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Template:FHIR IG Proposal

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The displayed contents below this line is the outline for a resource proposal

For additional guidance on considerations for IG creation, refer to FHIR IG Considerations

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

US What is the realm code (2-character country code or 'uv') and IG code to use for the path when the IG is published under E.g. us/ccda

Maintenance Plan

What commitment does the WG have to maintaining this IG as the FHIR core specification continues to evolve - particularly if the initial project sponsors are no longer providing resources

Short Description

1-2 sentences describing the purpose/scope of the IG for inclusion in the registry

Long Description

1 paragraph describing the purpose/scope of the IG in more detail for inclusion in the version history

Involved parties

1 paragraph describing who is sponsoring or involved in creating the IG for inclusion in the version history

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

Content sources

List all of the specifications (beyond those in the standard list of source specifications) that you’re planning to consult

Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider?

Example Scenarios

Provide a listing of the types of scenarios to be represented in the examples produced for this IG. They should demonstrate the full scope of the IG and allow exercising of the IG's capabilities (all profiles, different types of applications, etc.)

IG Relationships

Are there any IGs this resource depends on or that depend on this IG?


Indicate the target date for having the IGcomplete from a committee perspective and ready for vetting and voting

When IG Proposal Is Complete

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

FMG Notes