[FUME TO FHIR] Implementing Taiwan's Healthcare Data Interoperability: TWPAS/TWCI Case Study

Details

This technical article discusses the background of adopting FHIR in Taiwan's healthcare sector, driven by government initiatives. It focuses specifically on two guidelines: TWPAS (for pre-screening drug applications) and TWCI (for major illness processes). The core challenge addressed is the necessity of migrating complex, historically fixed operational workflows from older formats to a modern FHIR architecture, requiring overhaul across databases, front/back-end systems, and I/O integration. The author provides a detailed implementation methodology. First, they analyze sample Bundle JSONs required for submission. Next, they guide readers through identifying the necessary components within the Bundle Profile and listing all required sub-resources (e.g., $claim, $encounter, $patient, $medicationRequestApply). The process involves using a tool called FUME to structure and compile these resources. This detailed breakdown emphasizes that successful implementation requires not just data transfer but deep conceptual understanding of FHIR and practical mapping skills. It serves as an in-depth technical guide on Taiwan's advanced standardization efforts in healthcare IT.