Taiwan's Digital Health Transformation: Towards a New Era of Holistic Care

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Taiwan leverages its strong ICT industry and the high-quality data foundation built by the National Health Insurance (NHI) over years to achieve 'Healthy Taiwan.' Central to this effort is the national digital health platform, the '3-3-3 Framework,' which integrates three key healthcare spaces, three critical data standards, and three national AI governance centers to build a comprehensive digital infrastructure. Crucially, by adopting international standards like FHIR (Fast Healthcare Interoperability Resources), it ensures interoperability of electronic medical records across over 400 national hospitals. This allows data to be safely shared and utilized under a Zero Trust cybersecurity framework. Tangible results include the 'Family Physician Platform,' which uses AI-based risk prediction for chronic disease management, shifting care from reactive treatment to proactive health management. Furthermore, platforms like 'My Health Bank' promote personal health management by integrating data from wearable devices. FHIR standards are also utilized for exchanging Next-Generation Sequencing (NGS) data in cancer treatment, accelerating access to timely care. In the AI domain, 19 national medical AI centers have been established with responsible governance and clinical validation, leading to regulatory approval for over 50 medical AI products. Taiwan also employs federated learning, enabling international model validation without moving sensitive data. These efforts are building a data-driven smart health ecosystem that extends care from hospitals into the community and daily life, realizing holistic care.