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An accident spawned the FHIR data exchange platform to support medical care in 100 outlying islands in Taiwan

Publish date
2020-12-31
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An accident spawned the FHIR data exchange platform to support medical care in 100 outlying islands in Taiwan

An accident spawned the FHIR data exchange platform to support medical care in 100 outlying islands in Taiwan

               (Image Source:IThome)

 

Ministry of Health and Welfare Creates the Fast Healthcare Interoperability Resources (FHIR) to connect the HIS, PACS, health insurance cloud query system and electronic medical record system of local medical institutions in outlying islands to realize real-time multi-party decision-making, whether it is a national nursing manpower survey or nursing Institutional assessments, or subsidies for publicly funded students and medical treatment and transportation expenses across mountainous outlying island counties and cities are all within the jurisdiction.

 

In an accident two years ago, there was a need for data exchange and integration. UH-60 "Black Hawk" helicopter was carrying out an outlying island transfer service, but it crashed shortly after takeoff and all 6 passengers were killed. This is the first time that the Ministry of Health and Welfare has carried out air referral and evacuation for more than ten years.

 

Why they can't access the medical records and make immediate decisions by the three parties? Because of the lack of information available for judging the evacuation, there have also been many unnecessary but urgent evacuation situations, especially in the 40% high-risk night flight, many of which are unnecessary flights.

For this reason, Ministry of Health and Welfare chose FHIR, a medical data exchange standard commonly used in the United States, as the standard for data exchange on the new platform, and it was officially launched in October 2019. By October 2020, the number of actual cases sent through the new platform reached 347. Pieces.

 

When the COVID-19 epidemic broke out at the beginning of this year, the FHIR successfully resolved the divergent judgments of suspected cases. This platform not only solved the unilateral decision-making pressure, but also planned to expand the use of the platform, such as promoting indigenous peoples through the platform's video function. And continuing education in outlying islands to analyze patient medical data and predict whether there is a need for air referral and evacuation. Next year, Ministry of Health and Welfare also plans to expand this telemedicine model to other outlying islands and rural health centers to deepen telemedicine care with information sharing and technological assistance.

 

 

source:

IThome

https://www.ithome.com.tw/news/141638