UK Core FHIR Release 4 - Governance
Underpins the development, maintenance and publication of the UK Core Fast Healthcare Interoperability Resources (FHIR) standard.
About this standard
- Publisher
- NHS England
- Also known as
- UK Core Fast Healthcare Interoperability Resources (FHIR) Release 4 (R4) Governance
- Reference code
- DAPB4020 Amd 33/2021
- Publication date
- 11/03/2022
- Status
- Active
Show definitions of statuses
Active. Active standards are stable, maintained and have been approved, assured or endorsed for use by qualified bodies.
Deprecated Deprecated standards are available for use and are maintained, but are being phased out, so new functionality will not be added.
Retired standards Retired standards are not being maintained or supported and should not be used.
- Standard type
- Information standards
Show definitions of standard types
Collections. A Collection is a systematic gathering of a specified selection of data or information for a particular stated purpose from existing records held within health and care systems and electronic devices.
Extractions. An extraction is a type of collection that is pulled from an operational system by the data controller and transmitted to the receiver without additional processing or transcription by the sender.
Information standards. Information standards are agreed ways of doing something, written down as a set of precise criteria so they can be used as rules, guidelines, or definitions.
Technical Standards and specifications. Technical standards and specifications specify how to make information available technically including how the data is structured and transported.
- Contact point
Link to standard
- Documentation
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- Applies to
- Health and care organisations in England sharing patient information between IT Systems across national and local boundaries
- Owners of data sets and collections within the Dept of Health and Social Care and its Arms Length Bodies who may use the UK Core
- Owners of technical standards within the Department of Health and Social Care and its Arms Length Bodies who may use the UK Core
- Impacts on
- Implementation of this standard impacts all Health and Care IT Systems Suppliers who should consider update of any existing FHIR assets to be in line with the UK Core.
Topics and care settings
- Topic
- Information codes of practice
- Information governance
- Interoperability
- Messaging
- Care setting
- Community health
- Dentistry
- Hospital
- Maternity
- Mental health
- Pharmacy
- Social care
- Transport / Infrastructure
- Urgent and Emergency Care
Dependencies and related standards
- Dependencies
- Dictionary of Medicines and Devices (For terminology.)
- HL7 FHIR R4 (The UK Core is based on this standard and it is used for the profiles, extensions and value sets, code systems and concept maps.)
- NHS Data Model and Dictionary (For terminology in England)
- Semantic Versioning Standard
- SNOMED CT (For terminology.)
- XML and JSON (Coding standards)
- Dictionary of Medicines and Devices
- Related standards
This standard relates to the:
Review Information
- Scope
- Health Services; NHS Services; Adult Social Care
- Sponsor
Simon Eccles, Chief Clinical Information Officer for Health and Care, NHS England and NHS Improvement
- Senior Responsible Officer
Irina Bolychevsky, Director of Standards and Interoperability, NHS England and NHS Improvement
- Business Lead
- Dave Crampin, FHIR Product Owner, NHS Digital
- Approval date
- 02/03/2022
- Post Implementation review Date
- 28/02/2023
Legal basis and endorsements
- Legal authority
Section 250 of the Health and Social Care Act 2012
This information standard is published under section 250 of the Health and Social Care Act 2012
More information
This information standard formally introduces the governance process for the oversight, direction and leadership of the UK Core Fast Healthcare Interoperability Resources (FHIR) Release 4. The standard mandates, within the health and care sector in England, a consistent approach to the development of UK Core resources, thereby facilitating clear interoperability in the sharing of data across the NHS, health services and adult social care.
There is no set conformance date for this information standard but those in scope of the standard (as set out above) must now determine its impact and make plans to address that impact.
Page last updated: 29 June 2024