FHIR for FAIR - FHIR Implementation Guide
1.0.0 - STU 1

FHIR for FAIR - FHIR Implementation Guide, published by Health Level Seven International - SOA Work Group. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-for-fair/ and changes regularly. See the Directory of published versions

## FAIR Guiding Principles

The FAIR guiding principles for scientific data management and stewardship are a set of guidelines from the field of research data management (Wilkinson et al 2016 doi.org/10.1038/sdata.2016.18). They are universal in scope and some of the principles will need to be refined for a particular community, such as medical informatics. The FAIR principles are not a standard, which means they have many forms of implementation. The primary purpose of FAIR principles is to make the digital assets of data and related metadata more usable and reusable for humans and machines, at scale. To this end, the fifteen FAIR principles, listed below, are grouped into the four higher principles of Findability, Accessibility, Interoperability and Reusability (FAIR) which apply to data and metadata. Each FAIR principle has a number of metrics or maturity indicators which are used to assess the FAIRness of data and metadata to seek improvements, which will be described in a future section of this implementation guide.

Why is it important to implement best practise in data management through FAIR? Many research and clinical healthcare projects collect, integrate and analyse data with great effort and cost, but such expensive data are often used for only a few analyses over a short period, even though they would be useful for a much wider range of scenarios over a much longer period. If data and relevant metadata are not managed, only minimal value is realised and furthermore, they can lose credibility. Since research and clinical healthcare data are often supported by public funds, society has a right to expect the greatest and widest possible usage. Likewise, shareholders of private enterprise expect their investments in science-based research and development to be exploited and protected fully through best practise in FAIR data management and data governance.

### Findability

F1: Metadata and data are assigned globally unique, persistent and machine resolvable identifiers (GUPRI)

F2: Data are described with rich metadata (defined by R1)

F3: Metadata clearly and explicitly include the identifier of the data it describes

F4: Metadata and data are registered or indexed in a searchable resource

### Accessibility

A1: Metadata and data are retrievable by each of their identifiers using a standardised communication protocol

A1.1: The protocol is open, free and universally implementable

A1.2: The protocol allows for an authentication and authorisation, where necessary

A2: Metadata should be accessible even when the data is no longer available

### Interoperability

I1: Metadata and data use a formal, accessible, shared, and broadly applicable language for knowledge representation

I2: Metadata and data use vocabularies that follow the FAIR principles

I3: Metadata and data include qualified references to other metadata and data

### Reusability

R1: Metadata and data are richly described with a plurality of accurate and relevant attributes

R1.1: Metadata and data are released with a clear and accessible data usage license

R1.2: Metadata and data are associated with detailed provenance

R1.3: Metadata and data meet domain-relevant community standards