Møte 31 i FHIR fagforum

  • Dato: 2025-09-10
  • Klokkeslett: 1300-1500
  • 47 personer innom møtet virtuelt (3 i møterom på Helsedirektoratet)

FHIR fagforum (FFF) er et åpent forum om bruk og implementering av HL7 FHIR i Norge. FFF er åpent for alle.

Agenda: Nordics and terminology

  1. Welcome, Thomas og Info fra HL7 Norway Øyvind, 10 min
  2. FHIR modernization effort in Denmark, 30 min Ole Vilstrup Møller (Medcom)
  3. Nordic terminology server collaboration, 20 min Mattias Colliander (HL7 Sweden)
  4. Technical implementation of server and demo, 20 min Vadim Peretokin
  5. Whats next for terminology coop nordic, 20 min Daniel Karlson (E‑hälsomyndigheten)
  6. How we use/plan to use this in Norway, 10 min Thomas T Rosenlund (Helsedirektoratet)
  7. Q&A 20 minutter

Presentations

HL7 Norway intro

  • Høring på EU-IG
  • HL7 Norway have got some money from HTO for work on municipality/infrastructure components
  • Domain profile ballot, ready for release!
  • Courses and seminars proposals to post@hl7.no

FHIR modernization effort in Denmark

  • FHIR messaging
  • Firing up the National Danish healthcare messaging infrastructure with FHIR
    • How EHMI embraces and enhances eDelivery with FHIR

Terminology nordic coop

  • Context and background from Mattias Colliander
  • A case for term servers
    • CodeSystems, terminology and classifications
  • A lot of organizations cooperate
  • At some point we need to code information for interop.
  • Do not build your own just don’t
    • There are a lot of commercial available or open source, use that

  • Term server is a Techincal issue - not ownership

  • Term server - defined by FHIR in the terminology module
  • How to serve concepts, codesystems and valuesets
  • Production vs IG creation
    • Transactional load performance, SLA
    • Hard to deliver a stable service for production (clinical) use-case
  • Creating IGs
  • Readable and the national/local codesystems in our native language
  • The termserver ecosstem is used for validation and expansion of national/regional/local codesystems/valuesets
  • The ecosystem is built around tx.fhir.org
    • tx.fhir.org has a list of what term server has a maintained version of that codesystem
    • IG creation tooling can be used as normal, and still get national codesystems
  • Started in Vitalis 2025
    • why can’t you just run one
    • xyz.fhir.org
    • Broaden the scope of swedish term server to all of the nordics
  • tx-nordics.fhir.org an instance of CSIRO’s Ontoserver
    • HL7 Affiliate License
    • interoperability standards development
    • internal research and development
    • NOT for production systems
  • Common responsibility - HL7 Sweden put it up
    • Maintained by the nordic HL7 affiliates
    • Documented on HL7.or confluence (hl7 nordics)
  • References and documentation
    • (should be published on confluence)

Technical implementation and demo (Vadim Peretokin)

  • Hosted in the cloud Cleura

  • Open stack

  • Can be accessed on the internet
  • Dashboard
    • Resources
    • Terminology resources
      • Valuesets, codesystems and namingsystems
      • SNOMED editions from the nordics
    • ConformanceResource
      • operations
      • resources supported
    • Use the FHIR API of the server
    • Terminology browser Shrimp
      • Translations are provided with the national editions
      • Search for abbreviations of words
    • ECL works on ontoserver
    • Building IG’s from the tx-nordic
    • Not for runtime use - you should syndicate to a local tx-server

Whats next for nordic coop - Daniel Karlsson

  • What to use this terminology server for?
  • Use-cases
    • Publishing validationg FHIR IGs in the nordic countries
    • Publishing codsystems in our FHIR IG’s not readily avilable in FHIR format
      • NPU etc.
    • publishing translations fo HL7 and other codesystems
    • Codesystem maintenance and development (through IG’s)
      • can be uploaded to the terminology server
  • In the end we might not have to specify using the tx-nordic switch set when terminology nordic is recognized in the ecosystem
  • Pulbication of FHIR IG says that missing codesystems leads to an expansion error in IG building.
  • Responsibility to keep this updated with latest version
  • Work with terminology provider to decide on FHIR representation
  • Governance of the terminology server have to be decided.
  • NPU terminology on FHIR
    • Will be published on tx-nordics
  • multi language IG’s
    • Tooling in development

Q and A

  • Inspiring work, would like to cooperate on updates of the Norwegian edition.
    • SNOMED edtions plans to add support for participate in the ecosystem
    • To host the nordic editions
    • Syndication to the SNOMED CT update feed can be set up