Release 4

FHIR Infrastructure Work GroupMaturity Level: N/AStandards Status: Informative

FHIR Resource definitions developed by HL7 are derived from the considerable collective experience of the HL7 membership and wide community feedback from the development and application of a spectrum of health care interoperability solutions. However, Resource definitions are generalized to support multiple contexts of use. It is the responsibility of the persons or organizations using these Resources to ensure their use is fit for the particular purpose in which they are used, including validation for clinical and operational use.

See also the specific warnings associated with use of the STU.

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This specification (specifically the set of materials included in the file available from the Downloads page of this specification) is produced by HL7 under the terms of HL7® Governance and Operations Manual relating to Intellectual Property (Section 16), specifically its copyright, trademark and patent provisions.

This document is licensed under Creative Commons "No Rights Reserved" (CC0 ).

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  • You can't claim that HL7 or any of its members endorses your derived [thing] because it uses content from this specification
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  • Derivative Specifications cannot redefine what conformance to FHIR means
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While HL7 places no restrictions on the right to copy the FHIR specification or to create derivative works per the Creative Commons license, HL7 protects the "FHIR" trademark carefully. This means that:

  • You can use the trademarks "FHIR" and the logo to refer the FHIR specification itself (nominatively, or under the terms of fair use
  • When referencing the FHIR® standard in a website, document, presentation, or otherwise, please in a place of prominence refer to it as the "HL7® FHIR® standard". In subsequent uses, please refer to it as the "FHIR® standard" or "FHIR®", using the ® symbol as often as is practical, at least once on each page of printed matter, generally in connection with the first or dominant usage.
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Trademark FAQs are posted on the HL7 International website . Questions? Please contact for more information.

The HL7 FHIR specification contains and references intellectual property owned by third parties ("Third Party IP"). Acceptance of these License Terms does not grant any rights with respect to Third Party IP. The licensee alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize Third Party IP in connection with the specification or otherwise.

Following is a non-exhaustive list of third-party artifacts and terminologies that may require a separate license:

SNOMED CTInternational Healthcare Terminology Standards Developing Organization (IHTSDO ).
This specification includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO) and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement
DICOMNational Electrical Manufacturers Association (NEMA ).
This specification includes content from DICOM, which is copyright NEMA, and distributed by agreement between NEMA/DICOM and HL7. Implementer use of DICOM is not covered by this agreement
Logical Observation Identifiers Names & Codes (LOINC)This material contains content from LOINC® ( ). The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2014, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and available at no cost under the license at .
International Classification of Diseases (ICD) codesConsult the World Health Organization (WHO )
Current Procedures Terminology (CPT) code setAmerican Medical Association (AMA )
CPT copyright 2014 American Medical Association. All rights reserved.