This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

7.1 Downloads

FHIR Infrastructure Work Group

Maturity Level: N/A

Standards Status: Informative

Specification Downloads
FHIR Definitions	All the value sets, profiles, etc. defined as part of the FHIR specification, and the included implementation guides: XML JSON This is the master set of definitions that should be the first choice whenever generating any implementation artifacts. All the other forms below include only subsets of the information available in these definition files, and do not contain all of the rules about what makes resources valid. Implementers will still need to be familiar with the content of the specification and with any profiles that apply to the resources in order to make a conformant implementation.
XML	Examples - all the example resources in XML format Validation Schemas (includes support schemas, resource schemas, modular & combined schemas, and Schematrons) Code Generation Schemas (see notes about code-generation schemas) Note that names relevant for code generation, including resource names, element & slice names, codes, etc. may collide with reserved words in the relevant target language, and code generators will need to handle this
JSON	Examples - all the example resources in JSON format JSON Schema (Needs JSON Schema draft-06 or more recent) Examples - all the example resources in ND-JSON format (bulk data format)
RDF	Turtle Examples - all the example resources in Turtle format ShEx Schemas - ShEx definitions for validating RDF resources Definitions - the formal definitions that define the predicates and classes used in the RDF format
GraphQL	GraphQL Schemas
FHIR Specification	The whole specification so that you can host your own local copy (does not include the downloads) (not downloadable from hl7.org/fhir/2022Sep)
Implementation Tools
In addition to the resources listed below, the HL7 Confluence contains an overview of commonly used tools to help with implementing FHIR .
NPM Packages	There are several packages that support the FHIR specification: hl7.fhir.r5.core: Contains all the resources needed to test conformance to the FHIR specification, and/or generate code hl7.fhir.r5.expansions: Contains the expansions of the subset of the value sets the have a required binding (other than those that can't be expanded at all) hl7.fhir.r5.examples: All the resources that are defined as part of the FHIR specification hl7.fhir.r5.elements: A set of StructureDefinition resources that represent the resources and datatypes as a series of independently defined data elements hl7.fhir.r5.corexml: The same content as hl7.fhir.r5.core, but with the resources in XML, not JSON These packages are used by many of the FHIR tools (e.g. the IG publisher and the validator). Note that the tools usually find this package directly through the NPM-based distribution framework, and there's no need to download them
Spreadsheets	All the resource structures in a Spreadsheet Format - mostly provided to assist with mapping
Translation File	Translations of common FHIR names and messages into multiple languages (see chat.fhir.org translations stream for guidance on how to add to more)
Icon Pack	The FHIR Icon at various resolutions. Any FHIR Implementation created by an organization that has attended a connectathon is allowed to use the FHIR icon in association with the application (this policy will be reviewed in the future).
Test Cases	Test cases can mainly be found in the fhir-test-cases repository
Code Generation Support	ValueSet expansions for the value sets used in schema generation (XML or JSON) + a list of all choice elements & backbone elements. Note that names relevant for code generation, including resource names, element & slice names, codes, etc. may collide with reserved words in the relevant target language, and code generators will need to handle this
Reference Implementations
There are many open source reference implementations available to help implementers. A current list can be found on HL7's Confluence site here .

Implementation Note: These reference implementations are provided for implementer interest and assistance. While they may be used (and are) in production systems, HL7 and their various contributors accept no liability for their use. Note that these reference implementations are provided to assist to implementers to adopt the specification, and some are maintained by the FHIR project team, but are not part of the specification, and implementations are not required to conform to these, nor are they subject to the formal standards process.

Full blown open source implementations for FHIR, some of which use these reference implementations, are listed on HL7 Confluence .

It is not necessary to use these particular implementations in order to be conformant. Any other approach may be used, including code generated from the schemas.