Taiwan's Healthcare Interoperability: Building an App Ecosystem with FHIR and SMART on FHIR
臺灣為何需要首批50款SMART on FHIR App？李建璋：從標準走向應用生態的關鍵一步
Summary
The Ministry of Health and Welfare (MOHW) selected 50 excellent SMART on FHIR applications from 115 submissions. This aims to promote the use of diverse medical apps, including AI and clinical support, by building a proprietary market called 'THAS.'
Details
Taiwan's healthcare IT sector previously suffered from siloed, closed hospital systems, creating significant barriers for developing and deploying new AI applications. To address this, the MOHW is promoting international standards FHIR and SMART on FHIR. The 50 selected apps cover a wide range of fields, including medical AI (e.g., fundus image reading), clinical decision support, and administrative management. Crucially, the effort goes beyond mere standardization by providing 'FHIR Box,' a common platform. This system builds a data conversion layer and application execution environment over existing hospital systems (HIS). This aims to unify data into FHIR format across different hospitals, creating an 'inter-hospital shared ecosystem.' This initiative seeks not only to introduce technical standards but also to transform the role of healthcare IT from mere 'system maintainers' to 'application value creators,' establishing a subscription-based data economy (the THAS market).
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