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FHIR Packages and Profiles

This page tracks InterSystems support for FHIR profiles, conformance resources, implementation-guide packages, and capability statements.

Supported Positioning

InterSystems documentation describes FHIR adaptations as profile and conformance-resource driven. Profiles are represented by StructureDefinition resources; other artifacts include SearchParameter, ValueSet, and CodeSystem resources; and implementation guides are commonly distributed as package-style collections.

Technical Shape

  • InterSystems FHIR endpoints can support FHIR packages of conformance resources, including more than one package on the same endpoint.
  • Package support controls what the server reports as supported and enables clients to search and use resources that claim conformance to the supported packages.
  • The documentation draws an important validation boundary: an InterSystems FHIR server does not automatically verify that an incoming resource conforms to a supported profile just because the client asserts that profile in resource metadata.
  • Supported-operations documentation adds that profile validation is currently designed to work with FHIR R4, with later releases targeting R5.
  • Clients can retrieve the server's CapabilityStatement through the endpoint metadata route to understand supported APIs, operations, search parameters, and resources.

Evidence Status

Confidence is high for package/profile mechanics, the explicit non-automatic conformance-checking boundary, and the documented FHIR R4 profile-validation scope. This page is not proof that any specific UK national profile or GP Connect profile is installed, configured, validated, or assured in a customer deployment.

Remaining Follow-up Evidence

  • Product or deployment documentation naming specific UK FHIR packages, implementation guides, and validation settings.
  • Evidence for how profile conformance checking is handled in a named implementation.
  • Current GP Connect supplier or product documentation tying InterSystems endpoints to specific NHS profiles.