Health Level 7 (HL7) Application Programming Interface (API) (HAPI)- Fast Healthcare Interoperable Resources (FHIR)

General Information

Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

Website:	Go to site
Description:	Health Level 7 (HL7) Application Programming Interface (API)-Fast Healthcare Interoperable Resources (FHIR) (HAPI-FHIR) is an open source HAPI library implementation of the FHIR specification in Java. HAPI allows users to add HL7 capabilities to applications and users can leverage FHIR, a specification for exchanging healthcare data, with HAPI-FHIR. This technology does not utilize a database.
Technology/Standard Usage Requirements:	Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information:	This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at Section508@va.gov.
Decision:	View Decisions

Decision Source:	TRM Mgmt Group
Decision Process:	One-VA TRM v24.7
Decision Date:	07/01/2024 at 14:13:57 UTC
Introduced By:	TRM Request
Vendor Name:	James Agnew

Vendor Release Information

The Vendor Release table provides the known releases for the TRM Technology, obtained from the vendor (or from the release source).

Version	Release Date	Vendor End of Life Date	Vendor Desupport Date
0.9	03/13/2015
1.x	05/08/2015
2.x	03/17/2017
3.0.x	09/27/2017
3.1.x	11/23/2017
3.2.x	01/13/2018
3.4.x	05/28/2018
3.8.x	05/30/2019
4.0.x	08/14/2019
4.1.x	11/13/2019
4.2.x	02/17/2020
5.0.x	05/12/2020
5.1.x	08/12/2020
5.7.x	02/22/2022
6.0.x	05/18/2022
6.8.x	08/17/2023
6.10.x	11/17/2023
7.x	02/12/2024

Current Decision Matrix (06/25/2024)

Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.

The VA Decision Matrix displays the current and future VA IT position regarding different releases of a TRM entry. These decisions are based upon the best information available as of the most current date. The consumer of this information has the responsibility to consult the organizations responsible for the desktop, testing, and/or production environments to ensure that the target version of the technology will be supported. Any major.minor version that is not listed in the VA Decision Matrix is considered unapproved for use.

Legend:

White	Approved: The technology/standard has been approved for use.
Yellow	Approved w/Constraints: The technology/standard can be used within the specified constraints located below the decision matrix in the footnote[1] and on the General tab.
Gray	Unapproved: This technology or standard can be used only if a POA&M review is conducted and signed by the Authorizing Official Designated Representative (AODR) as designated by the Authorizing Official (AO) or designee and based upon a recommendation from the POA&M Compliance Enforcement, has been granted to the project team or organization that wishes to use the technology.
Orange	Divest: VA has decided to divest itself on the use of the technology/standard. As a result, all projects currently utilizing the technology/standard must plan to eliminate their use of the technology/standard. Additional information on when the entry is projected to become unapproved may be found on the Decision tab for the specific entry.
Black	Prohibited: The technology/standard is not (currently) permitted to be used under any circumstances.
Blue	Planning/Evaluation Constraint:The period of time this technology is currently being evaluated, reviewed, and tested in controlled environments. Use of this technology is strictly controlled and not available for use within the general population. If a customer would like to use this technology, please work with your local or Regional OI&T office and contact the appropriate evaluation office displayed in the notes below the decision matrix. The Local or Regional OI&T office should submit an inquiry to the TRM if they require further assistance or if the evaluating office is not listed in the notes below.

Release/Version Information:

VA decisions for specific versions may include a ‘.x’ wildcard, which denotes a decision that pertains to a range of multiple versions.

For example, a technology approved with a decision for 7.x would cover any version of 7.(Anything) - 7.(Anything). However, a 7.4.x decision would cover any version of 7.4.(Anything), but would not cover any version of 7.5.x or 7.6.x on the TRM.

VA decisions for specific versions may include ‘+’ symbols; which denotes that the decision for the version specified also includes versions greater than what is specified but is not to exceed or affect previous decimal places.

For example, a technology approved with a decision for 12.6.4+ would cover any version that is greater than 12.6.4, but would not exceed the .6 decimal ie: 12.6.401 is ok, 12.6.5 is ok, 12.6.9 is ok, however 12.7.0 or 13.0 is not.

<Past

CY2021

CY2022

CY2023

Future>

Release

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

0.9

Unapproved

1.x

Unapproved

2.x

Unapproved

3.0.x

Unapproved

3.1.x

Unapproved

3.2.x

Unapproved

3.4.x

Divest
[2, 3, 6, 7, 8]

Unapproved

3.8.x

Divest
[2, 3, 6, 7, 8]

Unapproved

4.0.x

Divest
[2, 3, 6, 7, 8]

Unapproved

4.1.x

Divest
[2, 3, 6, 7, 8]

Unapproved

4.2.x

Divest
[2, 3, 6, 7, 8]

Unapproved

5.0.x

Approved w/Constraints
[2, 3, 6, 7, 8]

Divest
[2, 6, 7, 8, 9]

Divest
[6, 10, 11, 12, 13]

Unapproved

5.1.x

Approved w/Constraints
[2, 3, 6, 7, 8]

Divest
[2, 6, 7, 8, 9]

Divest
[6, 10, 11, 12, 13]

Unapproved

5.7.x

Unapproved

Divest
[2, 6, 7, 8, 9]

Divest
[6, 10, 11, 12, 13]

Unapproved

6.0.x

Unapproved

Approved w/Constraints
[2, 6, 7, 8, 9]

Approved w/Constraints
[6, 10, 11, 12, 13]

Divest
[11, 12, 13, 14, 15]

6.8.x

Unapproved

Divest
[11, 12, 13, 14, 15]

6.10.x

Unapproved

7.x

Unapproved

Decision Constraints


[1]	Veterans Affairs (VA) users must ensure VA sensitive data is properly protected in compliance with all VA regulations. All instances of deployment using this technology should be reviewed by the local ISO (Information Security Officer) to ensure compliance with VA Handbook 6500.

[2]	Users should check with their supervisor, Information Security Office (ISO) or local OIT representative for permission to download and use this software. Downloaded software must always be scanned for viruses prior to installation to prevent adware or malware. Freeware may only be downloaded directly from the primary site that the creator of the software has advertised for public download and user or development community engagement. Users should note, any attempt by the installation process to install any additional, unrelated software is not approved and the user should take the proper steps to decline those installations.

[3]	Technology must remain patched and operated in accordance with Federal and Department security policies and guidelines in order to mitigate known and future security vulnerabilities.

[4]	In cases where the technology is used for external connections, a full Enterprise Security Change Control Board (ESCCB) review is required in accordance VA Directive 6004 , VA Directive 6517, and VA Directive 6513. The local ISO can advise on the ESCCB review process.

[5]	Veterans Affairs (VA) users must ensure VA sensitive data is properly protected in compliance with all VA regulations. All instances of deployment using this technology should be reviewed by the local ISO (Information Security Officer) to ensure compliance with VA Handbook 6500.

[6]	This technology must use the latest TRM-approved version of Java Development Kit (JDK) - Oracle.

[7]	Veterans Affairs (VA) users must ensure VA sensitive data is properly protected in compliance with all VA regulations. All instances of deployment using this technology should be reviewed by the local ISO (Information Security Officer) to ensure compliance with VA Handbook 6500.

[8]	In cases where the technology is used for external connections, a full Enterprise Security Change Control Board (ESCCB) review is required in accordance VA Directive 6004 , VA Directive 6517, and VA Directive 6513. The local ISO can advise on the ESCCB review process.

[9]	Due to National Institute of Standards and Technology (NIST) identified security vulnerabilities, extra vigilance should be applied to ensure the versions remain properly patched to mitigate known and future vulnerabilities. The local ISO can provide assistance in reviewing the NIST vulnerabilities.

[10]	Veterans Affairs (VA) users must ensure VA sensitive data is properly protected in compliance with all VA regulations. All instances of deployment using this technology should be reviewed by the local ISSO (Information System Security Officer) to ensure compliance with VA Handbook 6500.

[11]	Users should check with their supervisor, Information System Security Officer (ISSO) or local OIT representative for permission to download and use this software. Downloaded software must always be scanned for viruses prior to installation to prevent adware or malware. Freeware may only be downloaded directly from the primary site that the creator of the software has advertised for public download and user or development community engagement. Users should note, any attempt by the installation process to install any additional, unrelated software is not approved and the user should take the proper steps to decline those installations.

[12]	Due to National Institute of Standards and Technology (NIST) identified security vulnerabilities, extra vigilance should be applied to ensure the versions remain properly patched to mitigate known and future vulnerabilities. The local ISSO (Information System Security Officer) can provide assistance in reviewing the NIST vulnerabilities.

[13]	In cases where the technology is used for external connections, a full Enterprise Security Change Control Board (ESCCB) review is required in accordance VA Directive 6004 , VA Directive 6517, and VA Directive 6513. The local ISSO (Information System Security Officer) can advise on the ESCCB review process.

[14]	This technology must use the latest TRM-approved version of Java Development Kit (JDK) - Oracle. Per VA VHA guidance, users should avoid the use of open-source interoperability software when commercial products and expertise are available to projects implementing standards-based solutions and products.

[15]	Veterans Affairs (VA) users must ensure VA sensitive data is properly protected in compliance with all VA regulations. All instances of deployment using this technology should be reviewed by the local ISSO (Information System Security Officer) to ensure compliance with both VA Handbook 6500 and VA Directive 6500.

Note:

At the time of writing, version 7.2.1 is the most current version, released 06/03/2024.

References

The following reference(s) are associated with this entry:
Type	Name	Source	Description

Technology Components

Note: This list may not be complete. No component, listed or unlisted, may be used outside of the technology in which it is released. The usage decision for a component is found in the Decision and Decision Constraints.
Name	Description
No components have been identified for this entry.

VA Categories View the VA Categorization Framework

Domain Area	Category	Customer Guidance	Category Locked By ELT Date
Application Technology Development Tools	Application Development Tools
Application Technology Integration Software	Messaging Oriented Middleware (MOM)

Open Source

This entry is available as an open source technology.

Operating Systems Supported by the Technology

macOS - Approved w/Constraints
Red Hat Enterprise Linux (RHEL) - Approved w/Constraints
Windows Client - Approved w/Constraints
Windows Server - Approved w/Constraints

Technologies/Standards Relationships

Runtime Dependencies:

Comparable Technologies:

NHapi

Companion Technologies/Supported Standards:

General Analysis

Adoption Benefits

This technology is available at no cost through open-source licensing and supports VA's open-source initiative.
This is a well-documented technology.
This technology may improve productivity for specific staff whose responsibilities include management of healthcare data.
This vendor stated that this technology is Federal Information Processing Standard (FIPS) 140-2 compliant.

Adoption Risks

As open-source software, this product may be left without clearly defined support options which may result in suboptimal enterprise level support.
The potential exists to store Personally Identifiable Information (PII), Protected Health Information (PHI) and/or VA Sensitive data and proper security standards must be followed in these cases.
This technology relies on Java Development Kit (JDK) - Oracle, which has a rapid release and update schedule.
Due to the rapid release schedule of this technology, the VA may be unable to update to the most recent patch and may require a deployment model requiring the use of specific versions.
This technology may utilize external data connections.
There are known Common Vulnerabilities and Exposures (CVEs) associated with this technology. Please see <a href = "https://nvd.NIST.gov/vuln/search" target="_blank">https://nvd.NIST.gov/vuln/search</a> for more details.
Per VA VHA guidance, users should avoid the use of open-source interoperability software when commercial products and expertise are available to projects implementing standards-based solutions and products.
There is a preferred Standard VA enterprise software already in place.

Architectural Benefits

This technology is portable as it runs on multiple TRM-approved operating systems.

Architectural Risks

This technology may allow access to the public testing FHIR server that is hosted by the University Health Network and users must take necessary precautions to secure data.

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VA Technical Reference Model v 24.7

General Information

Vendor Release Information

Current Decision Matrix (06/25/2024)

Decision Constraints

References

Technology Components

VA Categories View the VA Categorization Framework

Open Source

Operating Systems Supported by the Technology

Technologies/Standards Relationships

Runtime Dependencies:

Comparable Technologies:

Companion Technologies/Supported Standards:

General Analysis

Adoption Benefits

Adoption Risks

Architectural Benefits

Architectural Risks

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VA Technical Reference Model v 24.7

General Information

Vendor Release Information

Current Decision Matrix (06/25/2024)

Decision Constraints

References

Technology Components

VA Categories View the VA Categorization Framework

Open Source

Operating Systems Supported by the Technology

Technologies/Standards Relationships

Runtime Dependencies:

Comparable Technologies:

Companion Technologies/Supported Standards:

General Analysis

Adoption Benefits

Adoption Risks

Architectural Benefits

Architectural Risks

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