Stream: united states
Topic: ONC 170.315 (g)(10)
Josh Mandel (Jan 29 2021 at 14:15):
Aditya Chhabra said:
In regards to ONC requirement 170.315 (g)(10)
To support Bulk data export
Is it mandatory to support bulk data export of a Group of patients?
If yes, what all minimum criteria (like group by health conditions, demographics)should be considered to define patient groups?
ONC's final rule requires support for the http://hl7.org/fhir/uv/bulkdata/ implementation guide, including backend services authorization and including the /Group/:id/$export ("group-export") operation.
Josh Mandel (Jan 29 2021 at 14:17):
There are no defined requirements for how a Group is created, or what kinds of groups must be supported. My typical advice is "start with export for all patients".
Cooper Thompson (Jan 29 2021 at 17:30):
Another perspective is to see what types of patient grouping you already have in your system (patient lists, research cohorts, insurance attribution lists, etc.), and build your group export based on those. If you have a use case for those groupings, then API clients probably will too.
Josh Lamb (Jan 29 2021 at 23:25):
Hello, how interchangeable are the bulk export specifications? Is something like $bulk-export interchangeable with $bulk-publish? Ultimately you have to specify how to use the bulk functionality anyway (since your group choice will vary).
Josh Mandel (Jan 30 2021 at 00:39):
The core $export APIS ([base]/$export, [base]/Patient/$export, [base]/Group/:id/$export) all work the same way (same inputs, same outputs, same protocol.
Josh Mandel (Jan 30 2021 at 00:41):
There's also a newer concept being spec'd out (not for ONC 170.315 (g)(10)!) for cases where an organization just wants to publish a full dataset as always-available, rather than an export-on-demand. That's the $bulk-publish idea in early draft here.
Josh Lamb (Jan 30 2021 at 03:25):
Hi @Josh Mandel , am I reading this correctly. This certification is testing for the existence of USCDI FHIR stu3? And payers are using r4? I thought clinical systems largely skipped stu3
Josh Mandel (Jan 30 2021 at 04:12):
The ONC rules are for FHIR r4.
Josh Lamb (Jan 30 2021 at 05:41):
(deleted)
Josh Lamb (Jan 30 2021 at 20:33):
Is there an easier way to determine if the certification tests across the various apis (for payers and providers) result in profile alignment? It seems everything is aligned on uscdi r4. I assume payers will have similar certification at some point (but am confused how this will work since we do not accept input data).
Josh Lamb (Jan 30 2021 at 20:34):
Maybe this needs new thread. ..
Eric Haas (Feb 01 2021 at 16:35):
FYI .... USCORE IG is STU3.1.1 based on FHIR-R4
Last updated: Apr 12 2022 at 19:14 UTC
