The Norwegian FHIR vital signs profiles have been designed for exchange of the most important vital signs between systems, devices, and healthcare organizations in the national Norwegian healthcare system.

The FHIR profiles have been developed limited by the principle that all profiles should derive from the international vital signs profiles provided by HL7 International and then constrain or extend these as needed. Additionally, as Norway has adopted SNOMED CT as the standard healthcare related terminology system, the development has adopted the constraint that all ValueSets, “Magic Value”, and model bindings should be expressed as SNOMED CT pre-coordinated codes.

Furthermore the profiles uses OpenEHR archetypes as its internal information model, and there are both international and Norwegian national archetypes for vital signs that are clinically validated, the Norwegian national archetypes for the relevant vital signs were chosen as the logical model for the profiles.

The presentation will elaborate on lessons learned during the development process.