A practical, in-depth exploration tailored to ChartScribe — covering FHIR R4, US Core IG, SMART on FHIR v2.2, Bulk Data, and the NHS/UK landscape. Structured for development, marketing, and compliance teams.
FHIR R4 Certified
Full R4 Composition, Bundle, and US Core profile support
US Core Compliant
v6–v9 IG profiles applied to all exported resources
SMART on FHIR Ready
v2.2 launch support — patient, EHR, and carer contexts
NHS DTAC + FHIR Aligned
Pre-qualified for UK NHS Digital Technology Assessment
Four standards define interoperability in 2026. ChartScribe implements all of them.
The current production standard used by almost all certified EHRs (Epic, Cerner, EMIS, SystmOne, etc.). Normative core resources + REST API. Recommended base for all new development in regulated markets (ONC, NHS, EU EHDS).
ChartScribe Use
ChartScribe exports every clinical note as a FHIR R4 Composition wrapped in a document Bundle. Uses Patient, Encounter, Observation, Condition, CarePlan, and MedicationRequest resources.
The most important profile for real-world use. Defines minimum constraints on FHIR resources so data is consistent across systems. Aligns with USCDI v3/v4 (the minimum dataset that must be exchangeable).
ChartScribe Use
All ChartScribe FHIR exports apply US Core profiles: us-core-patient, us-core-practitioner, us-core-encounter, us-core-observation, us-core-condition, us-core-careplan, us-core-medicationrequest.
The standard way apps launch inside or alongside EHRs. Handles authentication, patient context, and scopes. v2.2 is the current production version with enhanced security and granular scope control.
ChartScribe Use
Patients launch trusted health apps (Apple Health, MyFitnessPal) from .care. Clinicians open patient-context views from Epic/Cerner. Supports patient, EHR-context, and carer launch types.
Allows exporting large populations (e.g., all patients in a practice) in NDJSON format. Essential for Enterprise tier reporting and population health analytics. Bulk Data v2 is the current production version.
ChartScribe Use
Enterprise customers can export all notes, patients, and encounters for a given period via FHIR Bulk Data $export. Returns NDJSON files for ingestion into analytics platforms.
R5 / R6 Status
Emerging — not yet required for certification
SMART Version
v2.2 — current production standard
Bulk Data Version
v2 — current production standard
NHS / HSE Position
Heavily pushing FHIR R4 + US Core + SMART
Starter
No FHIR Export
PDF export only
Pro
FHIR Export + SMART Launch
Composition, US Core profiles, basic SMART on FHIR for .care
Enterprise
Full US Core + Bulk Data
Read/write all resources, Bulk $export, custom IGs, dedicated integration engineer
Every ChartScribe plan above Starter includes FHIR export. Upgrade to Enterprise for Bulk Data and custom integration support.
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