We recently published the outcomes of the 2026 State of FHIR Survey. You may now also explore the individual country-specific results here on Simplifier.net.
For each participating country or jurisdiction, you'll find a concise overview of how HL7 FHIR is currently being adopted and implemented, based on insights provided by national experts.
The summaries cover topics such as:
Current FHIR adoption and implementation status
FHIR versions in use
National regulations and implementation guides
Successful use cases
Key challenges and opportunities
Emerging topics such as AI and the FHIR Community Process (FCP)
Explore the interactive map
The easiest way to access the country summaries is through the interactive world map on the Simplifier.net homepage. Simply click on any participating country to view its dedicated jurisdiction page and discover how FHIR is evolving in that part of the world.
The 2026 edition includes 101 responses from experts representing 63 countries, making it the most comprehensive overview of global FHIR adoption published to date.
Looking for the global picture?
The jurisdiction pages provide the local perspective. If you're interested in the broader trends, read my analysis of the 2026 survey results on the blog I posted on www.fire.ly.
Earlier this year, we asked the Simplifier community how they use Simplifier, Forge, and Firely Terminal in their day-to-day FHIR work. First of all, thank you to everyone who took the time to participate.
Simplifier now runs entirely on Firely .NET SDK 6. This release brings a list of rendering improvements for your conformance resources, and consolidates our documentation in one place.
Forge 2026.2.0 upgrades the profiling engine to .NET 10 and Firely .NET SDK 6.2.1, adds support for the suppression extension, and speeds up loading of complex profiles. Quality Control now runs solely on the current Firely validator, and the Project view's Structure Type filter has been streamlined. Note that .NET 10 may need to be installed by your IT department on managed machines.
Simplifier.net now hosts country-specific results from the 2026 State of FHIR Survey, letting you explore how HL7 FHIR is being adopted in each participating jurisdiction.
This release lets you pin canonical references when creating a package, locking each one to the exact version it resolved to so your packages stay reproducible. Simplifier honours the version in a reference when resolving, with two new quality-control rules to help you pin safely. On top of that, the platform has moved to .NET 10, alongside a set of UI improvements and bug fixes.
The 2026 Simplifier User Survey is now open, and we need your input. Tell us which tools and features drive real value in your FHIR workflow, and where the platform can do better. It only takes a few minutes, and your response shapes what we build next.
Use this new skill to combine Firely Terminal with your AI-driven workflows to give your agent real tools to perform FHIR validation and not just guess.
This latest Forge 2026.1.0 release introduces significant updates, focusing on advanced modeling capabilities, more robust validation, and improved package management to enhance your profiling workflow.
The latest Simplifier.net release revolves around safety and productivity. While we have implemented new measures behind the scenes to protect accounts, we introduce important innovations for professionals in metadata management, validation and user-friendliness. In this note we explain the improvements and outline what they mean for your FHIR projects.
New on Firely: a deep‑dive blog and whitepaper on how FHIR Obligations sharpen the long‑standing Must Support flag into explicit, actor‑specific, and machine‑readable conformance rules—moving interoperability from narrative intent to testable behavior in real‑world FHIR implementations.
