Fast Healthcare Interoperability Resources (FHIR)
Healthcare records are increasingly becoming digitized. As patients move around the healthcare ecosystem, their electronic health records must be available, discoverable, and understandable. Further, to support automated clinical decision support and other machine-based processing, the data must also be structured and standardized. (See Coming digital challenges in healthcare) HL7 has been addressing these challenges by producing healthcare data exchange and information modeling standards for over 20 years. FHIR is a new specification based on emerging industry approaches, but informed by years of lessons around requirements, successes and challenges gained through defining and implementing HL7 v2 , HL7 v3 and the RIM, and CDA . FHIR can be used as a stand-alone data exchange standard, but can and will also be used in partnership with existing widely used standards. FHIR aims to simplify implementation without sacrificing information integrity. It leverages existing logical and theoretical models to provide a consistent, easy to implement, and rigorous mechanism for exchanging data between healthcare applications. FHIR has built-in mechanisms for traceability to the HL7 RIM and other important content models. This ensures alignment to HL7's previously defined patterns and best practices without requiring the implementer to have intimate knowledge of the RIM or any HL7 v3 derivations.