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hello @Ravikumar Puvvala, I do not believe that IRIS currently supports the following features that you require as per my knowledge and research. 

Here i will upload a link to the official documentation of the HL7 / FHIR ( changes made and how to handle them ) post. 

i hope this will be useful for you. 

http://hl7.org/fhir/comparison-v2.html

Regards. 

Hi Ravikumar,

All can be done in InterSystems IRIS with almost no code.

Have a look at this demo to convert HL7v2 to FHIR : https://openexchange.intersystems.com/package/FHIR-HL7v2-SQL-Demo

For JSON/XML to FHIR, you can have a look here : https://github.com/grongierisc/HL7ToJson

For HL7 SIU, the same can be achieved with the first link.

For CDA/FHIR you have example here : https://github.com/grongierisc/FHIRaaS/blob/master/src/Interop/BP/CCDATr...

If you need more help, let me know.