FHIR4: what's new?
summary
Release 4 makes the core infrastructure normative core frozen — data types, formats, REST API and key conformance artifacts (CodeSystem, ValueSet, ConceptMap, StructureDefinition) are locked while the rest stays trial-use; Patient and Observation ballot decisions determine final scope. Version management adds a fhirVersion media type and a $versions operation plus a “managing multiple FHIR versions” page, diffs and conversion scripts. Draft features include Smart App Launch, GraphQL support, and Bulk Data (NDJSON, async jobs, cert-based auth). JSON primitive extension handling remains an open decision.
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chapters (16)
- 0:00Start
- 0:39Overview
- 1:01HL7 Organizational Strategy
- 3:12Establish FHIR as the primary standard
- 4:29FHIR Certification
- 7:26Smart App Launch
- 9:22FHIR R4 Normative!
- 14:34R4 Normative Ballot Report
- 17:39Inter-Version Support
- 23:45GraphQL Support
- 26:52Bulk Data Support
- 33:39Open Issues for breaking changes
- 36:40New Content in the specification
- 37:33FHIR Foundation
- 38:52What else?
- 40:06What's new in R4








