衛福部推動跨院病歷交換，運用FHIR Box作業系統平台 (an innovative medical interoperability platform and "operating system")，預計今年底達成全台醫學中心互通，明年擴大至區域及地區醫院。

衛福部推動跨院病歷交換，運用FHIR Box作業系統平台 (an innovative medical interoperability platform and "operating system")，預計今年底達成全台醫學中心互通，明年擴大至區域及地區醫院。


FHIR BOX 可以想像成「醫院的共通轉接平台＋應用作業系統」 · 不用換掉原本HIS 系統 直接在上面加一層平台 自動把資料轉成FHIR 直接支援SMART on FHIR ...Read more

醫療資料治理轉型FHIR 重塑臺灣醫療競爭力

May 8, 2026 — FHIR Box 由衛福部提供互通標準與作業系統平台，透過互通性作業系統（FHIR Box OS），硬體供應商提供高吞吐量硬體支援運作，傳統小型電子病歷供應商與 ...



中央社新聞粉絲團


全台各醫療院所用的病歷系統有40多套，資料格式與代碼都不一致，民眾到不同醫院就醫，想攜帶病歷，時常須燒錄光碟或影印紙本。
衛福部推動跨院病歷交換，運用FHIR Box作業系統平台，預計今年底達成全台醫學中心互通，明年擴大至區域及地區醫院。
國科會主委吳誠文表示，可讓民眾看診更便利，也看好國際市場潛力。

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贊助我們，讓台灣的新聞視角更開闊

AI Overview



FHIR Box is an innovative medical interoperability platform and "operating system" developed by Taiwan's Ministry of Health and Welfare (MOHW) and the Industrial Technology Research Institute (ITRI). It bridges the gap between disparate Hospital Information Systems (HIS) and modern, standardized SMART on FHIR applications. [1, 2, 3, 4, 5]

🏗️ Three-Tier Architecture

Rather than replacing existing hospital systems, the FHIR Box sits on top of legacy infrastructure as a middleware platform built on three layers: [1, 2, 3, 4, 5]

1. Data Space (資料層): Translates decentralized, fragmented, and unstructured hospital data into the standardized, internationally recognized HL7 FHIR format (incorporating RWD, LOINC, and SNOMED CT).
2. Rule Space (規則層): Utilizes Clinical Quality Language (CQL) to convert complex medical knowledge into executable rules, clinical decision support (CDS) logic, and policy management.
3. App Space (應用層): A native environment that supports SMART on FHIR apps, establishing a standardized ecosystem where clinical AI and monitoring apps can function seamlessly across different institutions. [1, 2, 3, 4, 5]

🏥 The "Windows of Healthcare"

Because different hospitals often use different proprietary systems, FHIR Box acts as a unified translation layer and exchange hub (dubbed the Operating System of Interoperability). This means that regardless of a hospital's backend system, they can all run the same standardized medical apps, making cross-institutional data exchange and AI integration significantly easier. [1, 2, 3, 4]

⏱️ Rollout and Timelines

• Initial Milestones: Successfully demonstrated across major medical centers (including Chang Gung Memorial, Mackay, and Chung Shan Medical University).
• Ongoing Expansion: Supported by continuous government grants, deployment is underway at major medical centers and regional hospitals, creating a standardized hub connected to a national marketplace of smart applications.
• National Goal: Targeted to cover all medical centers, regional hospitals, and local district hospitals. [1, 2, 3, 4]

For more official policy details and technical information, you can read the Taiwan MOHW Digital Health Platform Announcement or explore general interoperability guidelines on the HL7 FHIR Official Website. [1, 2]