HealthIT Answers January 18, 2023
Alex Kontur

In 2017 the Health Level Seven® (HL7) standards development community began exploring the feasibility of standardizing a Fast Healthcare Interoperability Resources® (FHIR) bulk data access application programming interface (API) to facilitate large-scale data transfer between systems.

At a December 2017 meeting hosted by the SMART® Health IT project at Boston Children’s Hospital (BCH), stakeholders agreed that such an API was both achievable and worth pursuing. In 2019 the HL7 community balloted and published the first version of the Bulk Data Access FHIR Implementation Guide (Bulk Data IG), which included operations for querying data from all or a group of patients, a more efficient file format for streaming data, and capabilities for asynchronous requests to kick-off a bulk data export.

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