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FHIR Profile Mapping Specification for EHR/KTC MVP Workflow

EHR/KTC - FHIR Profile Mapping Specification - HackMD

February 27, 2026

Summary

This document provides the FHIR profile mapping specification to support the EHR/KTC MVP Workflow (Phase 0 & Phase 1). It outlines implementation guidelines based on standards like US Core and IPS, targeting interoperability engineers and integration architects.

Details

This specification serves as a technical guideline for building the Minimum Viable Product (MVP) workflow for EHR/KTC. The framework adopts HL7 FHIR R4 (4.0.1) as its base standard, referencing multiple major healthcare exchange standards including US Core Implementation Guide, International Patient Summary (IPS), and USCDI v3 Data Classes. JSON encoding is primary, with XML optional in Phase 1. The profile hierarchy mandates adherence to US Core Profiles first, followed by IPS Profiles, and optionally custom implementation guides. Specific constraints are defined, such as maintaining US Core cardinality rules and ensuring extensions are 'n'. This detailed design document provides technical guidance for professionals focused on achieving interoperability.

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