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.pd f

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:

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)
  • 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.
• 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
  • 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.
• 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

STU DOCUMENTS

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年05月28日

RESPONSIBLE WORK 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