Technical articles · Methodology

What we examine in depth.

In-depth technical articles on clinical interoperability — CDA-to-FHIR migration, terminologies, ontologies and FHIR profiling. From project practice, mirrored against formal methodology.

CDA · FHIR

HL7 CDA in the light of modern FHIR approaches

HL7 Clinical Document Architecture (CDA) has been a central standard for the electronic exchange of clinical documents for many years—from physician letters to diagnostic reports.

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CDA → FHIR · Migration

CDA → FHIR without a Big Bang (Part 1): Migration patterns that work in practice

Many organizations face the same task: keep operating CDA-based document landscapes while at the same time establishing FHIR for modern interfaces, workflows, and data platforms.

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CDA → FHIR · Migration

CDA → FHIR without a Big Bang (Part 2): Pitfalls, quality rules, and a cutover checklist

Part 2 describes why CDA→FHIR projects often fail not at “mapping” but at terminology, identifiers, narratives, testability, and governance.

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Documents · IHE MHD

Documents with FHIR: IHE MHD as a bridge between document flow and the FHIR world

IHE MHD (Mobile access to Health Documents) connects document-based reports (PDF/CDA) with the modern FHIR API world: metadata, search, retrieval, versioning.

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Terminology

Terminologies in FHIR: Without SNOMED/LOINC, It Gets Expensive — How to Keep Code Systems Under Control

FHIR isn’t the hard part — semantics is. Why LOINC, SNOMED CT, UCUM, ValueSets and ConceptMaps determine cost and interoperability — with practical guidance, callouts, checklist and a small graphic.

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Ontology · Metadata

Ontologies and ISO-compliant metadata as a sustainable foundation for HL7 FHIR in healthcare

The increasing digitalization in healthcare is leading to a growing amount of heterogeneous data that is intended to be exchanged across organizational boundaries and remain reusable in the long term.

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FHIR · Profiles

FHIR profiles are not an end in themselves

Why stable FHIR profiles begin with use cases, governance, and testability – not with constraints. Fewer profiles, but better ones – as robust contracts for interoperability.

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AI · Interoperability

Considerations for using AI to model data exchange (interoperability) in FHIR

This article outlines where AI can meaningfully support interoperability work with HL7 FHIR—not as an autopilot, but as a co‑pilot that accelerates consolidation, documentation, and quality checks.

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