Clinical Information Model with FHIR Interoperability Standard

Authors

  • Joseph Franklin Santhosh Kumar Senior Software Engineer, USA. Author

DOI:

https://doi.org/10.63282/3050-9246.IJETCSIT-V4I4P107

Keywords:

HL7, HL7 v2, HL7 CDA, HL7 v3, FHIR (Fast Healthcare Interoperability Resources), Interoperability, Electronic Medical Records (EMR), RESTful APIs

Abstract

The healthcare industry faces increasing challenges in managing and integrating vast volumes of electronic health data distributed across disparate systems. Historically, the HL7 v2 standard addressed many interoperability concerns, but evolving requirements and system complexities have highlighted its limitations. HL7 standards aimed to facilitate seamless data exchange through well-defined protocols, collaborative input from stakeholders, and international standardization. However, with diverse communication protocols and a fragmented ecosystem of Electronic Medical Records (EMRs), consistent integration remains difficult. The emergence of HL7 FHIR (Fast Healthcare Interoperability Resources), designed by Grahame Grieve, offers a modern, flexible, and scalable solution. Leveraging RESTful APIs, OAuth, and SMART on FHIR, FHIR focuses on real-time, standardized access to health data across internal and external systems. Its design reduces vendor lock-in and enables the development of EMR-agnostic applications, addressing many limitations of earlier HL7 versions and traditional integration approaches

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References

[1] Health Level Seven International. (2024). Clinical Document Architecture (CDA). Retrieved from https://www.hl7.org/cda/

[2] Health Level Seven International. (2024). HL7 Clinical Document Architecture, Release 2.0. Retrieved from https://www.hl7.org/cda/stds/online-navigation/infrastructure/cda/cda.htm

[3] Health Level Seven International. (2024). Consolidated Clinical Document Architecture (C-CDA). Retrieved from https://en.wikipedia.org/wiki/Consolidated_Clinical_Document_Architecture

[4] Grieve, G. (2014). FHIR: An API for the Web of Health Care. Journal of the American Medical Informatics Association, 21(6), 1092–1094. https://doi.org/10.1136/amiajnl-2014-002892

[5] Mandl, K. D., Szolovits, P., & Kohane, I. S. (2012). Implementing Personalized Medicine: The Role of Health Information Technology. Journal of the American Medical Association, 308(15), 1555–1556. https://doi.org/10.1001/jama.2012.13285

[6] Sittig, D. F., & Singh, H. (2021). A Decade of Health Information Technology Safety Research: A Review of the Literature. Journal of the American Medical Informatics Association, 28(1), 1–10. https://doi.org/10.1093/jamia/ocaa276

[7] Chung, C. T., Lee, S., King, E., Liu, T., Armoundas, A. A., Bazoukis, G., & Tse, G. (2022). Clinical Significance, Challenges, and Limitations in Using Artificial Intelligence for Electrocardiography-Based Diagnosis. International Journal of Arrhythmia, 23(1), 24. https://doi.org/10.1186/s42444-022-00075-x

[8] Rasmussen, L. V., Connolly, J. J., Del Fiol, G., Freimuth, R. R., Pet, D. B., Peterson, J. F., Shirts, B. H., Starren, J. B., Williams, M. S., Walton, N., Taylor, C. O., & Williams, M. S. (2021). Infobuttons for Genomic Medicine: Requirements and Barriers. Applied Clinical Informatics, 12(2), 383–390. https://doi.org/10.1055/s-0041-1729164

[9] Gupta, M., Eckrich, D., Bunnell, H. T., Phan, T. T., & Beheshti, R. (2024). Reliable Prediction of Childhood Obesity Using Only Routinely Collected Electronic Health Records. Obesity Pillars, 12, 100128. https://doi.org/10.1016/j.obpill.2024.100128

[10] Health Level Seven International. (2024). HL7 Version 3 Standard: Clinical Document Architecture, Release 2.0. Retrieved from https://www.hl7.org/cda/stds/online-navigation/infrastructure/cda/cda.htm

[11] Health Level Seven International. (2024). CDA: Clinical Document Architecture. Retrieved from https://www.hl7.org/cda/

[12] Health Level Seven International. (2024). Consolidated Clinical Document Architecture (C-CDA). Retrieved from https://en.wikipedia.org/wiki/Consolidated_Clinical_Document_Architecture

[13] Health Level Seven International. (2024). Clinical Document Architecture (CDA). Retrieved from https://www.hl7.org/cda/

Published

2023-12-31

Issue

Section

Articles

How to Cite

1.
Santhosh Kumar JF. Clinical Information Model with FHIR Interoperability Standard. IJETCSIT [Internet]. 2023 Dec. 31 [cited 2025 Sep. 13];4(4):60-5. Available from: https://ijetcsit.org/index.php/ijetcsit/article/view/143

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