HL7 FHIR: An Agile and RESTful approach to healthcare information exchange

Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems Pub Date : 2013-06-20 DOI:10.1109/CBMS.2013.6627810

D. Bender, K. Sartipi

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引用次数: 396

Abstract

This research examines the potential for new Health Level 7 (HL7) standard Fast Healthcare Interoperability Resources (FHIR, pronounced “fire”) standard to help achieve healthcare systems interoperability. HL7 messaging standards are widely implemented by the healthcare industry and have been deployed internationally for decades. HL7 Version 2 (“v2”) health information exchange standards are a popular choice of local hospital communities for the exchange of healthcare information, including electronic medical record information. In development for 15 years, HL7 Version 3 (“v3”) was designed to be the successor to Version 2, addressing Version 2's shortcomings. HL7 v3 has been heavily criticized by the industry for being internally inconsistent even in it's own documentation, too complex and expensive to implement in real world systems and has been accused of contributing towards many failed and stalled systems implementations. HL7 is now experimenting with a new approach to the development of standards with FHIR. This research provides a chronicle of the evolution of the HL7 messaging standards, an introduction to HL7 FHIR and a comparative analysis between HL7 FHIR and previous HL7 messaging standards.

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HL7 FHIR:用于医疗保健信息交换的敏捷和RESTful方法

本研究考察了新的健康级别7 (HL7)标准快速医疗保健互操作性资源(FHIR，发音为“fire”)标准在帮助实现医疗保健系统互操作性方面的潜力。HL7消息传递标准被医疗保健行业广泛实现，并且已经在国际上部署了几十年。HL7 Version 2(“v2”)健康信息交换标准是当地医院社区交换医疗保健信息(包括电子病历信息)的常用选择。经过15年的开发，HL7版本3(“v3”)被设计为版本2的继承者，解决了版本2的缺点。HL7 v3受到业界的严厉批评，因为它内部甚至在自己的文档中也不一致，在现实世界的系统中实现过于复杂和昂贵，并被指责导致了许多失败和停滞的系统实现。HL7目前正在试验一种利用FHIR制定标准的新方法。本研究提供了HL7消息传递标准演进的编年史、HL7 FHIR的介绍以及HL7 FHIR与以前的HL7消息传递标准之间的比较分析。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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