• ‘FHIR’ (‘Fast Healthcare Interoperability Resources’) is a standards framework created by HL7. HL7 is a non-profit organization of subject matter experts and information experts working together to create frameworks and standards to exchange electronic health information.
• In support of the cluster 0.5 of the actieplan_2019-2021_e-gezondheid/ Plan d’actions e-Santé 2019-2021’ the HL7 FHIR standard is the preferred standard to use. This means any new data flow identified will preferably use the FHIR standard to model its data.
  
• Any new interface in a new data flow will also preferably use the FHIR specifications with a preference for REST. The added value of FHIR is enhanced by sending data both in a structured and a codified way. The guidelines concerning the FHIR narrative shall be followed.
• As a description of the FHIR standard, the pages published by HL7 are considered to be sufficient. When needed and mature, eHealth Platform does however publish specific profiles and implementation guidelines for federal initiatives. The first stage of the Belgian profiling initiative has the focus on basic Belgian profiles and guidelines for the FHIR resources Patient, Practitioner, PractitionerRole, Organization, Observation, Provenance and AllergyIntolerance. This also includes the needed ValueSets, CodeSystems and NamingSystems. These are all published in their FHIR artefact form and can be consulted via our FHIR Implementation Guide
  
• A vision around the FHIR strategy was elaborated with our stakeholders in the spring of 2019. It shall be very clear any transition of current KMEHR flows to FHIR without additional effort on codification and structuring does not provide significant added value. The nature of the data in our systems does not allow for any ‘big bang’ scenario.
• The different vaults, Vitalink, RSW, and brusafe+ have created a cookbook (NL, FR) about the implementation  of FHIR in the vaults. 
• In 2020, a FHIR governance was elaborated.