HL7 FHIR Lacks Architectural N-Party Coordination Substrate

by Nick Clark | Published April 25, 2026 | PDF

HL7 FHIR operates as the healthcare interoperability standard for cross-system data exchange. Architectural element above FHIR — credentialed multi-party coordination substrate — is what n-party-coordination provides.


FHIR Reality

HL7 FHIR operates as the dominant healthcare-interoperability standard across U.S. and emerging international deployments. ONC certification under 21st Century Cures Act mandates FHIR support.

Coordination Substrate Above FHIR

FHIR provides data-exchange substrate; architectural coordination provides handoff-and-coordination substrate; the layers compose.

HL7 Ecosystem Position

HL7 community gains architectural coordination direction; FHIR-based deployments gain coordination substrate.

Nick Clark Invented by Nick Clark Founding Investors: Devin Wilkie