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How to Upgrade Your FHIR Version from DSTU2 to R4

Upgrade your FHIR version from DSTU2 to R4 - Apple

Apple advises users to upgrade their FHIR implementation from the DSTU2 standard to the R4 standard.

May 10, 2025Apple

Summary

Apple recommends that organizations upgrade their FHIR endpoints from version DSTU2 to R4 to provide patients access to clinical notes. This process requires reviewing API endpoint details and profiles, followed by testing and publishing according to specified steps.

Key Players

Apple

Details

This guide outlines the technical procedure for updating a FHIR API within Apple Business Register's Health Records feature. Specifically, organizations providing patient access to clinical records must upgrade their FHIR endpoints from version DSTU2 to the latest R4 standard. The upgrade process involves signing into the Apple Business Register and initiating the version upgrade. Existing brand and location information is automatically copied but requires careful review and necessary updates. Following this, the organization must obtain R4-compatible endpoint details—either through their EHR vendor (e.g., Epic) or by requesting information via the platform. Once acquired, thorough testing of the endpoint is mandatory. This technical migration applies even when utilizing the Health app data Share with Provider feature, necessitating not only API endpoint modernization but also updates across all related system components. Successful publication after Apple's approval ensures a modern and secure data access environment for both patients and providers. Maintaining adherence to evolving standards like FHIR R4 is critical in global healthcare IT, ensuring interoperability and meeting international security benchmarks.

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: FHIR

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