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Handbook

Practical guidance for working with the Nexus IG: learning material, implementation patterns, and the design record behind each feature area. The formal artifacts themselves — profiles, extensions, terminology, examples — live in the Reference.

Learning FHIR

New to FHIR (or to this spec)? Start here:

Implementation patterns

Task-oriented guidance for the decisions every integration hits:

Clinical criteria

Working with the CQL criteria this specification publishes:

  • Clinical Criteria (CQL) — start here: what CQL is for in this specification, the four activities, and which of the pages below you want
  • Criteria Artifacts — what a compiled criterion is, and why consuming one needs a JSON parser rather than a CQL compiler
  • For One Patient — compiling a rule, reading its refusals, and the retrieve that silently matches nothing
  • Across a Population — generating the pack that a query or SQL generator consumes

Feature designs

The design record for each feature area — why the profiles look the way they do:

  • Scheduling — schedules, slots, appointments, the booking flow
  • Oscar Billing — invoices and the billing write-back
  • Clinical Tasks — task management, including AI-agent workflows
  • Consent — patient consent for third-party app data sharing
  • Rostering — primary care attachment
  • Templates — reusable prototype graphs, starting with clinical letters

Contributing and feedback

  • Contributing and feedback — how to reach us (email, Teams, #discuss-fhir), what is most useful to report, and the contributor track for editing FSH
  • Release Process — how a merged change becomes a published version