This
page
is
part
of
the
FHIR
Specification
(v1.0.2:
DSTU
2).
The
current
version
which
supercedes
this
version
is
This page is part of the FHIR Specification (v1.6.0:
STU
3 Ballot 4). The current version which supercedes this version is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
. For a full list of available versions, see the
Directory of published versions
.
Page
versions:
. Page versions:
R5
R4B
R4
R3
R2
1.6
2.12
Outstanding
Issues
Outstanding Issues
This
specification
is
currently
in
its
second
round
of
trial
use.
Much
work
remains
to
be
done.
Specifically,
there
are
still
many
outstanding
questions
about
the
Request/Fulfillment
cycle
(
Order
/
OrderResponse
and
how
various
statuses
and
workflows
associated
with
requests,
as
well
as
how
proposals
cascade
to
plans
to
orders
to
downstream/encoded
orders,
etc.
This
is
a
matter
of
ongoing
investigation.
In
addition,
the
following
general
areas
of
functionality
have
been
deferred
to
a
future
version:
Adverse
Event
Reporting
An
alarm
resource
to
represent
current
issues
with
the
patient
(e.g.
device
created)
Concern
Tracking
Clinical
Studies
and
Protocols
Aggregated
Data
Reporting
including
Public
Health
Reporting
Payment
related
resources,
and
specifically,
an
Account
resource
for
payment
tracking
One
or
more
resources
for
Advance
Care
Directive
/
Power
of
Attorney
Use
of
RDF
A
full
server
side
query
framework
For
some
of
these,
some
draft
content
is
included
in
the
specification
for
implementer
consideration.
In
addition,
there
are
a
number
of
specific
notes
in
the
specification
requesting
feedback
from
implementers:
This specification is currently approaching its third round of trial use. While some parts of the specification are mature and stable, much work remains to be done. The following general areas of functionality have been deferred to a future version:
-
Adverse Event Reporting
-
An alarm resource to represent current issues with the patient (e.g. device created)
-
Concern Tracking
-
Clinical Studies and Protocols
-
Aggregated Data Reporting including Public Health Reporting
-
Payment related resources, and specifically, an Account resource for payment tracking
-
One or more resources for Advance Care Directive / Power of Attorney
-
A full server side query framework
For some of these, some draft content is included in the specification for implementer consideration.
In addition, there are a number of specific notes in the specification requesting feedback from implementers: