One of the most significant claims made by FHIR is out-of-the-box interoperability (see the one page glossy summary on FHIR). This is only true for a weak definition of interoperability. Any well-formed FHIR resource can be parsed by any compliant FHIR application, but this doesn’t mean the receiver can understand and employ that information computationally. For that to happen, the exchanging parties need to agree in advance on terminology, extensions, cardinality restrictions, and more.
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