diff --git a/xml/FHIR-us-medication-rems.xml b/xml/FHIR-us-medication-rems.xml
new file mode 100644
index 000000000..72de5364e
--- /dev/null
+++ b/xml/FHIR-us-medication-rems.xml
@@ -0,0 +1,25 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<specification xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ciUrl="https://build.fhir.org/ig/HL7/fhir-medication-rems-ig" defaultVersion="current" defaultWorkgroup="pharm" gitUrl="https://github.com/HL7/fhir-medication-rems-ig" url="http://hl7.org/fhir/us/medication-rems">
+  <version code="current" url="https://build.fhir.org/ig/HL7/fhir-medication-rems-ig"/>
+<artifactPageExtension value="-definitions"/><artifactPageExtension value="-examples"/>
+<artifactPageExtension value="-mappings"/>
+<artifact id="StructureDefinition/medication-rems-task-smart-launch" key="StructureDefinition-medication-rems-task-smart-launch" name="Medication REMS Task - SMART Launch"/>
+<artifact id="Patient/example-patient-123" key="Patient-example-patient-123" name="example-patient-123"/>
+<artifact id="Task/medication-rems-task-smart-launch-1" key="Task-medication-rems-task-smart-launch-1" name="medication-rems-task-smart-launch-1"/>
+<page key="NA" name="(NA)"/>
+<page key="many" name="(many)"/>
+<page key="artifacts" name="Artifacts"/>
+<page key="cds-cards" name="Cds Cards"/>
+<page key="credits" name="Credits"/>
+<page key="downloads" name="Downloads"/>
+<page key="event-triggers" name="Event Triggers"/>
+<page key="index" name="Home"/>
+<page key="out-of-scope" name="Out of Scope"/>
+<page key="process" name="Process"/>
+<page key="questionnaires" name="Questionnaires"/>
+<page key="roles" name="Roles"/>
+<page key="specification" name="Specification"/>
+<page key="toc" name="Table of Contents"/>
+<page key="technical-background" name="Technical Background"/>
+<page key="use-cases" name="Use Cases"/>
+</specification>
diff --git a/xml/SPECS-FHIR.xml b/xml/SPECS-FHIR.xml
index c9cb9dbcc..70c520181 100644
--- a/xml/SPECS-FHIR.xml
+++ b/xml/SPECS-FHIR.xml
@@ -154,4 +154,5 @@
   <specification key="au-base" name="AU Base"/>
   <specification key="au-core" name="AU Core"/>
   <specification key="au-erequesting" name="AU eRequesting"/>
+  <specification key="us-medication-rems" name="US Medication Risk Evaluation and Mitigation Strategies (REMS) FHIR IG"/>
 </specifications>