0.1.0 - ci-build Sweden flag

SEMedicalAlertInformationImplementationGuide, published by HL7 Sweden. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Sweden/hl7.fhir.r4.ig.medicalalertinformation/ and changes regularly. See the Directory of published versions

Index

Official URL: http://hl7.se/fhir/r4/ig/medicalalertinformation/ImplementationGuide/hl7se.fhir.r4.ig.medicalalertinformation Version: 0.1.0
Draft as of 2026-05-05 Computable Name: SEMedicalAlertInformationImplementationGuide

HL7 FHIR R4 Medical alert information implementation guide for Sweden

This FHIR implementation guide is published by HL7 Sweden and expresses the profiles used for medical alert information based on the Swedish National Board of Health and Welfare (Socialstyrelsen) specification https://www.socialstyrelsen.se/kunskapsstod-och-regler/omraden/e-halsa/tillampning/uppmarksamhetsinformation/.

This implementation guide follows version 6.1.2 of Socialstyrelsen's information specification for medical alert information.

Usage Description

This implementation guide describes how medical alert information can be structured and exchanged using the resources of the HL7 FHIR standard. The guide is based on the National Board of Health and Welfare’s (Socialstyrelsen’s) information specification for medical alert information and aims to enable uniform and secure information exchange between healthcare systems, regardless of vendor. Medical alert information includes data on patients’ special needs, risks, or other circumstances that are important to consider in healthcare and social care situations. The information is intended to raise awareness among healthcare professionals and other relevant stakeholders, with the purpose of contributing to safe, person-centered, and secure care.

The implementation guide defines specialized FHIR profiles, value sets, code systems, and examples that comply with the National Board of Health and Welfare’s national guidelines and conceptual models. It is intended to support technical integrations and interoperability between information systems in healthcare and social care. The target audience for the guide includes information managers, system administrators, developers, and others working with the implementation of FHIR-based information exchange in health and social care.

Use cases

The guide is designed to support common Swedish healthcare exchange scenarios, such as cross-organisational access (e.g., NPÖ) and regional synchronisation across systems. See Use cases for detailed flows and recommended interactions (search, lifecycle, and optional provenance/source context).

Terminology

To ensure consistent wording across the guide, use the preferred English terms listed in Terminology and translations.

Alert label usage

Use Flag.code for the clinical terminology code (SNOMED CT, ICD-10-SE, or ATC).
Use Flag.extension[alertLabel] for the user-facing alert label that corresponds to the national code list published by Socialstyrelsen: https://www.socialstyrelsen.se/kunskapsstod-och-regler/omraden/e-halsa/tillampning/uppmarksamhetsinformation/.

For clients:

  • Display extension[alertLabel].valueCodeableConcept as the alert heading/title.
  • Display code.coding as the underlying terminology code for interoperability and decision support.
  • If alertLabel is missing, fall back to code.text and/or code.coding.display.

The working group

The development of this implementation guide is carried out by a work group under the management of HL7 Sweden http://hl7.se. The group is composed of representatives from regions, state authorities, system vendors and other experts within the FHIR standard, informatics, architecture and terminology.

Contact information

To reach the working group for the alert information Implementation Guide contact
Claudia Ehrentraut - Project manager for the alert information working group.