor. A foetus starts as a body ti. . .	Michael Tan	Jun 6, 2022	Informative - Reconcile	May 1, 2025
1,758	CDS Hooks Library and Maturity (Jira PSS 1964)	Sponsor(s): Clinical Decision Support Work Group	This project will evaluate the maturity of the currently drafted CDS Hooks hooks and ballot hooks based upon their maturity. CDS Hooks hooks follow the prescribed maturity model defined in the CDS Hooks specification: https://cds- hooks. hl7. org/1. 0/#hook- . . .	Isaac Vetter	Apr 8, 2022	STU - Test Period/Accepting Comments	Jan 1, 2027
1,425	CDISC Lab Semantics in FHIR (PSS in Confluence)	Sponsor(s): Biomedical Research and Regulation Work Group Co-Sponsor(s): Orders and Observations Work Group	Biomedical Research and Regulation (BRR WG) and Transcelerate Biopharma (TCB)are assessing the use of FHIR resources to exchange clinical trial lab data. The Clinical Data Interchange Standards Consortium (CDISC) Lab Model and LB domain standards currentl. . .	Julie Evans, Hugh Glover	Feb 18, 2019	STU - Test Period/Accepting Comments	Sep 1, 2027
1,005	CDA Section for Digital Signatures and Delegation of Rights	Sponsor(s): Structured Documents Work Group Co-Sponsor(s): Payer/Provider Info Exchange Work Group; Security Work Group	This project proposes an effort to identify the means to apply a digital signature - and where appropriate, delegation of rights artifacts - to a CDA document to satisfy requirements for provenance of the document for administrative purposes. In particula. . .	Robert Dieterle, Daniel Kalwa	Jun 24, 2013	STU - Test Period/Accepting Comments	Jan 1, 2026
1,069	CDA Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries	Sponsor(s): Public Health Work Group Co-Sponsor(s): Clinical Quality Information Work Group; Structured Documents Work Group	Project Purpose Statement The purpose of this project is to create a new HL7 IG based on the existing CDC IG for Ambulatory Healthcare Provider Reporting to Central Cancer Registries and update it to: align with C- CDA; add new identified data elements, vo. . .	Sean Porter	Jul 28, 2014	STU - Test Period/Accepting Comments	Sep 15, 2028
1,232	CDA and FHIR Pharmacist Care Plan Implementation Guides	Sponsor(s): Pharmacy Work Group Co-Sponsor(s): Pharmacy Work Group	The goal of this project is to develop an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C- CDA Release 2. 1: Consolidated CDA for Clinical Notesand FHIR profiles based on the US C. . .	Scott Robertson	Aug 17, 2017	STU - Test Period/Accepting Comments	Sep 1, 2025
1,697	CARIN IG for Digital Insurance Card (PSS in Confluence)	Sponsor(s): Payer/Provider Info Exchange Work Group Co-Sponsor(s): Financial Management Work Group	This project is intended to develop artifacts (FHIR implementation guides, code mappings, reference implementations, etc) to retrieve proof of insurance coverage information via FHIR when requested or shared by a Patient in order to create an electronic r. . .	Mark Roberts, Adam Culbertson, Cille Kissel	May 3, 2021	STU - Test Period/Accepting Comments	May 1, 2027
1,978	CARIN Consumer- Facing Real- Time Pharmacy Benefit Check (PSS- 2687)	Sponsor(s): Pharmacy Work Group Co-Sponsor(s): Financial Management Work Group	Develop a FHIR implementation guide enabling consumers to use a FHIR- enabled app to learn the cost, insurance coverage and related information for medications they've been prescribed. Specifically… * how a medication will be covered by their insurance, . . .	Kim Boyd	Awaiting Approval	Active Project (Resources assigned to pjt)	May 1, 2026
1,543	CARIN Consumer- facing Real- time Pharmacy Benefit Check (PSS in Confluence)	Sponsor(s): Pharmacy Work Group Co-Sponsor(s): Pharmacy Work Group	Develop a FHIR R4 based implementation guide for an API similar to the NCPDP Real- Time Pharmacy Benefit Check B2B standard that will allow consumers access to the same information as their providers including information related to their cash price. This . . .	Pooja Babbrah, Ryan Howells	Sep 9, 2019	STU - Reconcile	May 15, 2028
1,538	CARIN Blue Button (PSS in Confluence)	Sponsor(s): Financial Management Work Group	Develop a FHIR R4 based implementation guide for an API similar to the CMS Medicare Blue Button 2. 0 API, FHIR R3 based, that will allow consumer- directed exchange of commercial Health Plan/Payer adjudicated claims data to meet the requirements of the CMS . . .	Amol Vyas, Ryan Howells	Oct 14, 2019	STU - Test Period/Accepting Comments	Jan 1, 2027
1,699	Care Team Domain Analysis Model Version 2 (PSS in Confluence)	Sponsor(s): Learning Health Systems Work Group Co-Sponsor(s): Clinical Information Modeling Initiative Work Group; Patient Care Work Group; Public Health Work Group	This project will construct a domain analysis model (DAM)of the patient centered care team unique for an individual including health professionals, caregivers in healthcare organizations, family members, community caregivers, clinical investigators and ot. . .	Russell Leftwich	Aug 20, 2021	Informative - Reconcile	May 1, 2025
1,918	Card X: Connectivity Use Case (CIED) (Jira PSS- 2490)	Sponsor(s): Clinical Interoperability Council Work Group Co-Sponsor(s): Devices Work Group	This project will create a consistent, unifying standard for the communication of cardiac implantable electronic device (CIED) remote monitoring connectivity information from device manufacturers to clinicians. The first steps in the process are completed. . .	Melissa Christian	Dec 17, 2025	STU - Reconcile	May 15, 2028
1,813	Card X Hypertension Management (Jira PSS- 2196)	Sponsor(s): Clinical Interoperability Council Work Group Co-Sponsor(s): Mobile Health Work Group	The objective of the Card X Hypertension Project is to facilitate the communication of hypertension management data between clinicians and patients to increase the proportion of individuals with hypertension who are treated to goal. Hypertension affects 11. . .	Lina Saintus	Aug 29, 2023	STU - Test Period/Accepting Comments	Jan 1, 2027
1,877	Canonical FHIR Clinical Document IG, aligned with CDA (Jira PSS- 2355)	Sponsor(s): Structured Documents Work Group	Proposal: Create a canonical FHIR Clinical Document IG. We plan to create a FHIR R4 IG that contains, at a minimum, a FHIR Bundle and Composition profile, that can serve as the definitive FHIR correspondence to the CDA header. The Implementation Guide . . .	Bob Dolin	Jun 4, 2024	STU - Test Period/Accepting Comments	May 1, 2027
1,732	C- CDA to and from FHIR Structural Mapping (Jira PSS- 1811)	Sponsor(s): Cross-Group Projects Work Group Co-Sponsor(s): Structured Documents Work Group	This project will establish definitive HL7 mapping guidance for C- CDA templates to FHIR resources conformant with US Core profiles where possible. It also will establish definitive HL7 mapping guidance from US Core profiles and base FHIR resources to C- CD. . .	Natalee Agassi	Sep 28, 2021	STU - Test Period/Accepting Comments	Jan 1, 2026
1,323	C- CDA R2. 1 Volume 3 Update – Advance Directives Templates Clarifications	Sponsor(s): Structured Documents Work Group	This project will examine issues identified with the Advance Directives Templates defined in C- CDA R2. 1. It will develop new- version or substitute templates for the existing Advance Directive templates to address these problems and add more/clearer guidan. . .	Lisa Nelson	Jul 24, 2017	STU - Test Period/Accepting Comments	Jan 1, 2026
1,122	C- CDA on FHIR	Sponsor(s): Structured Documents Work Group	This principle scope of this project is to represent Consolidated C- CDA templates using FHIR profiles. This project has several different parts to develop all the FHIR C- CDA profiles. 1. Develop a set of profiles on relevant FHIR resources to represent th. . .	Austin Kreisler, Grahame Grieve	Nov 10, 2014	STU - Test Period/Accepting Comments	May 15, 2028
1,526	C- CDA Companion Guide update (PSS In Confluence; updates in Jira at Jira PSS- 1833)	Sponsor(s): Structured Documents Work Group	The Office of the National Coordinator (ONC) releases periodic proposed rules, and final rules, which reference the use of Consolidated CDA (C- CDA). The Companion Guide to Consolidated Clinical Document Architecture (C- CDA) provides supplemental guidance . . .	Matt Rahn	Sep 17, 2021	STU - Test Period/Accepting Comments	May 1, 2026
1,384	C- CDA 2. 1 Implementation- A- Thons (IATs) for 2018- 25 (ONC/Grant Project)	Sponsor(s): Board of Directors Work Group	For 2025, provide the following: a. Two (2) virtual C- CDA IATs to be held in March 2025 and August 2025	Dogwood Health Consulting (Susan Rand)	Awaiting Approval	Active Project (Resources assigned to pjt)	Sep 1, 2025
1,503	BRIDG Model Update (BRIDG Release 5. 3/HL7 BRIDG r5) (v20190115v2. doc)	Sponsor(s): Biomedical Research and Regulation Work Group Co-Sponsor(s): Orders and Observations Work Group	The scope of this project is to ballot a new release of BRIDG.	Ed Helton	Feb 11, 2019	Active Project (Resources assigned to pjt)	Jan 1, 2024
1,363	Breast Cancer Modeling and FHIR Profile development	Sponsor(s): Clinical Interoperability Council Work Group Co-Sponsor(s): Clinical Information Modeling Initiative Work Group	The latest information on this project can be found at: https://confluence. hl7. org/display/CIC/Breast+ Cancer+ Modeling+ and+ FHIR+ Profile+ Development+ Proposal Work with a diverse community of clinical subject matter experts (Physicians, Nurses and Resear. . .	Richard Esmond, Mark Kramer, Frank Opelka	Apr 11, 2018	On Hold	May 1, 2023
1,702	BR and R FHIR Resource Maintenance	Sponsor(s): Biomedical Research and Regulation Work Group Co-Sponsor(s): Clinical Quality Information Work Group; Orders and Observations Work Group; Pharmacy Work Group	This project is an umbrella project for the maintenance and development work to be done on all current and future FHIR Resources. in BRR WG. As of Q1 2021, there are 16 FHIR resources that are in active development. The list and status of each is managed . . .	BRR Co Chairs	Mar 21, 2022	Active Project (Resources assigned to pjt)	Sep 1, 2033
1,953	BPM Foundational Artifacts	Sponsor(s): Orchestration, Services, and Architecture Work Group	This is an umbrella project, stewarding the development and ballot of foundational and reference artifacts supporting the advancement of the use of industry standard visual notations, formalisms, and techniques to express workflow, care pathways, clinical. . .	Ken Rubin	Mar 16, 2026	Active Project (Resources assigned to pjt)	Jan 15, 2027
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