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Section 1: Primary Standards
Section 1c: FHIR®
Section 2: Clinical and Administrative Domains

FHIR® (HL7 Fast Healthcare Interoperability Resources)

DESCRIPTION

FHIR is an interoperability standard intended to facilitate the exchange of healthcare information between healthcare providers, patients, caregivers, payers, researchers, and any one else involved in the healthcare ecosystem. It consists of 2 main parts – a content model in the form of ‘resources’, and a specification for the exchange of these resources in the form of real-time RESTful interfaces as well as messaging and Documents. The standard is available at http://hl7.org/fhir

For a C-suite level overview see FHIR for the C-Suite.4Sep19.pdf

On April 24, 2018, a technical correction was applied to correct two broken links as described in http://hl7.org/fhir/r4/errata/CTO_Errata_Letter_FHIRR4_20190418.pdf. 

On October 31, 2019, a technical correction was applied to correct issues described in http://hl7.org/fhir/r4/errata/CTO_Errata_Letter_FHIR_R4_R3_20191031.pdf. 

For access to the HL7 FHIR Standard and online reference guide

HL7 FHIR Standard & Reference Guide

 

ALTERNATIVE NAMES

FHIR® (HL7 Fast Healthcare Interoperability Resources) may also go by the following names or acronyms:

HL7 FHIR® R4B, "HL7 FHIR® R4 Observation, Release 1", "HL7 FHIR® R4 Patient, Release 1", "HL7 FHIR® R4 Terminology & Conformance, Release 1", "HL7 Fast Healthcare Interoperability Resources Specification (FHIR), R1", "HL7 Fast Healthcare Interoperability Resources Specification (FHIR)", FHIR, FHIR Terminology, FHIR Patient, FHIR Observation

TARGETS

  • Clinical and Public Health Laboratories
  • Immunization Registries
  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)
  • Regulatory Agency
  • Payors
  • Pharmaceutical Vendors
  • EHR, PHR Vendors
  • Equipment Vendors
  • Health Care IT Vendors
  • Clinical Decision Support Systems Vendors
  • Lab Vendors
  • HIS Vendors
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • Creates a common specification by which healthcare participants can share information
  • Enables the development of applications that benefit from access to of high quality information in a manner that implementers find as easy to use as possible
  • Supports improvements in the delivery of healthcare including new initiatives such as Value Based care

IMPLEMENTATIONS/CASE STUDIES

  • FHIR has been implemented by numerous organizations, both as part of Connectathon interoperability events as well as for pilot implementations.  A complete listing of Connectathon organizations can be found here:http://hl7.org/fhir/credits.html
  • https://registry.fhir.org/guides
  • Major vendors such as Epic, Cerner, Allscripts
  • Apple
  • Microsoft
  • Google

 

DEVELOPMENT BACKGROUND

This standard contains artifacts at different levels of approval - see http://hl7.org/fhir/versions.html. Some Normative artifacts contain a few parts labeled as 'Trial Use' even though the artifact itself is labeled 'Normative'

  • Some normative resources contain elements labeled as 'trial-use'
  • Some normative pages contain sections labeled as 'trial-use'

The presence of mixed status elements in a single specification reflects that overall development of consensus amongst the community, while some very specific parts are known not to have the requisite level of implementation experience as the rest of the resource.

To see the status of a particular artifact refer to http://hl7.org/fhir/documentation.html

 

Prior releases:

  • FHIR® R4 (HL7 Fast Healthcare Interoperability Resources, Release 4)
  • HL7 Fast Healthcare Interoperability Resources Specification (aka FHIR®), Release 3 (STU): This DSTU is the third of several releases expected to continue to a release in 2019 which will contain an initial set of normative material.  During this draft period, changes will occur, both in response to implementer feedback and through the incorporation of additional content.  Adopters should consider the ramifications of the possibility of future changes when making use of this draft specification.  Further guidance can be found here: http://hl7.org/fhir/timelines.html
  • HL7 Fast Healthcare Interoperability Resources Specification (FHIR®), DSTU Release 2:This second DSTU release includes a significant increase in the number of supported resources as well as revisions to previously published resources reflecting implementer feedback.
  • HL7 Fast Healthcare Interoperability Resources Specification (FHIR®), DSTU Release 1: This DSTU is the second of several releases expected to culminate in an initial normative release in 2017.  During this draft period, changes will occur, both in response to implementer feedback and through the incorporation of additional content.  Adopters should consider the ramifications of the possibility of future changes when making use of this draft specification.  Further guidance can be found here: http://hl7.org/fhir/timelines.html

 

RELATED DOCUMENTS

FHIR® (HL7 Fast Healthcare Interoperability Resources)
HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Edition 4.0.0 - US Realm (View Brief)
HL7 FHIR® Guidance: Quality Reporting, Release 1 - US Realm (View Brief)

(Download) (877 KB)

HL7 FHIR® IG: Payer Coverage Decision Exchange, R1 - US Realm (View Brief)
HL7 FHIR® IG: SMART Web Messaging Implementation Guide, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: Bidirectional Services eReferrals (BSeR), STU1, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Bulk Data Access IG, Release 2 (View Brief)
HL7 FHIR® Implementation Guide: Cancer Pathology Data Sharing, Release 1 - US Realm (View Brief)

(Download) (112 KB)

HL7 FHIR® Implementation Guide: Central Cancer Registry Reporting Content IG, Edition 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: Clinical Data Exchange (CDex), Release 1 STU 2.1.0 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Clinical Decision Support for Immunizations, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Clinical Genomics, Edition 3 (View Brief)
HL7 FHIR® Implementation Guide: Clinical Research Sponsor Laboratory Semantics in FHIR, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: CodeX Radiation Therapy Treatment Data, Edition 2 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Common Data Model Harmonization for Research (CDMH), Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), E1 STU 2.1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Consumer-facing Real-time Pharmacy Benefit Check, Release 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: COVID-19 FHIR Clinical Profile Library, Release 1 - US Realm (View Brief)

(Download)

HL7 FHIR® Implementation Guide: Da Vinci - Coverage Requirements Discovery (CRD) Edition 2.1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Edition 1 STU 5.0.0 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: DaVinci Payer Data Exchange US Drug Formulary, Release 1 STU2.1 - US Realm (View Brief)

(Download) (54 KB)

HL7 FHIR® Implementation Guide: Digital Insurance Card, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Documentation Templates and Rules (DTR), Edition 2.1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR), Release 2.1.2 - US Realm (View Brief)

(Download) (110 KB)

HL7 FHIR® Implementation Guide: Electronic Medicinal Product Information, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: FAST National Directory for Healthcare (NDH), Edition 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: FHIR for FAIR, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: FHIR Shorthand, Edition 3.0.0 (View Brief)
HL7 FHIR® Implementation Guide: FHIR to CDISC Joint Mappings, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: FHIRcast, Release 1, STU2 (View Brief)
HL7 FHIR® Implementation Guide: Health Care Surveys Content, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Health Record Exchange (HRex) Framework, Edition 1.1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Healthcare Associated Infection (HAI) Reports, Release 1, STU 2.1 —US Realm (View Brief)
HL7 FHIR® Implementation Guide: Hybrid/Intermediary Exchange, Release 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: ICHOM Patient Centered Outcomes Measure Set for Breast Cancer, Edition 1 (View Brief)
HL7 FHIR® Implementation Guide: Identity Matching, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Integrating the Healthcare Enterprise (IHE) Structured Data Capture/electronic Cancer Protocols (sdc/ecc) on FHIR, Release 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: Integrating the Healthcare Enterprise (IHE) Structured Data Capture/electronic Cancer Protocols on FHIR, Edition 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: International Patient Access (IPA), Release 1 (View Brief)
HL7 FHIR® Implementation Guide: International Patient Summary, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: Longitudinal Maternal & Infant Health Information for Research, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Making Electronic Data More Available for Research and Public Health (MedMorph) Reference Architecture, Release 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: Medicolegal Death Investigation (MDI), Edition 2 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Member Attribution List, Edition 2.1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Military Service History and Status Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (HAI-LTCF-FHIR), Release 1 STU 1.1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: PACIO Advance Directive Interoperability, Edition 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: PACIO Personal Functioning and Engagement, Edition 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: PACIO Re-assessment Timepoints, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Patient Cost Transparency, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex) Payer Network, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Edition 2.1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Personal Health Device (PHD), Release 1 (View Brief)
HL7 FHIR® Implementation Guide: Pharmaceutical Quality (Industry), Edition 1 (View Brief)
HL7 FHIR® Implementation Guide: Pharmaceutical Quality/ Chemistry, Manufacturing and Controls (PQ/CMC) Submissions to FDA, Edition 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: Pharmacist Care Plan Document, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Physical Activity, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Post-Acute Care Cognitive Status, Release 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: Post-Acute Care Functional Status, Release 1- US Realm (View Brief)
HL7 FHIR® Implementation Guide: Postable Remittance, Edition 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Prior-Authorization Support (PAS), Edition 2.1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Protocols for Clinical Registry Extraction and Data Submission (CREDS), Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Quality Measures, Edition 1 STU 5 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Record Lifecycle Event (RLE), Edition 1 (View Brief)
HL7 FHIR® Implementation Guide: Respiratory Virus Hospitalization Surveillance Network (RESP-NET), Edition 1 – US Realm (View Brief)
HL7 FHIR® Implementation Guide: Retrieval of Real World Data for Clinical Research, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: Risk Adjustment, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Risk Based Contract Member Identification, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: SDOH Clinical Care, Release 2.3 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Security for Registration, Authentication, and Authorization (FAST), Edition 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Situational Awareness for Novel Epidemic Response (SANER) STU 1 (View Brief)
HL7 FHIR® Implementation Guide: SMART Application Launch Framework, Release 2.2 (View Brief)
HL7 FHIR® Implementation Guide: Standardized Medication Profile (SMP), Edition 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Subscription R5 Backport, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: US Public Health Profiles Library, Release 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Validated Healthcare Directory, Edition 1 (View Brief)
HL7 FHIR® Implementation Guide: Value Based Performance Reporting (VBPR), Edition 1 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Vital Records Birth and Fetal Death Reporting, Edition 2 - US Realm (View Brief)
HL7 FHIR® Implementation Guide: Vital Records Common FHIR Profile Library, Release 1 (View Brief)
HL7 FHIR® Implementation Guide: Vital Records Death Reporting (VRDR), Edition 3 - US Realm (View Brief)
HL7 FHIR® Profile: Occupational Data for Health (ODH), Release 1 (View Brief)
HL7 FHIR® R4 Implementation Guide: Adverse Event Clinical Research R4 Backport, Edition 1 (View Brief)

(Download) (104 KB)

HL7 FHIR® R4 Implementation Guide: At-Home In-Vitro Test Report, Release 1 - US Realm (View Brief)
HL7 FHIR® R4 Implementation Guide: CardX Hypertension Management, Edition 1 (View Brief)
HL7 FHIR® R4 Implementation Guide: Clinical Practice Guidelines, Edition 2 (View Brief)
HL7 FHIR® R4 Implementation Guide: Clinical Study Schedule of Activities, Edition 1 (View Brief)
HL7 FHIR® R4 Implementation Guide: Electronic Long-Term Services and Supports (eLTSS) Edition 1 STU2 - US Realm (View Brief)
HL7 FHIR® R4 Implementation Guide: FHIR Clinical Documents, Edition 1 (View Brief)
HL7 FHIR® R4 Implementation Guide: QI-Core, Edition 7 - US Realm (View Brief)
HL7 FHIR® R4 Implementation Guide: Single Institutional Review Board Project (sIRB), Edition 1- US Realm (View Brief)
HL7 FHIR® US Core Implementation Guide Edition 8.0.0 - US Realm (View Brief)
HL7/NCPDP FHIR® Implementation Guide: Specialty Medication Enrollment, Release 1 - US Realm (View Brief)

STU DOCUMENTS

HL7 FHIR® Release 4B See the standard at http://hl7.org/fhir/R4B. Expiration May 2024
HL7 FHIR® R4 Please see the resource detail for link and download instructions. Expiration Dec 2023
HL7 Fast Healthcare Interoperability Resources Specification (FHIR®), Release 3 (STU) Please see the resource detail for link and download instructions. Expiration Mar 2019
HL7 Fast Healthcare Interoperability Resources Specification (FHIR), DSTU Release 2 Please see the resource detail for link and download instructions. Expiration Sep 2017
HL7 Fast Healthcare Interoperability Resources Specification (FHIR), DSTU Release 1 Please see the resource detail for link and download instructions. Expiration Feb 2016

TOPICS

  • Care Provision
  • Clinical Genomics
  • Clinical Quality
  • Community-Based Health
  • Decision Support
  • Financial Management
  • Laboratory
  • Materials Management
  • Medical Records
  • Nutrition
  • Patient Administration
  • Patient Care
  • Patient Referral
  • Personnel Management
  • Pharmacy
  • Public Health
  • Regulated Products
  • Regulated Studies
  • Scheduling
  • Security and Privacy
  • Terminology

BALLOT TYPES

  • Normative
  • STU

STATUS DATE

2022-05-28

RESPONSIBLE WORK GROUP

FHIR Management Group

PRODUCT TYPES

  • Data Types
  • Encoding Syntax
  • Services
  • Structures
  • Transport(ebxml, cd, mllp)

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Equipment Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • HIS Vendors
  • Immunization Registries
  • Lab Vendors
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Payors
  • Pharmaceutical Vendors
  • Quality Reporting Agencies
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • Universal