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FHIRconnect: Towards a Seamless Integration of openEHR and FHIR

FHIRconnect: Towards a seamless integration of openEHR and FHIR |

The initiative aims to achieve seamless integration between the openEHR and HL7 FHIR standards.

November 19, 2025

Summary

This paper addresses the interoperability challenges between openEHR and HL7 FHIR due to fundamental differences in their data modeling. It proposes FHIRconnect, a novel domain-specific language (DSL) and open-source transformation engine that enables standardized, bidirectional data exchange. This framework aims to bridge critical interoperability gaps by leveraging international archetypes.

Details

This research paper tackles the significant interoperability challenges arising from fundamental differences in data modeling approaches between openEHR and HL7 FHIR. To address this, the authors developed FHIRconnect, a novel domain-specific language (DSL) and an open-source transformation engine designed to enable standardized, bidirectional data exchange. The system utilizes a triple-layered architecture, aiming to resolve interoperability gaps by achieving mapping reuse based on international archetypes. Specifically, it successfully mapped 24 international archetypes to 15 FHIR profiles across seven clinical domains. This work provides a comprehensive DSL and an open-source execution engine (openFHIR), establishing a technical foundation that reduces reliance on custom ETL solutions and advances both syntactic and semantic interoperability in healthcare IT systems built on open standards. In Japanese healthcare IT, data linkage between different standard specifications is a major challenge. The establishment of a framework like the one presented here—one based on open standards and possessing structured transformation mechanisms—is crucial for advancing data exchange in electronic medical record systems and regional health information networks.

Technology Note

FHIR(Fast Healthcare Interoperability Resources)は医療データ交換の国際標準。このエントリの関連技術: HL7

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