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HIstory of US Core Implementation Guides

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Eric Haas edited this page Oct 19, 2018 · 2 revisions

US Core was developed under the Data Access Framework (DAF) initiative. DAF was a US initiative sponsored by the Office of the National Coordinator (ONC) which aimed to create FHIR profiles for access to discrete Meaningful Use Stage 2 data (Common MU Data Set) and key research data elements as FHIR resource instances. The initial HL7 DAF Implementation guide was published with the FHIR DSTU2 specification in October of 2015. The The Argonaut Project formed in December 2014 to accelerate the market readiness of open industry FHIR-based APIs for patient- and provider-driven interoperability use cases. Several Argonaut sprints were held based upon the DAF DSTU2 profiles. In 2015, ONC introduced a new rule which updated the required set of data elements to the Common Clinical Data Set (CCDS).

Based upon these activities and HL7 sponsored connectathons it was recognized that the original DAF requirements were overly broad. Therefore, for FHIR STU3 (Version 3.0.0), the original DSTU2 DAF content was split into the US Core and DAF Research Implementation guides based on their main use cases:

  • US Core : The US Core Implementation Guide covers the 2015 Meaningful Use Common Clinical Data Set (CCDS) and defines the minimum mandatory conformance requirements needed for accessing patient data based on the Argonaut pilot implementations. The US Core artifacts are consistent with the Argonaut DSTU2-based Data Query IG and Argonaut STU3 based Provider Directory IG. This implementation guide forms the foundation to build future US Realm FHIR implementation guides and its content will continue to grow to meet the needs of US implementers.

  • DAF-Research The DAF-Research Implementation Guide enables researchers to access data from multiple organizations in the context of Learning Health System (LHS). The capabilities created as part of DAF-Research are intended to be leveraged to build our nation’s data infrastructure for a Learning Health System. The DAF-Research IG leverages the work that has been completed and tested as part of the US-Core IG.

This table provides a list of all the versions of FHIR versions of the US-Core Implementation Guides, Argonaut Data Query and Data Access Framework (DAF) Implementation Guides (IG) that are available. See FHIR Releases and Versioning for a description of how the versioning of this Implementation Guide is managed. As well, this guide follow the general definitions and guidelines outlined in Rules for Inter-version change:

FHIR Version: R4 (US-Core Implementation Guide)

Date IG Version IG STU Sequence Description
Official Published Version(pending) 2.0.0(tentative) STU1 (tentative) (pending)
CI Build (last commit) N/A Current FHIR R4 US-Core Implementation Guide Developmental build (may be incoherent and change rapidly)

FHIR Version: STU3 (US-Core Implementation Guide and DAF Implementation Guides**)

Date IG Version IG STU Sequence Description
Official Published Version 1.0.1 STU1 The current official published version of the FHIR STU3 US-Core Implementation Guide
CI Build (last commit) N/A Current Development build of the FHIR STU3 US-Core Implementation Guide (may be incoherent and change rapidly)
January 2018 1.1.0 STU2 Jan 2018 Ballot version of the FHIR STU3 US-Core Implementation Guide (Change Log).
Sept 2017 1.0.1 STU1 The current official published version of of the FHIR STU3 US-Core Implementation Guide. This version corrects the technical errata (Change Log).
March 2017 1.0.0 STU1 The original official published version of the FHIR STU3 US-Core Implementation Guide published immediately following the release of FHIR STU3
January 2017 0.0.0 STU1 Jan 2017 Ballot version of the FHIR STU3 US-Core Implementation Guide
Aug 11, 2016 1.6.0 STU2 DAF Implementation Guide STU2 Ballot. (Change Log) NOTE following this release DAF-Core has been moved from DAF and merged with Argonaut Data Query IG to become US-Core

FHIR Version: DSTU2 (Argonaut Data Query and DAF Implementation Guides)

Date IG Version IG STU Sequence Description
Official Published Version 1.0.0 N/A The current official published version of the Argonaut Data Query Implementation Guide. Note that this is not an HL7 balloted IG.
CI Build (last commit) N/A Current Development build of the Argonaut Data Query Implementation Guide (may be incoherent and change rapidly). Note that this is not an HL7 balloted IG.
Oct 24, 2015 1.0.2 DSTU1 DAF Implementation Guide Permanent home Note: for this sequence, DAF was balloted as part of the DSTU2 FHIR specification, and these links are into the DAF page of the FHIR specification.
Aug 31, 2015 1.0.0 DSTU1 DAF Implementation Guide Preview (see Oct 24, 2015 note)
April 2, 2015 0.5.0 DSTU1 DAF Implementation Guide May 2015 Ballot (see Oct 24, 2015 note)
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