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What is FHIR?

FHIR (Fast Healthcare Interoperability Resources) is an HL7 standard for exchanging healthcare information electronically. It defines a set of Resources — structured data objects representing clinical and administrative concepts — and a REST API for creating, reading, updating, and deleting them over HTTP.

FHIR was created to replace older, harder-to-implement standards (HL7 v2, CDA) with a modern approach using JSON, XML, HTTP, and OAuth. The goal is to make healthcare data portable and interoperable across systems, institutions, and countries.

Key facts

  • Maintained by: HL7 International
  • Current production version: R4 (4.0.1) — released 2019
  • Latest version: R5 — released 2023, adoption in progress
  • Formats: JSON (default), XML, Turtle (RDF)
  • Transport: REST over HTTPS
  • Security: SMART on FHIR (OAuth2 + OpenID Connect)

Version history

VersionStatusReleased
DSTU2Deprecated2015
STU3Deprecated2017
R4Production standard2019
R4BLimited updates2022
R5Normative, adoption in progress2023