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HL7 FHIR Release 5

Fast Healthcare Interoperability Resources (HL7 FHIR)

SPEC // INSPECT: HL7 FHIR Release 5REVIEWED: 2026-09-16
CATEGORYHealth IT Interoperability
JURISDICTIONINDUSTRY_CONSORTIUM
MANDATORY LEVELTECHNICAL_STANDARD
LIFECYCLE STATUSCURRENT
EXECUTIVE BRIEF SPECIFICATION PDFDISTRIBUTION LOCKED
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[AI // ARCHITECTURAL SUMMARY]

HL7 FHIR (Fast Healthcare Interoperability Resources) revolutionizes healthcare interoperability by combining the best features of HL7 v2, v3, and CDA with modern web technologies. It defines discrete, modular clinical resources (e.g. Patient, Observation, MedicationRequest) accessible via RESTful APIs with JSON payloads, OAuth2/SMART on FHIR security, and granular search parameters.

Scope & Applicability

Modern clinical software, mobile patient apps, cloud EHR integration, clinical decision support (CDS Hooks), and public health APIs.

Non-Coverage Boundaries

Does not define direct physical device communication or replace low-level DICOM imaging binary storage formats.

Key Clauses & Control Requirements

fhir-rest-api

RESTful API Interactions

Standard HTTP methods (GET, POST, PUT, DELETE, PATCH) mapped to CRUD operations across granular FHIR resources.

smart-on-fhir

SMART on FHIR Security Profile

OAuth 2.0 and OpenID Connect authorization framework enabling third-party apps to securely launch inside hospital EHRs.

[AUDIT // VERIFIABLE EVIDENCE CHECKLIST]

Required Regulatory & Audit Evidence Artifacts

  • [✓]FHIR CapabilityStatement detailing supported resources and search parameters
  • [✓]Implementation Guide (IG) conformance test validation reports
  • [✓]OAuth2 token issuance and SMART on FHIR authorization logs
[LEADERSHIP TAKEAWAY // CTO & VP OF ENGINEERING DIRECTIVE]
FHIR R5 is the current HL7 publication represented by this TinyCTO record. Regulatory programs may require different FHIR editions, implementation guides and profiles (e.g. US ONC certification currently specifies US Core on FHIR R4). Verify the applicable program, implementation guide, and version independently.
PRIMARY SOURCES & AUTHORITY

Frequently Asked Questions

What is SMART on FHIR?

A technology standard that uses OAuth 2.0 and OpenID Connect to securely integrate external web or mobile applications into clinical EHR systems without exposing direct database credentials.