Fast Healthcare Interoperability Resources
Fast Healthcare Interoperability Resources (FHIR, pronounced like “fire”) is a standard developed by HL7 . It supports data exchange between software systems in the healthcare sector.
FHIR describes data formats and elements as so-called "resources" and offers an interface to exchange them. The advantages of the established HL7 standard product lines Version 2, Version 3 and CDA are combined with those of current web standards. There is a strong focus on ease of implementation.
Modern web-based API technologies such as the HTTP -based programming paradigm REST , HTML , TLS and OAUTH2 are used at FHIR. Both JSON and XML can be used to represent the data .
FHIR provides an alternative to document-centered approaches, in which it allows direct access to individual information fields as a service. A major goal of FHIR is to be able to process health data on mobile devices such as tablets and smartphones and to integrate them easily into existing systems.
standardization
In February 2014 FHIR was first published as Draft Standard for Trial Use (DSTU) as Release 1 (v0.0.82).
The current version is FHIR Release # 4 from December 27, 2018: First Normative Content
Implementations
A number of implementations have already been successfully tested inside and outside the United States. The implementations by CommonWell Health Alliance and SMArt (Substitutable Medical Applications, reusable technologies) are very popular.
Open source implementations of FHIR data structures, FHIR servers and clients, as well as tools for creating FHIR profiles already exist. One of the most famous open source APIs is FHIR HAPI.
FHIR and other standards
FHIR itself not only relies on web standards, but forms a basis for further profiles and guidelines. The IHE profiles PDQm, PIXm and MHD have already been adapted to cover future use cases.
FHIR in Germany
The basic profile is currently being worked on in Germany. This is headed by the technical committee "FHIR" of HL7 Germany within the framework of the interoperability forum.
The German basic profiles are managed in the FHIR profile registry "Simplifier".
Specific use cases are, for example, the current medication plan as an FHIR profile, as well as an ultra-short format (UKF) based on FHIR .
Web links
- Welcome to FHIR from HL7 International with all FHIR versions (English)
- HL7 FHIR - Standard for mobile communication (currently not available) from HL7 Germany
- German basic profiles in Simplifier.net
- Implementation Guide Ultra-Short Format Patient-Related Medication Plan
Individual evidence
- ↑ FHIR - Hl7wiki. In: wiki.hl7.de. Retrieved September 1, 2016 .
- ↑ Something New and Powerful: SMART on FHIR®. (No longer available online.) February 12, 2014, archived from the original on September 2, 2016 ; Retrieved September 1, 2016 (American English).
- ↑ James Agnew: HAPI FHIR - The Open Source FHIR API for Java. In: hapifhir.io. Retrieved September 1, 2016 .
- ↑ Category: FHIR - IHE Wiki. In: wiki.ihe.net. Retrieved September 1, 2016 .
- ↑ Category: FHIR - Profiles. In: wiki.hl7.org. Retrieved September 2, 2016 .
- ↑ FHIR basic profiling (project) - Hl7wiki. In: wiki.hl7.de. Retrieved September 1, 2016 .
- ↑ The Interoperability Forum. In: interoperabilitaetsforum.de. Retrieved September 1, 2016 .
- ↑ Technical Committee "FHIR" at HL7 Germany. In: hl7.de. Retrieved September 2, 2016 .