RQ10672 - Solutions Designer - Intermediate

Responsibilities:

• Undertakes the design of hosting technology solutions based on the client’s service specifications, standards, policies, best practices and cost models, in order to meet client application business requirement and project/initiative deliverables.
  

Must Haves:

• Deep understanding of HL7 FHIR semantics, constraints, and best practices for resource relationships, cardinality, identifiers, and coding
  


• Ability to design and govern FHIR standards, profiles, extensions, value sets
  


• Demonstrated experience defining and applying FHIR metadata, tags, or classifications to support security, privacy, and access control decisions across multiple downstream consumers.
  


• Working knowledge of FHIR server platforms and implementations — including Azure Health Data Services and similar providers — with an understanding of capabilities and limitations related to search, filtering, pagination, and interoperability.
  
  

Requirements

Experience and Skill Set Requirements

FHIR‑Specific Skills (70%)

• Ability to interpret business requirements and design appropriate FHIR resources, profiles, value sets, and extensions.
  


• Strong capability in FHIR\-based information modeling and semantic alignment across domains.
  


• Deep understanding of FHIR semantics, constraints, identifiers, coding systems, and resource relationships.
  


• Ability to act as a FHIR design authority, documenting modeling decisions and standards for reuse.
  


• Experience supporting end‑to‑end FHIR data flows, troubleshooting and optimizing transformations.
  


• Ability to define and manage FHIR metadata and tagging strategies for security and access control.
  


• Experience with managing FHIR profile and using Simplifier.net for implementation guide and profile management
  


• Experience with extension versioning to ensure compatibility across consumer systems.
  


• Ability to produce high‑quality FHIR modeling and mapping documentation for both technical and business audiences.
  


• Working knowledge of FHIR server platforms and implementations — including Azure Health Data Services and similar providers — with an understanding of capabilities and limitations related to search, filtering, pagination, and interoperability.
  


• Ability to validate and align solution designs with AHDS capabilities and engage in technical discussions with Microsoft.
  


• Experience performing data mapping from source systems—including HL7v2, and proprietary schemas—into FHIR R4 models.
  


• Ability to design scalable, reusable, cross‑domain information models aligned to enterprise architecture frameworks.
  

Development & Integration Skills (30%)

• Hands‑on development experience with FHIR, bundles, search parameters, and transactions.
  


• Experience building ETL pipelines and proprietary schemas into FHIR using scripting/TypeScript.
  


• Proficiency with development frameworks and languages: TypeScript, JavaScript, Java, Spring Boot, Angular, Django, Bootstrap.
  


• Experience developing or maintaining FHIR tooling/libraries (e.g., FHIR.ts).
  


• Experience with SMART on FHIR, OAuth/OIDC, and security architecture patterns.
  


• Strong understanding of RESTful API design, versioning, error handling, and gateway patterns.
  


• Experience with integration and messaging platforms (Kafka, ActiveMQ).
  


• DevOps experience with CI/CD pipelines (GitHub Actions, Bitbucket) and containerization (Docker).
  


• Familiarity with cloud‑based services such as identity solutions like Microsoft Intra ID.
  


• Experience implementing authorization interceptors (HAPI FHIR, Spring Boot) to enforce access rules.
  

Must Haves:

• Deep understanding of HL7 FHIR semantics, constraints, and best practices for resource relationships, cardinality, identifiers, and coding
  


• Ability to design and govern FHIR standards, profiles, extensions, value sets
  


• Demonstrated experience defining and applying FHIR metadata, tags, or classifications to support security, privacy, and access control decisions across multiple downstream consumers.
  


• Working knowledge of FHIR server platforms and implementations — including Azure Health Data Services and similar providers — with an understanding of capabilities and limitations related to search, filtering, pagination, and interoperability.