Preparations and plans from the Austrian EHR towards FHIR
summary
Austria’s ELGA holds 60M documents, 7M prescriptions per month and 14.5M vaccination records for 9M citizens and runs on SOAP/IHE XDS/HL7 CDA but mandates REST and FHIR. A terminology CI/CD pipeline uses GitLab, MalikCT, FHIR IG Publisher and Linux4Health/TURKEY file servers to produce multiple serializations and manage 170 code systems. Plan is a parallel CDA→FHIR lab transform first, exposing documents as bundles with conditional references and supporting both messaging (MHD/FHIR) and native FHIR resources.
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chapters (10)
- 0:00Introduction and motivation
- 1:05Overview of Austrian EHR system
- 3:10Terminology infrastructure and governance
- 6:20Pipeline and automation for FHIR
- 9:08Integration with FHIR and future plans
- 13:53Challenges and patient access
- 16:03Health apps and API access
- 17:47Political and technical barriers
- 19:14Terminology server experiences
- 20:39Summary and Q&A
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