---
sourceDocument: Brazil Healthcare and Life Sciences
sourceDocumentLink: https://www.servicenow.com/docs/r/healthcare-life-sciences

 Release :

    - brazil

ft:locale :

    - en-US

ft:publication_title :

    - Brazil Healthcare and Life Sciences

ft:clusterId :

    - hcls

bundleId :

    - hcls

workflow :

    - Customer and Industry


---

# HL7 FHIR Spoke

# HL7 FHIR Spoke {#ariaid-title1}

Release version: Brazil  
Updated September 10, 2026  
![](https://www.servicenow.com/docs/portal-asset/ico-clock) 1 minute to read  
The HL7 FHIR Spoke is an Integration Hub action pack that
gives Workflow Studio authors read-only access to HL7 FHIR R4
provider-directory resources. The EMR Provider Directory Sync builds on this spoke
to import provider data into the Healthcare Operations data model.

## What the HL7 FHIR Spoke provides {#hco-fhir-spoke-overview__hco-fhir-spoke-overview-what}

The HL7 FHIR Spoke connects ServiceNow to
any HL7 FHIR R4-conformant server. It exposes eight read-only
Workflow Studio actions --- a look-up-by-ID action and a
search-and-stream action for each of the four FHIR R4 provider-directory
resources: Organization, Location, Practitioner, and PractitionerRole. The spoke
returns raw FHIR field values as data pills; it does not map them to any
ServiceNow data model.

## Relationship to the EMR Provider Directory Sync {#hco-fhir-spoke-overview__hco-fhir-spoke-overview-relationship}

The
[EMR Provider Directory Sync](https://www.servicenow.com/docs/uB7w66CzAPKu1C7lJyRopA "The EMR Provider Directory Sync imports HL7 FHIR R4 resources from a FHIR server into the ServiceNow Healthcare Operations data model on a configurable schedule.")
uses the HL7 FHIR Spoke as its FHIR transport layer. The spoke handles the
FHIR server connection, OAuth authentication, pagination, and raw data
retrieval; the EMR Provider Directory Sync owns all HCLS field mapping,
upsert-key strategy, and dependency ordering. This separation keeps the spoke
reusable across any flow that needs FHIR data while concentrating all
Healthcare Operations logic in one place.

You must install and activate the HL7 FHIR Spoke before you can use the EMR
Provider Directory Sync. See the spoke documentation for activation and
connection setup steps.

## Full spoke documentation {#hco-fhir-spoke-overview__hco-fhir-spoke-overview-link}

For activation instructions, connection setup, and a complete action reference,
see
[HL7 FHIR Spoke](https://www.servicenow.com/docs/access?context=fhir-spoke-landing&version=brazil&pubname=brazil-integrate-applications&ft:locale=en-US)
in the Integration Hub Spokes documentation.