haau3 FHIR Implementation Guide (HFIG)
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Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

KTC Patient-Shared Bundle

The decrypted payload is a FHIR Bundle. This profile aligns with the KTC specification for a Patient Shared Bundle at https://ktc-spec.github.io/#fhir-bundle-profile-patientsharedbundle

KTC Patient-Shared DocumentReference

This profile aligns with https://ktc-spec.github.io/#documentreference-profile-patientshareddocumentreference that is part of the CMS Health Tech Ecosystem Kill the Clipboard use case.

Payor Organization

Example of a payor organization with a required type

haau3 Coverage

The coverage for a care recipient.

haau3 Organization

The organization for a care recipient.

haau3 Patient

A care recipient.

haau3 Patient Story Observation

A patient's self-reported answer to one of the three haau3 'My Story' prompts. Each Observation represents a single (patient, prompt) pair, identifiable by a stable haau3 namespace key for deterministic upsert via conditional update on Identifier. Mirrors PACIO ADI's ADI-CareExperiencePreference constraints; instances additionally claim PACIO conformance via meta.profile.

haau3 Practitioner

A practitioner involved in a care recipient's care. Conforms to US Core 6.1.0 Practitioner; NPI is the anchor for haau3 practitioner identity resolution.

haau3 Questionnaire

A questionnaire or form

haau3 QuestionnaireResponse

An individual's response to a questionnaire/form.

haau3 RelatedPerson

Individuals related to the patient like caregivers, family members, or guardians.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

KTC Patient-Shared Document Type ValueSet

ValueSet for DocumentReference.type for patient-shared documents in the KTC use

Payor Identifier Types ValueSet

Value set for payor identifier types.

haau3 Patient Story Question Codes

The three LOINC codes corresponding to the MVP haau3 'My Story' questions. Strict subset of the PACIO Care Experience Preferences Grouping value set (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.11).

haau3 Questionnaires ValueSet

LOINC panel codes for the questionnaires haau3 can administer.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Payor Identifier Types CodeSystem

Code system for payor identifier types.

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

haau3 patient identifier

Stable haau3 patient id. Used on Patient.identifier only.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

6-item Transportation Security Index

The 6-item Transportation Security Index is an abbreviated version of the 16-item Transportation Security Index. It captures the lived experiences of people experiencing transportation insecurity, and it has been validated using a nationally representative survey. The index can be used to assign respondents a continuous score representing their level of transportation insecurity or to categorize respondents as experiencing no insecurity or insecurity that is marginal, low, moderate, or high.

6-item Transportation Security Index Questionnaire Response

Example of a QuestionnaireResponse for the 6-item Transportation Security Index questionnaire (LOINC code 106423-7).

Commercial Insurance Coverage

Example haau3 Coverage instance representing a commercial insurance plan.

Example C4BB Commercial Organization

Example organization that conforms to C4BB Commercial Organization.

Example C4BB Medicaid HMO Organization

Example organization that conforms to C4BB Organization, representing a Medicaid HMO payer.

Example FHIR Rendered PDF

Example LOINC 60591-5 for a FHIR-rendered PDF.

Example Haau3 Patient

Example patient that conforms to Haau3 Patient.

Example Haau3 Practitioner

Example practitioner that conforms to Haau3 Practitioner (US Core 6.1.0 Practitioner) with additional fields to align with CMS National Provider Directory.

Example Patient Story PDF

Example LOINC 51855-5 patient story PDF.

Example US Core AllergyIntolerance

Example patient-reported AllergyIntolerance demonstrating an additional clinical content entry in a Patient-Shared Bundle.

Example US Core Condition for Problems and Health Concerns

Example Condition demonstrating an additional clinical content entry alongside the patient-shared DocumentReferences.

Example US Core Immunization

Example patient-reported Immunization demonstrating an additional clinical content entry in a Patient-Shared Bundle.

Example US Core Lab

Example US Core Lab Result Observation — Hemoglobin A1c result of 7.1% for the example patient.

Example US Core MedicationRequest

Example patient-reported MedicationRequest demonstrating an additional clinical content entry in a Patient-Shared Bundle.

Example US Core Patient

Example patient that conforms to US Core 6.1.0 Patient.

Example US Core Vital Signs

Example US Core Vital Signs Observation — blood pressure panel 120/78 mmHg for the example patient.

ExamplePayorOrganization
KTC Patient-Shared Bundle example

Worked example of a patient-shared Bundle containing the patient subject and one self-reported Patient Story observation. Demonstrates the 2..* entry minimum and the patient slice.

Medicaid HMO Insurance Coverage

Example haau3 Coverage instance representing a Medicaid HMO plan.

Patient Story — care experience preferences

Example haau3 Patient Story Observation answering 'Are there things that are important to you about how you receive care?'

Patient Story — preferred location for final days

Example haau3 Patient Story Observation answering 'If it were possible to choose, where would you like to spend your final days?'

Patient Story — religious or cultural beliefs

Example haau3 Patient Story Observation answering 'What do you want caregivers to know about your religious beliefs?'

eHealth Literacy Scale

The eHealth Literacy Scale (eHEALS) is an 8-item measure developed to measure consumers' combined knowledge, comfort, and perceived skills at finding, evaluating, and applying electronic health information to health problems. The objective of the study was to psychometrically evaluate the properties of the eHEALS within a population context.

eHealth Literacy Scale Questionnaire Response

Example of a QuestionnaireResponse for the eHealth Literacy Scale questionnaire (LOINC code 107619-9).