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FHIR® - Fast Healthcare Interoperability Resources®

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Fast Healthcare Interoperability Resources® (FHIR®) Measure Tooling and Resources

FHIR® Implementation Guides
  • FHIR® Implementation Guide Registry: The Fast Healthcare Interoperability Resources® (FHIR®) Implementation Guide (IG) Registry is a centralized repository or catalog that stores and organizes IGs, which are structured documents providing instructions for how to implement specific technical standards, usually in the context of healthcare interoperability. These guides often define how data should be formatted, exchanged, and interpreted to ensure systems can communicate consistently.
  • FHIR® Quality Measure Implementation Guide: The intent of the FHIR® Quality Measure Implementation Guide (IG) or QM IG is to provide guidance on the representation of eCQMs using the FHIR® Clinical Reasoning Module, Quality Improvement (QI)-Core IG, and CQL. It provides requirements for the use of measure structure, metadata, definitions, and logic when authoring and evaluating eCQMs.
  • Data Exchange for Quality Measures Implementation Guide (DEQM): The Health Level Seven International® (HL7®) Data Exchange for Quality Measures (DEQM) Implementation Guide (IG) provides standards for sharing healthcare quality information using Fast Healthcare Interoperability Resources® (FHIR®). It defines how systems can exchange electronic clinical quality measure (eCQM) data in a consistent and interoperable way. For example, it supports the electronic transfer of quality reporting data from healthcare providers to payers and other organizations. The DEQM Individual MeasureReport profile supports individual-level reporting and is intended to replace the Quality Reporting Document Architecture (QRDA) Category I format. The DEQM Summary MeasureReport profile supports aggregate-level reporting and is intended to replace the QRDA Category III format.
  • Quality Improvement Core (QI-Core) IG: An IG, based on US-Core, that provides the data model for eCQM development and clinical decision support authoring. The aim for QI-Core is to replace QDM as the data model for eCQMs.
FHIR® Testing Tools
  • ClinFHIR®: An open-source tool that provides an educational environment and also allows developers to create or search for FHIR-based resources. This tool helps people learn about FHIR® by visualizing how the parts combine to represent clinical information in a structured and coded manner. It also serves as a development tool with features to build and validate some of the required artifacts, particularly as an aid to learning.
  • FHIR® Servers - Public Testing Servers: HL7® provides a list of FHIR® servers publicly available for testing. These are public services provided by volunteers and HL7® makes no representations concerning their safety or reliability.
  • Postman: A collaboration platform designed for developing and testing application programming interfaces (APIs). Postman simplifies interactions with FHIR® servers, enabling users to post requests and updates efficiently. It is particularly useful for testing FHIR-based eCQMs during Health Level Seven International® Connectathons.
  • CQL Runner: An online platform for ad hoc testing of CQL.
  • Inferno: Inferno is an open-source tool for creating, executing, and sharing automated FHIR® conformance tests. Hosted on HealthIT.gov, it offers public services for running select tests, including those for the ONC Health IT Certification Program, and provides flexible tools for local and integrated testing.
  • Crucible: A suite of open-source testing tools for FHIR®. It helps the FHIR development community ensure correct FHIR implementations. Crucible can test for conformance to the FHIR standards, score patient records for completeness, generate synthetic patient data, and test SMART on FHIR applications.
Test Data Tools
  • SyntheaTM: An open-source repository that enables the generation of realistic but synthetic patient data and health records, covering every aspect of health care. The resulting data is free from cost, privacy, and security restrictions, enabling research with health information technology data that is otherwise legally or practically unavailable.
  • HL7® Downloads: HL7® webpage that contains examples, reference implementations, and other useful resources.
Last Updated: Mar 31, 2026

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