EHI Export

Preparing for 170.315 (b)(10) EHI Export:
Identifying FHIR resources outside of US Core

Dynamic FHIR supports the FHIR R4 DocumentReference resource. This resource can be used with any document format with a recognized mime type. Currently, we support the CCD in the DocumentReference resource. We are preparing to expand beyond CCD to other listed mime types. Read more on HL7’s website.

DocumentReference is metadata describing a document such as:

  • CDA documents in FHIR systems
  • FHIR documents stored elsewhere (i.e., registry/repository following the XDS model)
  • PDF documents, Scanned Paper, and digital records of faxes
  • Clinical Notes in various forms
  • Image files (e.g., JPEG, GIF, TIFF)
  • Non-Standard formats (e.g., WORD)
  • Other kinds of documents, such as records of prescriptions or immunizations

We recommend the FHIR DocumentReference resource as a container for your ePHI data that is outside the scope of USCDI.