0.1.0 - ci-build

NordicHackathon2025, published by Vadim Peretokin. 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/vadi2/nordic-hackathon-2025-ig/ and changes regularly. See the Directory of published versions

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Official URL: http://example.org/ImplementationGuide/fhir.example Version: 0.1.0
Draft as of 2025-06-24 Computable Name: NordicHackathon2025

Nordic Hackathon 2025

This IG contains the FHIR Implementation Guide (IG) developed during the Nordic Hackathon for Coordinated Health and Social Care.

Overview

The IG provides FHIR profiles and resources to enhance data interoperability between health and social care systems, focusing on improving care for patients with multiple diseases.

Contents

  • Profiles: Customized FHIR profiles for patient data, care plans, and service delivery. The profiles are 'shallow' and do not go into the full details for the purposes of this Hackathon.
  • Examples: Sample FHIR resources demonstrating the profiles in use (page, zip)

Actors

The following systems are part of the FHIR group:

  • Medrave
  • Webdoc
  • Inera
  • Evondos
  • Doctrin
  • Alma Health

Data flow

Webdoc, used by the healthcare practitioner, produces planned visits (scheduled Appointments) that has been scheduled from the journal along with the related Patient and Practitioners that are involved.

Webdoc consumes self-reported blood pressure Observations as created by Doctrin (see below) to integrate this into the journal.

Medrave, used by the healthcare practitioner, produces Appointment requests (regular check-up, annual physical, etc.) that need to be scheduled, and also can create Task resources requesting that the patient do a certain action (such as take a blood pressure reading). Both of these resources are picked up by Doctrin in order to be actioned.

Medrave consumes and visualises for the healthcare providers the following data, in real-time using FHIR Subscriptions:

  • upcoming Appointments (created by Webdoc, Doctrin, Evondos)
  • Conditions (copd, coronary-heart-disease, diabetes, hypertension, leg-ulcers and other-emphysema),
  • Observations (blood-pressure created by Doctrin, bmi, cystatin-c, fev1-after-bd, hba1c, height, kidney-function, lipids, triglycerides and weight), and
  • MedicationStatements (cholesterol, diabetes, enalapril-hypertension, glimepirid-diabetes and kol)

Evondos has a medicine dispensing robot which produces MedicationDispense resources to report that medication has been taken or missed, as well as Appointment requests in case the patient has been missing too many doses and should be seen by a practitioner.

Doctrin is used by the healthcare practitioner and has communnication access to the patient. It produces Encounters, updates to Patient's administrative information, and Observations reporting the patient's self-reported blood pressure.

Doctrin consumes and visualises Tasks from Webdoc to reach out to the patient as well as Appointment requests from Medrave to schedule the patient contact.

Alma Health, used by the healthcare practitioner, consumes blood pressure Observations from Doctrin to automate patient contact via Doctrin.

Inera, used by the patient and secondary actors such as their relatives, can consume all of above data (Appointments, Observations, MedicationDispenses, and Conditions) to visualise it all in a single place and tie it all together.

All of this has been accomplished in a couple of preparatory meetings and a 2-day hackathon with 6 companies.


Usage

Implementers can use this IG to standardize data exchange in health and social care settings, facilitating coordinated and efficient patient care.

Contact

For questions or contributions, please contact:

  • Vadim Peretokin, Carasent Sverige AB
  • Monica Winge, Health Data Sweden
  • Sixten Björklund, Health Data Sweden
  • Paul Johannesson, Health Data Sweden

Note: This IG was developed as part of the Nordic Hackathon for Coordinated Health and Social Care, organized by Health Data Sweden in collaboration with Stockholm University and Karolinska Institutet.