Danish FHIR – how legacy gets FHIR’ed
summary
MedCom implements the first three FHIR messaging standards from a 29‑year Danish catalog, migrates messaging infrastructure to EHMI using eDelivery and bridges that with national IHE XDS, and plans to allow FHIR documents alongside CDA. Central validation of uploads and XDS metadata runs against a FHIR terminology server. Testing uses Touchstone plus manual semantic checks; mapping from legacy EDIFACT and Danish XML proves unavoidable. Rollout is phased—state and regions slower, municipalities and primary care faster—and keeping XDS for several years reduces risk but raises integration cost.
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chapters (11)
- 0:00Introduction to Danish FHIR
- 0:22Legacy standards modernization
- 2:54Infrastructure and terminology updates
- 5:25Standard development and testing
- 7:59Current Danish FHIR standards
- 11:12Future FHIR implementation plans
- 14:51Project approach and challenges
- 17:21Transition and mapping strategies
- 19:35Data paradigm changes impact
- 20:41Costs and sustainable modernization
- 21:44Q&A on XDS structure
