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Chair:  Giorgio Cangioli


Minutes Approved as Presented 

Agenda and Minutes

Agenda Outline

Agenda Item

Meeting Minutes from Discussion


Agenda approval

  • Welcome to Nicolas, 


  • Hospitals on fhir (25 min)
  • Short term Objectives (20 min)
  • Medium term Objectives (10 min)
  • AOB

  • Welcome to Nicolas, short description of what TNT is.

Hospitals on  fhir

The goal is the creation of network of hospital to facilitate intra and inter regional, national and cross-national health data exchange.

  1. The initiative is proceeding with the preparation/ engagement phase.
    1. Kick off virtual meeting March 31st
      1. overview
      2. panel 1: National perspective: 
      3. panel 2: EU perspective
  2. Dedicated site is under preparation, including a map showing the “Hospital-on-fhir”.
  3. How to engage hospitals ?
  4. Very first classification proposal has been drafted
  5. How to organize the technical work ?
  6. Meeting with Diego 
    1. plan for a joint call with TNT on this topic. When ?
    2. meeting with TNT April 1st ; 15.00-16.00 CET
Hospital on  fhirFrom previous Calls

Jens Villadsen : for DK is not a Hospital but  Regional matter and probably through Scandinavia

Jose Costa-Teixeira 

In Belgium we are planning to do something about mapping the different actors across sites. We plan to do this as part of our certification process - when a system TNT is certified, they should show on the map.

Christof Gessner For Germany a large study was just started, led by Sylvia:            

In gematik we are working on common metadata for hospital document exchange  and some other topics for hospital standardisation with FHIR:

Roman Radomski  Polish hospitals are rather FHIR clients dealing with FHIR APIs of central (government) systems.

Hospital on  fhir

Hospitals, and indeed large healthcare organizations in Europe have two fundamental responsibilities regarding the health data they collect and care for:

  1. To share it amongst themselves, including cross-border, to provide responsible and easy patient care.
  2. To make it available for regional national and European secondary use, within safe and regulated means, in such ways that research, public policy and public health can be fostered.
Objectives 2022/23
Objectives 2022/23

Short term Objectives (by 30.06.2022)

  1. How to move things forward ?
  2. HL7 FHIR artifact published as HL7 Europe. Possible content: EU wide profile e.g.
    1. EHIC profile;
    2. Reference to relevant national profiles (e.g., specialized identifiers); Naming Systems; Value Sets).
    3. Subtask: Proposal for a publication process for HL7 EU )(open for discussion)
    4. What we can say / do about it ?


possible approach common profiles for things like an EU IPS

granular profiles (identifiers, naming systems,...)

  1. HL7 FHIR IG Template for Affiliates (requirements + template). DONE ? easy to reach ? (Jose Costa-Teixeira )
  2. Present TNT and its goals/objectives to the HL7 TSC
    1. May?
  3. Provide technical support to the “hospital on fhir initiative”
    1. (Giorgio Cangioli )
    2. see above

Objectives 2022/23

Medium Objectives (by end 2022)

  1. myHealth@eu and agreed XeHealth value sets published through HL7 EU
    1. Should we do that right now ?
    2. Could we link this to the request of having myHealth@EU value sets published as HFIR resources?
  2. Requirements for multilanguage support for FHIR IG publication.
    1. Should this be moved ahead ?
  3. Webinar for technical representative from affiliates (e.g. FHIR IG publication; sharing implementation experiences).
    1. Should we link this to the following threads
    2. the coexistence of CDA and FHIR solutions  (see
    3. Terminology services (see
  4. Evaluation of the need of a more formal governance of TNT
    1. I don’t think this is a needed for the time being

Supporting Documents

Outline Reference

Supporting Document

Minute Approval