Clinical genomic data on FHIR®: Case studies in the development and adoption of the Genomics Reporting Implementation Guide

The early adoption and testing of draft standards are an essential part of the standards development process. Feedback provided by early adopters is critical to identify and address issues in the draft specification, and therefore it is an important part of the maturation of a draft standard into a robust and generalizable specification. In this chapter, we present case studies that illustrate three examples of how this process helped to advance the development of the Genomics Reporting FHIR® Implementation Guide. Each case study highlights different types of stakeholders that had unique use cases, requirements, and outcomes. These examples demonstrate how engagement in the standards development process and becoming an early adopter can yield significant benefits to both the standards developer and early adopter.