HL7 FHIR Security Framework
The HL7 FHIR (Fast Healthcare Interoperability Resources) Security Framework provides security and privacy specifications for FHIR-based health data exchange. It defines authentication, authorization, audit logging, and consent management patterns for FHIR APIs. Includes SMART on FHIR (Substitutable Medical Applications and Reusable Technologies) for OAuth 2.0-based authorization. Central to US ONC interoperability rules and international health data exchange.
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Framework Domains (5)
Audit and Provenance
| Code | Title |
|---|---|
| FHIR-SEC-4.1 | AuditEvent Logging |
| FHIR-SEC-4.2 | Provenance Tracking |
| FHIR-SEC-4.3 | Audit Log Review |
Authentication
| Code | Title |
|---|---|
| FHIR-SEC-2.1 | User Authentication |
| FHIR-SEC-2.2 | SMART App Launch |
| FHIR-SEC-2.3 | System-to-System Authentication |
Authorization and Access Control
Risks related to broken access control and security misconfiguration
| Code | Title |
|---|---|
| A01:2025 | Broken Access Control |
| A02:2025 | Security Misconfiguration |
| FHIR-SEC-3.1 | Security Labels |
| FHIR-SEC-3.2 | Consent-Based Access Control |
| FHIR-SEC-3.3 | Scope-Based Authorization |
Communications Security
| Code | Title |
|---|---|
| FHIR-SEC-1.1 | Transport Layer Security |
| FHIR-SEC-1.2 | Time Keeping |
Data Protection
Personal data protection provisions
Maps to 554 other frameworks
Frequently Asked Questions
What is HL7 FHIR Security Framework?
HL7 FHIR Security Framework is a compliance framework from International (Healthcare) with 5 domains and 13 controls. The HL7 FHIR (Fast Healthcare Interoperability Resources) Security Framework provides security and privacy specifications for FHIR-based health data exchange. It defines authentication, authorization, audit logging, and consent management patterns for FHIR APIs. Includes SMART on FHIR (Substitutable Medical Applications and Reusable Technologies) for OAuth 2.0-based authorization. Central to US ONC interoperability rules and international health data exchange. It is used by organisations to establish and maintain compliance with industry standards and regulatory requirements.
How many controls does HL7 FHIR Security Framework have?
HL7 FHIR Security Framework has 13 controls organised across 5 domains. The largest domains are Authorization and Access Control (5 controls), Audit and Provenance (3 controls), Authentication (3 controls). Each control defines specific requirements that organisations must implement to achieve compliance.
What frameworks does HL7 FHIR Security Framework map to?
HL7 FHIR Security Framework maps to 554 other compliance frameworks. The top mapping partners are EU Cyber Resilience Act (85% coverage), NIST SP 800-171A Rev 3 — Assessing CUI Security Requirements (85% coverage), ETSI EN 303 645 (85% coverage). Use our comparison tool to explore control-level mappings between frameworks.
How do I get started with HL7 FHIR Security Framework compliance?
Start your HL7 FHIR Security Framework compliance journey by running a self-assessment on our platform to identify your current compliance posture. Our AI advisory can answer specific questions about HL7 FHIR Security Framework requirements, and cross-framework mapping helps you leverage existing controls from other frameworks you may already comply with. Create a free account to access all 13 controls and track your progress.
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