# Medical Informatics on FHIR
## International vender
- https://www.ithome.com.tw/news/148060
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## FHIR activities in Taiwan recently
-[MI-TW connectathon 2021/11/1-3](https://mitw.dicom.org.tw/preconnectathon.html)、[FHIR education](
https://ricci.biomed.org.tw/2021/11/08/fhir_application_1/)、[
13 Asia Pacific HL7 conference](
http://www.hl7.org.tw/2021conference/index.html)

## Opportunity
- Requirements form hospitals: voice recognition, ECG, sports medicine, home care for chronic disease...

## Integration infrastructure
- Create FHIR server (free ware) to collect all clinical data
- Develop web or application client cooperating with FHIR server
- IoT client to FHIR server: Such as blood pressure, ECG...

## Current situation
- Lack of IT developers familiar with medical informatic standards

## Planning
- Video conferences and training course
- Try projects : such as ECG on FHIR
- Tndonesia-Taiwan IoMT developer team: Binus university, Tzu-Chi university and hospital, Chang Gung university and hospital
-- [Tzu-Chi hospitals]( https://tzuchihospital.com/)、[
Chang Gung hospitals](
http://www.chang-gung.com/en/about.aspx?id=11&bid=1)

## IoT on FHIR
- Basing on [FHIR Point-of-Care Device Implementation Guide](http://build.fhir.org/ig/HL7/uv-pocd/)
- Using C or Python as client to create FIHR vital sign data
- Using open source FHIR server to store and share the data

## FHIR medical image structure report
- Using HTML and JavaSript to view DICOM image and create structured report
-- Such as X-Ray, CT, MRI reports
- Integrated with FHIR server and DICOMWeb server
-- FHIR server for sharing structured reports
-- DICOMWeb server for sharing medical images
- such as:
-- "So use PACS as an example," he continued. "We have kind of islands of PACS throughout our enterprise; where images are locked up is proprietary, or you need to use a proprietary reader. We're in the process of moving all of those images to Microsoft Azure and then using vendor-neutral readers to read that.
"https://www.healthcareitnews.com/news/interoperability-where-its-headed-and-where-it-leaders-will-be-investing?utm_source=facebook&utm_medium=social&utm_campaign=nurture_data_info&utm_content=data_info_11112021_hero_feature&fbclid=IwAR0hUH3VaApZMZhzw09KTX1Mn3jTBtkCiZKpVQsV-CMGTphs7by-nTatCjQ