Sweden on fhir - status report
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The document outlines the coordination of Sweden's national e-health strategy by Inera, a company that oversees health information exchange among 21 counties and 290 municipalities, with a revenue of approximately 80 million euros. It discusses the architecture and implementation of interoperability through shared APIs, with a focus on FHIR profiles and a virtual national EHR proof-of-concept. The document reveals that while no FHIR protocols are currently in use, future developments, particularly in observations, may shape the e-health landscape in Sweden.
Sweden on fhir - status report
- 2. Sweden on FHIR FHIR Dev days 2017 johan.eltes@inera.se Johan Eltes2017 nov 17
- 3. 21 counties 290 Municipalities REGIONS AND MINICIPALITIES IN COOPORATION FOR E- HEALTH Coordinates the national e-health on behalf of the public healthcare payers The revenue is approximately 80 million euro Inera is a company owned by the the Swedish Association of Local Authorities and Regions (SALAR)
- 4. The priorities of national e-health strategy Support to DECISION- MAKERS Support to PROFESSIO NALS INFRASTRUC TURE Support to PROFESSIONALS Support to DECISION- MAKERS Support, engage, motivate CITIZENS
- 5. Existing National HIE infrastructure Health information exchange platform Diagnoses Labresults Drugs Varnings EHR EHR EHR EHR EHR EHREHR Vaccinations State agency (e.g. EHM) State agency (eg. Insurance agency) 400 connected EHRs 1 billion exchanges yearly through 100 shared API:s Service oriented architecture for HIE in operation since 2010 Virtual national EHR
- 8. Proof-of-concept: Detailed Clinical Model building blocks using FHIR profiles Current national HL7 GreenCDA web-service profiles/apis (120) provide true interoperability across 500 connected EHRs Except for 2 of them… Generalized apis for observations and activities modelled at the level of the CIMI RIM, but Swedish/proprietary reference model Semantic agreements are documented out-of-band (Blood pressure, etc) No formal/computable representation (word documents)
- 9. The actual proof we are seeking… Swedish RIM specification OpenEHR RIM Archetype (clinical building block) FHIR profile Computational value Market tool support Manual Autom.
- 10. Towards a Common Nordic Language for Telehealth Architecture ?
- 11. National guidelines for tele health protocols in the Nordics (march 2017) A B B B C C
- 12. Summary –National Sweden on FHIR No FHIR protocols in use today Payload of new api:s are modelled on FHIR resource specifications and data types (prev. Green CDA) Continua 2017 FHIR Observation Upload will likely be the first deployed FHIR protocols of the national api portfolio Considering FHIR as edge API on top of existing HIE for patient apps (access to national virtual EHR) Oucome of Proof-of-concept may impact the overall strategy in various directions
- 13. Thank you!
Editor's Notes
- #6: There are excisting integrations for drugs