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Taiwan's Healthcare Data Interoperability: Cloud Adoption and AI Utilization Based on FHIR Standard

FHIR | iThome

August 3, 2025Ministry of Health and Welfare (衛福部)

Summary

Driven by organizations like Microsoft and the Ministry of Health, efforts are accelerating to uniformly exchange and manage electronic medical records using the FHIR standard. By utilizing cloud services like Azure, integrating structured and unstructured data aims to facilitate AI applications and build advanced healthcare systems.

Details

In Taiwan's healthcare IT sector, transitioning to the international standard FHIR (Fast Healthcare Interoperability Resources) and clouding up electronic medical records are key themes. Microsoft has offered a health data service on Azure, enabling uniform handling of structured and unstructured data in FHIR format. Furthermore, Taiwan Microsoft introduced an 'Industry Cloud,' which complies with international regulations like HIPAA and links with the Ministry of Health's push for e-medical record clouding and FHIR policies via dedicated FHIR APIs. The Ministry of Health announced plans to convert the Electronic Medical Record Exchange Center (EEC) architecture to FHIR. Additionally, Taipei Veterans General Hospital developed a vaccine certificate app based on FHIR, incorporating blockchain technology. These movements aim to move away from legacy systems like HL7 v2. Efforts are advancing, such as Google Cloud's data coordination service (Healthcare Data Engine), which maps diverse EHR system data into FHIR. International standardization trends, including mentions of Apple HealthKit and OHDSI, are also supporting implementation within Taiwan.

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