Background - HL7-FHIR

What is HL7-FHIR?

Modern eHealth infrastructures are composed of a multitude of digital systems that process information from business processes in the health care sector. These systems need to exchange data in order to comprehensively support a patients journey through the health care system. Ambiguous, contradicting or misinterpreted data can harm a patients life in the worst case. Therefore interoperability standards are needed to harmonize the data exchange among all involved systems. As a secondary effect, FHIR defines and unifies technical terms on the domain level.

Information

FHIR® – Fast Healthcare Interoperability Resources (hl7.org/fhir) – is a next generation standards framework created by HL7. FHIR combines the best features of HL7's v2 , HL7 v3 and CDA product lines while leveraging the latest web standards and applying a tight focus on implementability.

FHIR solutions are built from a set of modular components called "Resources". These resources can easily be assembled into working systems that solve real world clinical and administrative problems at a fraction of the price of existing alternatives. FHIR is suitable for use in a wide variety of contexts – mobile phone apps, cloud communications, EHR-based data sharing, server communication in large institutional healthcare providers, and much more. (Source: HL7-FHIR, Release 3)

How does openIMIS relate to HL7-FHIR?

openIMIS is dependent on a variety of other information systems in a national eHealth landscape. As part of the Modular Transformation of openIMIS, all communication interfaces between different modules, internally and to the outside world, are to be based on the data structures defined in FHIR.

Currently openIMIS supports HL7-FHIR in Release 3 (STU3) for selected business processes. As soon as major partners in the ecosystem indicate a switch to FHIR Release 4 (R4), openIMIS will make plans to follow.

What is the scope of HL7-FHIR?

HL7 FHIR resources are structured in modules (not to be confused with openIMIS modules) on five levels. the following table will provide links to the resources and modules in their respective version and list the ones that are relevant for openIMIS.

Level	Modules STU3	Resource STU3	Modules R4	Resource R4	openIMIS

Level	Modules STU3	Resource STU3	Modules R4	Resource R4	openIMIS
5	Providing the ability to reason about the healthcare process
5	Clinical Reasoning	Library ServiceDefinition & GuidanceResponse Measure / MeasureReport etc	Clinical Reasoning	Library PlanDefinition & GuidanceResponse Measure / MeasureReport etc.
4	Record-keeping and Data Exchange for the healthcare process
	Financial	Claim Account Coverage EligibilityRequest ExplanationOfBenefit etc.	Financial	Claim Account Invoice ChargeItem Coverage + Eligibility Request & Response ExplanationOfBenefit etc.	FHIR - Coverage EligibilityRequest EligibilityResponse FHIR - CommunicationRequest FHIR STU3 Claim / FHIR - ClaimResponse: Claim Items Services
	Clinical	Allergy Problem CarePlan DetectedIssue RiskAssessment etc.	Clinical	Allergy Problem Procedure CarePlan Goal ServiceRequest Family History RiskAssessment etc.
	Diagnostics	Observation Report Specimen ImagingStudy Genomics etc	Diagnostics	Observation Report Specimen ImagingStudy Genomics Specimen ImagingStudy etc.
	Medications	Order Dispense Administration Statement Immunization etc.	Medications	Medication Request Dispense Administration Statement Immunization etc.
	Workflow	Task Appointment Schedule Referral PlanDefinition etc.	Workflow	Introduction + Task Appointment Schedule Referral PlanDefinition etc
3	Linking to real world concepts in the healthcare system
3	Administration	Patient Practitioner Device Organization Location Healthcare Service	Administration	Patient Practitioner CareTeam Device Organization Location Healthcare Service	FHIR - Patient FHIR - Practitioner / FHIR - PractitionerRole Location
2	Supporting implementation and binding to external specifications
	Implementer Support	Downloads Common Use Cases Testing	Implementer Support	Downloads Version Mgmt Use Cases Testing
	Security & Privacy	Security Consent Provenance AuditEvent	Security & Privacy	Security Consent Provenance AuditEvent
	Conformance	StructureDefinition CapabilityStatement ImplementationGuide Profiling	Conformance	StructureDefinition CapabilityStatement ImplementationGuide Profiling
	Terminology	CodeSystem ValueSet ConceptMap Terminology Svc	Terminology	CodeSystem ValueSet ConceptMap Terminology Svc
	Linked Data	RDF	Exchange	REST API + Search Documents Messaging Services Databases
1	Basic framework on which the specification is built
1			Foundation	Base Documentation XML JSON Data Types Extensions	OperationsOutcome

openIMIS

Background - HL7-FHIR

What is HL7-FHIR?

Information

How does openIMIS relate to HL7-FHIR?

What is the scope of HL7-FHIR?

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