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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
| Version | Status | Released |
|---|---|---|
| DSTU2 | Deprecated | 2015 |
| STU3 | Deprecated | 2017 |
| R4 | Production standard | 2019 |
| R4B | Limited updates | 2022 |
| R5 | Normative, adoption in progress | 2023 |