Canonical Library
Evergreen, maintained reference content for FHIR, interoperability, and healthcare regulation.
All
CMS Interoperability Rules Overview
Reference for CMS interoperability mandates: CMS-9115-F (2020), CMS-0057-F (2024), covered entities, data exchange APIs, compliance timelines, and penalties.
Australian Privacy Act and Health Data
Reference overview of the Privacy Act 1988, state health records laws, My Health Record Act, and notifiable data breaches obligations for health data in Australia.
Provider Access API (CMS-0057-F)
Reference for the CMS-0057-F Provider Access API obligation: payers sharing patient data with treating providers, PDex IG, member match, data scope, January 2027 compliance, and implementation requirements.
FHIR Terminology
FHIR's terminology infrastructure: CodeSystem, ValueSet, and ConceptMap resources; the four terminology operations; binding strength; and implementation patterns for coded data.
CoverageEligibilityRequest and CoverageEligibilityResponse
Reference for the FHIR CoverageEligibilityRequest and CoverageEligibilityResponse resources: purpose codes, benefit discovery, authorizationRequired flag, X12 270/271 mapping, and when to use eligibility vs prior authorization.
Medication Data Exchange
Reference guide to FHIR medication resources — MedicationRequest, MedicationDispense, MedicationAdministration, MedicationStatement — with coding, dosage, and reconciliation patterns.
What is FHIR
The FHIR model explained for integrators — resources, RESTful operations, references, profiles, extensions, and which version to target.
New Zealand Digital Health Standards
Reference overview of NZ digital health standards: Privacy Act 2020, Health Information Privacy Code, Te Whatu Ora, NHI, FHIR NZ Base profiles, NZePS, and the NZ Health Terminology Service.
Information Blocking Rule (ONC)
Reference for ONC's Information Blocking Rule under 21st Century Cures Act: definition, actors, eight exceptions, penalties, and enforcement mechanisms.
Claim and ClaimResponse
Reference for the FHIR Claim and ClaimResponse resources: the use field semantics, key structural elements, Da Vinci PAS profiles for prior authorization, X12 278 relationship, and the Claim vs EOB distinction.
Prior Authorization Workflow
End-to-end guide to electronic prior authorization using the Da Vinci CRD, DTR, and PAS IGs: what each step does, what provider and payer systems must implement, and CMS-0057-F compliance obligations.
FHIR Search
How FHIR search works: parameter types, modifiers, prefixes, includes, sorting, pagination, and performance patterns for querying resources at scale.
CDex — Clinical Data Exchange
End-to-end reference for the Da Vinci CDex IG: direct query, Task-based, and attachment exchange patterns; use cases for claims adjudication, prior authorization, and audit; Task workflow mechanics; and SMART Backend Services authentication.
Healthcare Data Semantics
Clinical vocabulary reference for integrators: SNOMED CT, LOINC, RxNorm, ICD-10, CPT — what each system is, when to use it, and how to approach semantic mapping.
NHS England Digital Standards
Reference overview of NHS England digital and data standards for suppliers: DSPT, NHS number and PDS, Care Identity Service, NHS login, NHS England FHIR APIs, and supplier onboarding obligations.
TEFCA — Trusted Exchange Framework and Common Agreement
Reference for TEFCA: the ONC framework for nationwide health information exchange, Qualified Health Information Networks (QHINs), the Common Agreement, exchange purposes, and participation model.
FHIR Extensions
Reference for how FHIR extensions work, when to use them, and how to design and govern extensions without breaking interoperability.
Patient
Reference for the FHIR Patient resource: demographics, identifiers, administrative status, and implementation considerations for identity and matching.
Healthcare Standards Primer
Practical reference for integrators on HL7 v2, CDA/C-CDA, FHIR, X12, and DICOM — what each standard is, how to recognise it, and when to use which.
Healthcare Interoperability: Landscape and Approach
Overview of healthcare interoperability challenges, standards landscape, integration patterns, and how to choose the right approach for your use case.
Australian Digital Health Standards
Reference overview of Australian digital health technical standards: ADHA, AU Base FHIR profiles, My Health Record FHIR API, NCTS, AMT, IHI/HPI identifiers, and NASH PKI.
FHIR Profiling
Reference for FHIR conformance: profiles, extensions, terminology bindings, slicing, and how Implementation Guides define interoperable contracts.
Legacy-to-FHIR Mapping
Reference for mapping legacy healthcare data models to FHIR resources, including 1:1, 1:many, and many:1 patterns and documentation expectations.
FHIR References
How FHIR resources link to each other: relative, absolute, logical, and contained reference patterns, resolution rules, referential integrity, and search implications.
Patient Access API (CMS-9115-F)
Reference for the CMS-9115-F Patient Access API: FHIR-based patient data access, CARIN Blue Button, US Core, SMART App Launch, scope of required data, and compliance timelines.
Patient Identity Matching
Reference guide to deterministic and probabilistic patient matching, MPI architecture, the FHIR $match operation, and deduplication strategy for integrators.
HIPAA
Reference overview of HIPAA Privacy and Security concepts for health IT builders: safeguards, minimum necessary, auditability, and common engineering considerations.
ONC 21st Century Cures Act Final Rule
Reference for the ONC 21st Century Cures Act Final Rule: FHIR API certification requirements, USCDI, information blocking prohibition, health IT certification criteria, and implementation timelines.
UK GDPR and Health Data
Reference overview of UK GDPR and DPA 2018 obligations for health data: special category conditions, controller/processor model, data subject rights, DPIA triggers, and ICO enforcement.
Observation
Reference for the FHIR Observation resource: category codes, value types, component vs hasMember, US Core profiles, and implementation pitfalls for labs, vitals, and clinical findings.
SMART on FHIR
SMART on FHIR authorization: EHR and standalone launch flows, scopes, PKCE, token handling, backend services, and common implementation failure modes.
UK Core FHIR Profiles
Reference for UK Core: NHS England's national FHIR R4 profile set, UK-specific extensions, relationship to Care Connect, dm+d for medications, and conformance for NHS Digital API access.
Clinical Data Mapping
Clinical-specific FHIR mapping reference for Observation, Condition, and Procedure resources — coding decisions, category traps, and anti-patterns unique to clinical data.
FHIR
Reference materials for HL7 FHIR concepts, operations, and conformance.
FHIR Terminology
FHIR's terminology infrastructure: CodeSystem, ValueSet, and ConceptMap resources; the four terminology operations; binding strength; and implementation patterns for coded data.
CoverageEligibilityRequest and CoverageEligibilityResponse
Reference for the FHIR CoverageEligibilityRequest and CoverageEligibilityResponse resources: purpose codes, benefit discovery, authorizationRequired flag, X12 270/271 mapping, and when to use eligibility vs prior authorization.
What is FHIR
The FHIR model explained for integrators — resources, RESTful operations, references, profiles, extensions, and which version to target.
Claim and ClaimResponse
Reference for the FHIR Claim and ClaimResponse resources: the use field semantics, key structural elements, Da Vinci PAS profiles for prior authorization, X12 278 relationship, and the Claim vs EOB distinction.
FHIR Search
How FHIR search works: parameter types, modifiers, prefixes, includes, sorting, pagination, and performance patterns for querying resources at scale.
FHIR Extensions
Reference for how FHIR extensions work, when to use them, and how to design and govern extensions without breaking interoperability.
Patient
Reference for the FHIR Patient resource: demographics, identifiers, administrative status, and implementation considerations for identity and matching.
FHIR Profiling
Reference for FHIR conformance: profiles, extensions, terminology bindings, slicing, and how Implementation Guides define interoperable contracts.
FHIR References
How FHIR resources link to each other: relative, absolute, logical, and contained reference patterns, resolution rules, referential integrity, and search implications.
Observation
Reference for the FHIR Observation resource: category codes, value types, component vs hasMember, US Core profiles, and implementation pitfalls for labs, vitals, and clinical findings.
SMART on FHIR
SMART on FHIR authorization: EHR and standalone launch flows, scopes, PKCE, token handling, backend services, and common implementation failure modes.
Interoperability
Reference materials for integration patterns, mapping, and data quality.
Medication Data Exchange
Reference guide to FHIR medication resources — MedicationRequest, MedicationDispense, MedicationAdministration, MedicationStatement — with coding, dosage, and reconciliation patterns.
Prior Authorization Workflow
End-to-end guide to electronic prior authorization using the Da Vinci CRD, DTR, and PAS IGs: what each step does, what provider and payer systems must implement, and CMS-0057-F compliance obligations.
CDex — Clinical Data Exchange
End-to-end reference for the Da Vinci CDex IG: direct query, Task-based, and attachment exchange patterns; use cases for claims adjudication, prior authorization, and audit; Task workflow mechanics; and SMART Backend Services authentication.
Healthcare Data Semantics
Clinical vocabulary reference for integrators: SNOMED CT, LOINC, RxNorm, ICD-10, CPT — what each system is, when to use it, and how to approach semantic mapping.
Healthcare Standards Primer
Practical reference for integrators on HL7 v2, CDA/C-CDA, FHIR, X12, and DICOM — what each standard is, how to recognise it, and when to use which.
Healthcare Interoperability: Landscape and Approach
Overview of healthcare interoperability challenges, standards landscape, integration patterns, and how to choose the right approach for your use case.
Legacy-to-FHIR Mapping
Reference for mapping legacy healthcare data models to FHIR resources, including 1:1, 1:many, and many:1 patterns and documentation expectations.
Patient Identity Matching
Reference guide to deterministic and probabilistic patient matching, MPI architecture, the FHIR $match operation, and deduplication strategy for integrators.
Clinical Data Mapping
Clinical-specific FHIR mapping reference for Observation, Condition, and Procedure resources — coding decisions, category traps, and anti-patterns unique to clinical data.
Regulation
Reference materials for healthcare regulation and compliance concepts.
CMS Interoperability Rules Overview
Reference for CMS interoperability mandates: CMS-9115-F (2020), CMS-0057-F (2024), covered entities, data exchange APIs, compliance timelines, and penalties.
Australian Privacy Act and Health Data
Reference overview of the Privacy Act 1988, state health records laws, My Health Record Act, and notifiable data breaches obligations for health data in Australia.
Provider Access API (CMS-0057-F)
Reference for the CMS-0057-F Provider Access API obligation: payers sharing patient data with treating providers, PDex IG, member match, data scope, January 2027 compliance, and implementation requirements.
New Zealand Digital Health Standards
Reference overview of NZ digital health standards: Privacy Act 2020, Health Information Privacy Code, Te Whatu Ora, NHI, FHIR NZ Base profiles, NZePS, and the NZ Health Terminology Service.
Information Blocking Rule (ONC)
Reference for ONC's Information Blocking Rule under 21st Century Cures Act: definition, actors, eight exceptions, penalties, and enforcement mechanisms.
NHS England Digital Standards
Reference overview of NHS England digital and data standards for suppliers: DSPT, NHS number and PDS, Care Identity Service, NHS login, NHS England FHIR APIs, and supplier onboarding obligations.
TEFCA — Trusted Exchange Framework and Common Agreement
Reference for TEFCA: the ONC framework for nationwide health information exchange, Qualified Health Information Networks (QHINs), the Common Agreement, exchange purposes, and participation model.
Australian Digital Health Standards
Reference overview of Australian digital health technical standards: ADHA, AU Base FHIR profiles, My Health Record FHIR API, NCTS, AMT, IHI/HPI identifiers, and NASH PKI.
Patient Access API (CMS-9115-F)
Reference for the CMS-9115-F Patient Access API: FHIR-based patient data access, CARIN Blue Button, US Core, SMART App Launch, scope of required data, and compliance timelines.
HIPAA
Reference overview of HIPAA Privacy and Security concepts for health IT builders: safeguards, minimum necessary, auditability, and common engineering considerations.
ONC 21st Century Cures Act Final Rule
Reference for the ONC 21st Century Cures Act Final Rule: FHIR API certification requirements, USCDI, information blocking prohibition, health IT certification criteria, and implementation timelines.
UK GDPR and Health Data
Reference overview of UK GDPR and DPA 2018 obligations for health data: special category conditions, controller/processor model, data subject rights, DPIA triggers, and ICO enforcement.
UK Core FHIR Profiles
Reference for UK Core: NHS England's national FHIR R4 profile set, UK-specific extensions, relationship to Care Connect, dm+d for medications, and conformance for NHS Digital API access.