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  • About the ISA
    • Structure
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    • Vocabulary/Code Set/Terminology
      • Allergies and Intolerances
        • Representing Patient Allergic Reactions
        • Representing Patient Allergies and Intolerances; Environmental Substances
        • Representing Patient Allergies and Intolerances; Food Substances
        • Representing Patient Allergies and Intolerances; Medications
      • Biologics
        • Representing Biological Products
      • Clinical Notes
        • Representing Clinical Notes
      • Clinical Tests
        • Representing Clinical Tests Ordered/Performed
        • Representing Clinical Tests Result/Value
      • Cognitive Status
        • Representing Patient Cognitive Status
      • COVID-19 Novel Coronavirus Pandemic
        • COVID-19 Novel Coronavirus Pandemic
      • Demographics
        • Representing Patient Contact Information for Telecommunications
      • Dietary and Nutritional Needs
        • Representing Nutrition Assessment, Diagnosis, Interventions and Monitoring/Evaluation
      • Emergency Medical Services
        • Representing Health Care Data for Emergency Medical Services
      • Encounter Diagnosis, Assessment and Plan
        • Representing Assessment and Plan of Treatment
        • Representing Patient Dental Encounter Diagnosis
        • Representing Patient Medical Encounter Diagnosis
      • Family Health History
        • Representing Patient Family Health History
      • Functional Status/Disability
        • Representing Patient Functional Status and/or Disability
      • Goals
        • Representing Patient Goals
      • Health Care Providers, Family Members and Other Caregivers
        • Representing Health Care Providers
        • Representing Provider Role in Team Care Settings
        • Representing Relationship Between Patient and Another Person
      • Health Concerns
        • Representing Patient Health Concerns
      • Imaging (Diagnostics, Interventions and Procedures)
        • Representing Imaging Diagnostics, Interventions and Procedures
      • Immunizations
        • Representing Immunizations
      • Laboratory
        • Representing Laboratory Result Values
        • Representing Laboratory Test Ordered
        • Representing Laboratory Test Performed
        • Representing Laboratory Test Specimen
      • Medications
        • Representing Patient Medications
      • Nursing
        • Representing Clinical/Nursing Assessments
        • Representing Nursing Interventions
        • Representing Outcomes for Nursing
        • Representing Patient Problems for Nursing
      • Patient Clinical Problem List (i.e., "Conditions")
        • Representing Patient Clinical “Problems” (i.e., Conditions)
      • Preferred Language
        • Representing Patient Preferred Language (Presently)
      • Pregnancy Status
        • Representing Patient Pregnancy Status
      • Procedures
        • Representing Dental Procedures Performed
        • Representing Medical Procedures Performed
        • Representing Social Care Procedures
      • Provenance
        • Representing Data Provenance
      • Public Health Emergency Preparedness and Response
        • Representing Healthcare Personnel Status
        • Representing Hospital/Facility Beds Utilization
        • Representing Laboratory Operations (Population Laboratory Surveillance)
        • Representing Mass Vaccination Status
        • Representing Population-Level Morbidity and Mortality
      • Race, Ethnicity and Tribal Affiliation
        • Representing Patient Race and Ethnicity
        • Representing Tribal Affiliation
      • Research
        • Representing Data for Biomedical and Health Services Research Purposes
      • Sex at Birth, Sexual Orientation and Gender Identity
        • Representing Patient Gender Identity
        • Representing Patient Sex (At Birth)
        • Representing Patient-Identified Sexual Orientation
      • Social, Psychological and Behavioral Data
        • Representing Alcohol Use
        • Representing Depression
        • Representing Educational Attainment
        • Representing Elder Abuse
        • Representing Employment Status
        • Representing Financial Insecurity
        • Representing Food Insecurity
        • Representing Health Insurance Coverage
        • Representing Homelessness
        • Representing Housing Instability
        • Representing Inadequate Housing
        • Representing Intimate Partner Violence
        • Representing Material Hardship
        • Representing Medical Cost Burden
        • Representing Physical Activity
        • Representing Social Care Services Information
        • Representing Social Connection and Isolation
        • Representing Social Determinants of Health - Conditions and Diagnoses
        • Representing Social Determinants of Health - Goals
        • Representing Social Determinants of Health - Interventions
        • Representing Social Determinants of Health - Screening Assessments
        • Representing Stress
        • Representing Substance Use
        • Representing Transportation Insecurity
        • Representing Veteran Status
      • Tobacco Use
        • Representing Patient Electronic Cigarette Use (Vaping)
        • Representing Patient Secondhand Tobacco Smoke Exposure
        • Representing Patient Tobacco Use (Smoking Status)
      • Units of Measure
        • Representing Units of Measure (For Use with Numerical References and Values)
      • Vital Signs
        • Representing Patient Vital Signs
      • Work Information
        • Representing Job, Usual Work, and Other Work Information
    • Content/Structure
      • Admission, Discharge and Transfer
        • Sending a Notification of a Long-Term Care Patient’s Admission, Discharge and/or Transfer Status to the Servicing Pharmacy
        • Sending a Notification of a Patient’s Admission, Discharge and/or Transfer Status to Other Providers
        • Sending a Notification of a Patient’s Encounter to a Record Locator Service
      • Care Coordination
        • Advance Directives
        • Referral from Acute Care to a Skilled Nursing Facility
        • Referral to a Specialist - Request, Status Updates, Outcome
        • Referrals Between Clinicians and Community-Based Organizations and Other Extra-Clinical Services
      • Care Plan
        • Documenting and Sharing Care Plans for a Single Clinical Context
        • Documenting and Sharing Medication-Related Care Plans by Pharmacists
        • Documenting Care Plans for Person Centered Services
        • Domain or Disease-Specific Care Plan Standards
        • Sharing Patient Care Plans for Multiple Clinical Contexts
      • Clinical Decision Support
        • Communicate Appropriate Use Criteria with the Order and Charge to the Filling Provider and Billing System for Inclusion on Claims
        • Provide Access to Appropriate Use Criteria
        • Sharable Clinical Decision Support
      • Clinical Notes
        • Documentation of Clinical Notes
      • Clinical Quality Measurement and Reporting
        • Reporting Aggregate Quality Data for Quality Reporting Initiatives
        • Reporting Patient-level Quality Data for Quality Reporting Initiatives
        • Sharing Quality Measure Artifacts for Quality Reporting Initiatives
      • Data Provenance
        • Establishing the Authenticity, Reliability, and Trustworthiness of Content Between Trading Partners
      • Diet and Nutrition
        • Exchanging Diet and Nutrition Orders Across the Continuum of Care
      • Family Health History (Clinical Genomics)
        • Representing Family Health History for Clinical Genomics
      • Healthy Weight
        • Sending Healthy Weight Information
      • Human and Social Services/Social Determinants of Health
        • Format for Structuring and Sharing Social Care Directory Information
      • Images
        • Format of Medical Imaging Reports for Exchange and Distribution
        • Format of Radiation Exposure Dose Reports for Exchange and Distribution
        • Format of Radiology Reports for Exchange and Distribution
        • Medical Image Formats for Data Exchange and Distribution
      • Laboratory
        • Exchange InVitro Diagnostics (IVD) Orders and Results
        • Exchange Laboratory Test Results
        • Order Laboratory Test
        • Transmit Laboratory Directory of Services to Provider System
      • Medical Device Communication to Other Information Systems/Technologies
        • Transmitting Patient Vital Signs from Medical Devices to Other Information Systems/Technologies
      • Patient Education Materials
        • Clinical Information Systems to Request Context-Specific Clinical Knowledge From Online Resources
      • Patient Identity/Identification Management
        • Patient Demographic Record Matching
        • Representing Patient Address
        • Representing Patient Names
          • Representing Patient Names
      • Patient Preference/Consent
        • Recording Patient Preferences for Electronic Consent to Access and/or Share their Health Information with Other Care Providers
      • Pharmacy Interoperability
        • Allows a Long Term or Post-Acute Care to Request to Send an Additional Supply of Medication
        • Allows a Pharmacy to Notify a Prescriber of Prescription Fill Status
        • Allows a Pharmacy to Request a Change to a Prescription
        • Allows a Pharmacy to Request a New Prescription For a New Course of Therapy or to Continue Therapy
        • Allows a Pharmacy to Request Additional Refills
        • Allows a Pharmacy to Request, Respond to or Confirm a Prescription Transfer
        • Allows a Prescriber or a Pharmacy to Request a Patient’s Medication History
        • Allows a Prescriber to Cancel a Prescription
        • Allows a Prescriber to Communicate Drug Administration Events
        • Allows a Prescriber to Communicate with a REMS Administrator
        • Allows a Prescriber to Prescribe Medication Using Weight-Based Dosing
        • Allows a Prescriber to Recertify the Continued Administration of a Medication Order
        • Allows a Prescriber to Request, Cancel or Appeal Prior Authorization for Medications
        • Allows a Prescriber to Send a New Prescription to a Pharmacy
        • Allows a Prescriber to Send a Prescription to a Pharmacy for a Controlled Substance
        • Allows a Prescriber to Request a Patient’s Medication History from a State Prescription Drug Monitoring Program (PDMP)
        • Allows for Communication of Prescription Information Between Prescribers and Dispensers
        • Allows for the Exchange of State Prescription Drug Monitoring Program (PDMP) Data
        • Allows Pharmacy Benefit Payers to Communicate Formulary and Benefit Information to Prescriber Systems
      • Public Health Reporting
        • Adverse Event Reporting
        • Case Reporting to Public Health Agencies
        • Data Submission for Title X Family Planning Annual Reporting
        • Electronic Transmission of Reportable Laboratory Results to Public Health Agencies
        • Exchanging Immunization Data with Immunization Registries
        • Newborn Screening Results and Birth Defect Reporting to Public Health Agencies
        • Reporting Antimicrobial Use and Resistance Information to Public Health Agencies
        • Reporting Birth and Fetal Death to Public Health Agencies
        • Reporting Cancer Cases to Public Health Agencies
        • Reporting Death Records to Public Health Agencies
        • Reporting Syndromic Surveillance to Public Health (Emergency Department, Inpatient, and Urgent Care Settings)
        • Sending Health Care Survey Information to Public Health Agencies
      • Research
        • Data Collection for Submission to Registries and Reporting Authorities
        • Prepopulation of Research Forms from Electronic Health Records
        • Registering a Clinical Trial
        • Submission of Clinical Research Data Contained in EHRs and Other Health IT Systems for General Purpose or Preserving Specific FDA Requirements
        • Submission of Clinical Research Data to FDA to Support Product Marketing Applications
        • Submit Adverse Event Report from an Electronic Health Record to Drug Safety Regulators
      • Security Tags for Sensitive Information
        • Security Tags for Sensitive Information
      • Summary Care Record
        • Support a Transition of Care or Referral to Another Health Care Provider
      • Unique Device Identification
        • Defining a Globally Unique Device Identifier
        • Representing Unique Implantable Device Identifiers
        • Transmitting a Unique Device Identifier
      • Work Information
        • Work Information Templates
    • Services/Exchange
      • “Push” Exchange
        • An Unsolicited "Push" of Clinical Health Information to a Known Destination and Information System User
        • An Unsolicited “Push” of Clinical Health Information to a Known Destination Between Systems
        • Medical Device Communication to Other Information Systems/Technologies
        • Push Communication of Vital Signs from Medical Devices
        • Remote Patient Monitoring to Support Chronic Condition Management, Patient Education and Patient Engagement
        • Representing Path Traversal Expressions
      • Clinical Decision Support Services
        • Immunization Decision Support Forecast
        • Providing Patient-Specific Assessments and Recommendations Based on Patient Data for Clinical Decision Support
        • Retrieval of Contextually Relevant, Patient-Specific Knowledge Resources from Within Clinical Information Systems to Answer Clinical Questions Raised by Patients in the Course of Care
      • Consumer Access/Exchange of Health Information
        • Collection and Exchange of Patient-Reported Outcomes
        • Patient Exchanging Secure Messages with Care Providers
        • Push Patient-Generated Health Data into Integrated EHR
        • Remote Patient Authorization and Submission of EHR Data for Research
        • View, Download and Transmit Data from EHR
      • Healthcare Directory, Provider Directory
        • Listing of Providers for Access by Potential Exchange Partners
      • Image Exchange
        • Exchanging Images Outside a Specific Health Information Exchange Domain
        • Exchanging Images Within a Specific Health Information Exchange Domain
      • Infrastructure
        • Client Application Management
      • Patient Identity/Identification Management
        • Exchanging Patient Identification Within and Between Communities
      • Public Health Exchange
        • Transport for Immunization Submission and Query/Response
      • Publish and Subscribe
        • Publish and Subscribe Message Exchange
      • Query
        • Data Element Based Query for Clinical Health Information
        • Query for Documents Outside a Specific Health Information Exchange Domain
        • Query for Documents Within a Specific Health Information Exchange Domain
      • Resource Location
        • Care Service Discovery Within the U.S.
        • Finding and Retrieving Human Services Information
    • Administrative
      • Administrative Transactions - Non-Claims
        • Administrative Transaction Acknowledgements
        • Enrollment and Disenrollment in a Health Plan
        • Health Care Eligibility Benefit Inquiry and Response
        • Health Care Eligibility Benefit Inquiry and Response for Retail Pharmacy Coverage
      • Administrative Transactions to Financial Exchanges
        • Electronic Funds Transfer for Payments to Health Care Providers
        • Health Care Payment and Remittance Advice
        • Health Plan Premium Payments for Covered Members
      • Administrative Transactions to Support Clinical Care
        • Health Care Attachments to Support Claims, Referrals and Authorizations
        • Referral Certification and Authorization for Pharmacy Transactions
        • Referral Certification and Authorization Request and Response for Dental, Professional and Institutional Services
      • Administrative Transactions: Price Transparency
        • Advanced Estimates for Patient Costs from Providers & Payers
      • Health Care Claims and Coordination of Benefits
        • Health Care Claim Status Request and Response
        • Health Care Claims or Equivalent Encounter Information for Dental Claims
        • Health Care Claims or Equivalent Encounter Information for Institutional Claims
        • Health Care Claims or Equivalent Encounter Information for Professional Claims
        • Health Care Claims or Equivalent Encounter Information for Retail Pharmacy Claims
        • Health Care Claims or Equivalent Encounter Information for Retail Pharmacy Supplies and Professional Services
      • Operating Rules to Support Administrative Transactions
        • Operating Rules for Enrollment and Disenrollment
        • Operating Rules to Support Claim Status Transactions
        • CAQH CORE Operating Rules for Connectivity
        • Operating Rules for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA)
        • CAQH CORE Operating Rules for Eligibility & Benefits
        • Operating Rules for Health Care Claims
        • Operating Rules for Premium Payments
        • Operating Rules for Prior Authorization and Referrals
        • Attributed Patient Roster
        • Operating Rules to Support Electronic Prescribing Transactions
    • Appendices
      • Appendix I – Sources of Security Standards and Security Patterns
      • Appendix II - Models and Profiles
      • Appendix III - Educational and Informational Resources
        • Understanding Emerging API-Based Standards
        • Understanding Observations and Observation Values
      • Appendix IV - State and Local Public Health Readiness for Interoperability
    • Specialty Care and Settings
      • COVID-19
      • Opioids
      • Pediatrics
      • Social Determinants of Health
  • ISA Publications
    • Web Version as Single Page
    • 2024 ISA Reference Edition
  • Recent ISA Updates
  • USCDI Data Classes - All Levels
  • SVAP
  • About the Draft Federal FHIR® Action Plan
  • USCDI+

§ 170.215(a)(1) | HL7 Fast Healthcare Interoperability Resources Specification (FHIR®) Release 4, Version 4.0.1: R4, October 30, 2019, including Technical Correction #1, November 1, 2019

Current Standard

HL7 Fast Healthcare Interoperability Resources Specification (FHIR®) Release 4, Version 4.0.1: R4, October 30, 2019, including Technical Correction #1, November 1, 2019

Certification Criteria(on) References Standard / Implementation Specification

§ 170.315(g)(10) - Standardized API for patient and population services
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