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Support the real-time exchange of alerts that impact patient care and value based or risk based services.

Define the technical apsects of the data exchange and create a framework for alerting/notifications related to patient care.

Sponsoring Workgroup: Infrastructure And Messaging Work Group

Unsolicited Notifications Implementation Guide:

Project Milestones




May - July 2019
FHIR Gap AnalysisMay - June 2019
Profile and Operation DevelopmentJune - July 2019

Test Case Development

August 2019
ConnectathonAugust/September 2019
Reference ImplementationJuly - August 2019
STU BallotFebruary 2020

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Conference Call Schedule & Dial-Ins

Wednesdays at 12pm Eastern

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United States: +1 (571) 317-3122

Access Code: 663-817-509

February 2020 Ballot Milestones


February Ballot Deadlines (2020)

FHIR IG Proposal DueNovember 3, 2019

Notice of Intent to Ballot

November 17, 2019
Ballot Signup StartsNovember 25, 2019

Initial IG Content

December 1, 2019
Ballot QA PeriodDecember 8, 2019

Final IG Content

December 22, 2019

Ballot Voting Starts

December 27, 2019

Ballot Voting Ends

January 27, 2020

Ballot Reconciliation Starts

February 2020

Notifications Team:

RoleName OrganizationEmail 
Project LeadUlrike MerrickVernetzt,
Implementation Guide LeadEric HaasHealtheData INC

Reference Implementation Co-LeadHealthLX

Reference Implementation Co-LeadDmytro
Business Process SMELinda MichaelsenOptum

Program ManagerJocelyn KeeganPoint of Care
Technical DirectorDr. Viet NguyenStratametrics 
Project ManagerDana MarcelonisPoint of Care


ScenarioAssociated Domain Expertise WG related existing FHIR IGsProjected timeline for WGInterested parties
Encounter/Visit Notification (Admit/Discharge)PAnoneFeb 2020 ballot

Public Health NotificationPHeCR <ADD LINK>

Birth/DeathPHVital Records etc <ADD LINK>


Lab ResultsOO, PH (reportable results)US Realm Lab Result <ADD LINK>

Ordered Device/Biometric/Patient (i.e. Fit Bit)OO

Problem with Treatment – such as drug recall, device recall/issuePharmacy

Treatment Start/EndPharmacy

Pharmacy (Pickup, Restock, Dispense)Pharmacy

Notification of New ConditionPC?

Changes in Care TeamPA?, PC?

Scheduled Appointment/Pre-AdmitPA

Change in Social Determinants of HealthPA?, PC?, PH

Work Comp Initial/Visits/ServicesFM?, PH, PC?

Coverage Start/EndFM

Notification of Prior Authorization (Pended to Approved/Denied)FM

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