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They offer structured consent management for patients, meet the high security standards of the European Union, and foster interoperability by using the standard Fast Healthcare Interoperability Resources Health Level 7 (HL7), for exchanging electronic health care data.
The implementation of Germany’s electronic patient record (e PA) [20] is progressing; however, it faces challenges. Many health care providers are not yet integrated, and patients must manually upload data.
JMIR Nursing 2025;8:e60810
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The Fast Healthcare Interoperability Resource (FHIR) is an interoperability standard used in health information technology, introduced in 2011 by the Standard Developing Organization Health Level Seven International (HL7) [3].
JMIR Med Educ 2024;10:e45413
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Reference 13: FHIR v4.3.0(http://hl7.org/fhir/resourcelist.html)hl7
JMIR Med Inform 2022;10(10):e42429
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This feature makes FHIR a unique standard from all other standards because it was not available in all previous versions of HL7 (v2, v3) or the HL7 clinical document architecture (CDA).
The basic building blocks of FHIR are the so-called resources, a generic definition of common health care concepts (eg, patient, observation, practitioner, device, condition). FHIR uses Java Script object notation and XML structures for data exchange and resources serialization.
JMIR Med Inform 2021;9(7):e21929
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