HL7 FHIR® UK Core Design and Development Approach

Assurance and Endorsement


To ensure that the UK Core is both clinically and technically assured and appropriate for UK use, assurance encompasses both a clear governance structure and an agreed Clinical and Technical Assurance approach.

Governance Structure

To support a UK wide and collaborative approach to improving UK health and social care interoperability, a UK Core Governance Structure with widespread stakeholder engagement has been established at two levels:

Clinical and Technical Assurance

The UK Core Clinical and Technical Assurance process involves a team of subject matter experts who use their knowledge to ensure assets are effectively and safely customised for UK use.


Once the required asset development is completed and associated implementation guidance produced, the standard is put to HL7 UK Ballot Process. The ballot allows for issues to be raised and resolved as part of a collaborative process.

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