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Difference between revisions of "Fhir dme orders"

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==Expected implementations==
==Expected implementations==
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
Rush Systems
==Content sources==
==Content sources==

Revision as of 03:05, 18 February 2019

Proposed IG Name

FHIR DME (Durable Medical Equipment) Orders

Owning work group name

Orders & Observations

Committee Approval Date:

Please enter the date that the committee approved this IGproposal

Contributing or Reviewing Work Groups


FHIR Development Project Insight ID


Scope of coverage

This project will define exchange methods, use of other interoperability "standards" (e.g. CDS Hooks and SMART on FHIR) and specific use of FHIR resources to effectively exchange orders for DME and associated supplies and medications, supporting clinical information (to qualify the order or establish medical necessity), provenance of the order and supporting clinical information, between the ordering provider and the intended supplier. Support will be provided for the communication of substantiating review (e.g. prior authorization, appropriate use, medical review services) information (e.g. tracking and authorization numbers)

This project will utilize, where possible, existing profiles for each of the relevant FHIR releases (e.g. Argonaut for DSTU2, US Core for STU3, and US Core for R4). Creation of resources, extensions and profiles will be limited to situations here the current artifacts do not meet the requirements for DME ordering.

The project team plans to work with existing FHIR artifacts where possible. If changes are necessary, the project team will work with the responsible Work Group to review and implement (via tracker items or new PSS) any necessary enhancements to base FHIR resources, extensions, and/or profiles.

IG Purpose

Payers, Providers, Suppliers and Patients need the ability to order Durable Medical Equipment (DME) electronically to eliminate paper / FAX / verbal orders, ensure accurate ordering, minimize denials, reduce time required to supply patients with needed DME and related supplies. There is currently no well adopted standard for ordering DME equipment and supplies. An informal survey of the DME industry leaders conducted by a CMS contractor noted that over 90% of all orders are conducted by FAX or verbal exchanges and the fewer than 5% utilize any published standards (excluding NCPDP for items that can be ordered via the pharmacy networks). This implementation guide will provide a standard for adoption by providers and suppliers for the exchange of DME orders using FHIR based standards.

Content location

Proposed IG realm and code


Maintenance Plan

This IG will be maintained by Da Vinci working with the sponsoring working group

Short Description

Long Description

Involved parties

Expected implementations

CMS DMEHub Rush Systems

Content sources

Example Scenarios

IG Relationships



When IG Proposal Is Complete

When you have completed your proposal, please send an email to

FMG Notes