Lee Chien-chang

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   Taiwan health ministry pushes FHIR Box platform to break hospital AI silos

   Lee Chien-chang, head of the information office at Taiwan's Ministry of Health and Welfare, said hospitals have long built their own health information systems (HIS), making it hard to reuse AI or apps developed by another hospital. The ministry's FHIR Box aims to create a common environment on top of existing HIS, bundling FHIR data-conversion tools, a high-performance FHIR server, a CQL rules engine, clinical decision support and a SMART on FHIR app runtime. The plan centers on FHIR data standards, a shared CQL rules library and the SMART on FHIR framework, with targets to deploy across all medical centers by the end of 2026 and expand to regional and district hospitals by the end of 2027. The report says Linkou Chang Gung, Mackay Memorial and Chung Shan Medical University Hospital have demonstrated cross-hospital record exchange and anticoagulant bleeding-risk analysis; the ministry set up a national interoperability and performance certification lab in August and selected 50 SMART on FHIR apps from 115 entries in April, while planning data, rules and app ecosystems.

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