Structurally Mapping Healthcare Data to HL7 FHIR through Ontology Alignment

  • Athanasios KiourtisEmail author
  • Argyro Mavrogiorgou
  • Andreas Menychtas
  • Ilias Maglogiannis
  • Dimosthenis Kyriazis
Systems-Level Quality Improvement
Part of the following topical collections:
  1. Systems-Level Quality Improvement


Current healthcare services promise improved life-quality and care. Nevertheless, most of these entities operate independently due to the ingested data’ diversity, volume, and distribution, maximizing the challenge of data processing and exchange. Multi-site clinical healthcare organizations today, request for healthcare data to be transformed into a common format and through standardized terminologies to enable data exchange. Consequently, interoperability constraints highlight the need of a holistic solution, as current techniques are tailored to specific scenarios, without meeting the corresponding standards’ requirements. This manuscript focuses on a data transformation mechanism that can take full advantage of a data intensive environment without losing the realistic complexity of health, confronting the challenges of heterogeneous data. The developed mechanism involves running ontology alignment and transformation operations in healthcare datasets, stored into a triple-based data store, and restructuring it according to specified criteria, discovering the correspondence and possible transformations between the ingested data and specific Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR) through semantic and ontology alignment techniques. The evaluation of this mechanism results into the fact that it should be used in scenarios where real-time healthcare data streams emerge, and thus their exploitation is critical in real-time, since it performs better and more efficient in comparison with a different data transformation mechanism.


Electronic health records HL7 FHIR Interoperability Ontologies Structure mapping 



Τhe research work was supported by the Hellenic Foundation for Research and Innovation (HFRI) and the General Secretariat for Research and Technology (GSRT), under the HFRI PhD Fellowship grants (1792, and 2468).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Digital SystemsUniversity of PiraeusPiraeusGreece
  2. 2.BioAssistAthensGreece

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