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Affiliate Governance of Localised FHIR Artefacts

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Intro

FHIR® (Fast Healthcare Interoperability Resources) is the latest standard produced by Health Level Seven International (HL7®), the world’s largest developer of standards for the interoperability of health information, with members in over 55 countries and official affiliate organizations in 35 of them.

Since its initial DSTU release back in 2012,FHIR has matured beyond a draft standard to Release 3 (R3) released in March 2017 [1]. While this does not contain any ‘normative’ content (resources with FHIR Maturity Model Level 6) it believed that much of the R3 specification will become normative, with minimal breaking changes in Release 4, currently planned for late 2018. Consequently, after a 5 year period in which experimental implementations of FHIR have been encouraged, a substantial number of HL7 Affiliates feel that R3 marks a ‘line in the sand’ where the effective governance of the localization of FHIR artifacts should begin.

These localizations are manifestations of the ability of users to both extend and constrain the core FHIR specification. However, while HL7 promotes FHIR as a standard that makes interoperability both easier and cheaper to achieve, it is acknowledged that the unregulated proliferation of localized artifacts will have a counter-productive effect on the ability for data to be passed between systems with no loss of meaning.

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Participating affiliates

HL7 The Netherlands, HL7 New Zealand, HL7 Norway


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