A presentation at FHIR DevDays 2019 in Amsterdam, together with Anna Korpela (Kela), on latest developments with HL7 FHIR in Finland.

1. HL7®, FHIR® and the flame Design mark are the registered trademarks of Health Level Seven International and are used with permission.
November 20-22, Amsterdam | @HL7 @FirelyTeam | #fhirdevdays | www.devdays.com
FHIR in Finland
Anna Korpela and Mikael Rinnetmäki

2. Kanta PHR
• A national centralized data
repository for person’s own health
and wellbeing information
• Data “generated” by the person
themselves
• No official medical data
• Any software developer can get
their service/app integrated to
Kanta PHR
• More information: kanta.fi/phr

3. Kanta PHR and FHIR profiles
• All data stored in Kanta PHR has to
declare conformance to a profile
accepted to the national Kanta
PHR data content
• Data is also validated against the
profile
• Published in Simplifier:
• Finnish PHR STU3 profiles
• Finnish PHR R4 profiles

4. Kanta PHR Profiling
• With STU3 profiles closed profiling
• After receiving feedback, we’re
shifting towards more open
profiling with Kanta PHR R4
profiles
• …

5. Developing Kanta PHR data content and profiles
• We have our own process for
developing the national Kanta PHR
data content
• Anyone can suggest changes or
additions to the data content
• Evaluation criteria:
• …

6. Building support for R4 (next to existing STU3)
• Separate endpoints for STU3 and
R4 - one data repository, both
STU3 and R4 resources
• Data is stored in the FHIR version
the app stores the data
• For searches, we’ll add a converter
that will convert all the resources
to the same FHIR version
• After a transition period, the
support for STU3 will be dropped.

7. HL7®, FHIR® and the flame Design mark are the registered trademarks of Health Level Seven International and are used with permission.
November 20-22, Amsterdam | @HL7 @FirelyTeam | #fhirdevdays | www.devdays.com
Integration Experiences
Mikael Rinnetmäki, Sensotrend Oy

8. https://stm.fi/en/artikkeli/-/asset_publisher/stm-palkitsi-kolme-hyvinvointisovellusten-kehittajaa

9. Nightscout API on Kanta PHR
• Apps developed by an open source
development community connect
to the national Kanta PHR
• Through an API certified as a
medical device.

16. Shared Data

20. MyData principles
• Instead of bilateral agreements between
companies, allow citizens to manage their
data flows on a centralized platform

21. Patient-generated health data in the national PHR
• This feels transformative!

22. Next steps
• Integrating with healthcare
providers.
• Expanding to other markets.
Medmij?

23. Code published
• https://github.com/Sensotrend/sensotrend-converter
• https://github.com/Sensotrend/nightscout-fi
• https://github.com/Sensotrend/uploader

24. Other FHIR use cases in Finland
• Scheduling
• One EHR system (CGI) provides a FHIR scheduling API natively
• We have developed FHIR adapters to other EHR implementations
• Get in touch with Timo Mäntyvaara & Antti Karhu (Solita) at DevDays.
Also Timo Kaskinen & Marko Jalonen (Salivirta), Arto Huusko (CGI).
• Specifications in international projects such as Trillium II
(International Patient Summary)
• New EHR system project requirements (regions/hospital districts)

25. www.devdays.com