Open standards & artifacts for accountable systems.

STD-04 draft

Permanent link /standards/fhir-profile-set

FHIR profile set for contestability artifacts

FHIR-aligned profiles for decision records, appeal events, and repair outcomes to support healthcare governance workflows.

Standards intent

Make contestability artifacts interoperable in healthcare flows.

These profiles align governance evidence with existing clinical and administrative systems.

Overview

FHIR-aligned contestability artifacts

Standard profiles that keep decision governance artifacts portable across healthcare systems.

The profile set defines a shared representation for decision records, appeal events, and repair outcomes so health systems can exchange contestability data without breaking existing clinical workflows.

Profile set

Core profiles to publish

Each profile maps contestability artifacts onto core FHIR resources.

Decision record profile

DocumentReference extension capturing decision context, model metadata, and accountable owners.

FHIR DocumentReference

Appeal event profile

Task + Provenance bundle capturing appeal intake, status, and review milestones.

FHIR Task + Provenance

Repair outcome profile

ServiceRequest and CarePlan linkage for remediation actions and verified completion.

FHIR ServiceRequest + CarePlan

Burden-hours observation

Observation profile for time-in-harm, user burden ratio, and SLA adherence metrics.

FHIR Observation

Mapping guidance

How to connect profiles

Keep traceability intact across decision, appeal, and repair stages.

  • Use shared identifiers across profiles to trace a decision through appeal and repair phases.
  • Require a governance metadata extension for accountable owner, risk tier, and escalation path.
  • Align timestamps to FHIR Provenance to preserve auditability and sequence of events.

Validation

Release checklist

Ship profile guidance with validation assets and sample bundles.

  • Profiles must validate against the JSON schema set for decision-record, appeal-event, and repair-sla.
  • Publish canonical URLs and profile versions for registry indexing.
  • Include sample bundles that pass both FHIR validation and contestability checks.

See also: Standards · Mechanisms

Copy citation (APA/BibTeX)

Cite this page Formats: APA, MLA, Chicago, BibTeX, RIS

Version

Draft

Last updated

Jun 1, 2025

DOI

Pending Zenodo deposit

APA

Ethotechnics Standards Working Group. (2025). FHIR profile set for contestability artifacts. Ethotechnics Institute. https://ethotechnics.org/standards/fhir-profile-set

MLA

Ethotechnics Standards Working Group. "FHIR profile set for contestability artifacts." Ethotechnics Institute, 2025, https://ethotechnics.org/standards/fhir-profile-set.

Chicago

Ethotechnics Standards Working Group. "FHIR profile set for contestability artifacts." Ethotechnics Institute. Jun 1, 2025. https://ethotechnics.org/standards/fhir-profile-set.

BibTeX

@misc{ethotechnics_standards_fhir_profile_set,
  title={FHIR profile set for contestability artifacts},
  author={Ethotechnics Standards Working Group},
  year={2025},
  howpublished={Ethotechnics Institute},
  url={https://ethotechnics.org/standards/fhir-profile-set},
  version={Draft}
}

RIS

TY  - WEB
TI  - FHIR profile set for contestability artifacts
AU  - Ethotechnics Standards Working Group
PY  - 2025
UR  - https://ethotechnics.org/standards/fhir-profile-set
ER  -