The Egde Health Gateway is a key component in Egde’s Health Platform architecture. It provides the following functionality:
This IG covers the overall guide for the Egde Health Gateway.
We plan to develop IGs in English but they may contain references in Norwegian where we feel this is more appropriate to the use case.
The Egde Health Gateway is developed in compliance with the recommendations from “Målarkitektur for datadeling i helse- og omsorgssektoren fra Direktoratet for e-helse.”
Egde Health Gateway is a hybrid cloud based Software as a Service (SaaS) offering that includes a data converter to and from FHIR to other specified formats as well as a FHIR Server. The goal of the Egde Health Platform is to be a standards-based, cost effective and patient-centric platform for health services.
The Egde Health Gateway realises the following:
The gateway is designed by the following principles:
For further details on security see section 8 Security
This use case is for customers developing products, apps and solutions that are patient-facing and require a storage and backend API delivery to an application front-end. The Gateway provides a compliant and secure FHIR backend. The Gateway converts FHIR resources to DTO format fort API communication.
Example 1: Godt Begynt
The Egde Health Platform provides the backend for a control app and data integration between Checkware and the Municipality’s EPJ systems.
Godt Begynt (GB service) Godt begynt IG
Example 2: Zyberia
The Egde Health Platform provides the patient data backend, secure and compliant data storage and authentication for the service.
Example 3: StaySafe
The Egde Health Platform provides the backend for data integration between senors and EDI messages.
StaySafe (STS service) Staysafe IG
Example 4: Evjeklinikken
The Egde Health Platform provides the patient data backend, clinic admininstration, secure and compliant data storage and authentication for the service. Thjis project used Smile CDR, the commercial implementation of HAPI FHIR.
Evjeklinikken (VJ service) Evjeklinikken IG
Example 5: EM-app
The Egde Health Platform provides the backend for a service to citizens in Norway to submit a photo of a potential tick bite skin rash (Erythemia Migrans) for evaluation and response from a qualified doctor to help prevent lyme disease.
EM-app (EM service) EM IG
This use case is for customers requiring data integration with external data sources and sinks. This can be for legacy connection and conversion of EDI/XML interfaces, priorietary RESTful APIs or existing FHIR APIs.
Example 1: Zyberia
Example 2: Godt Begynt
This use case covers the authentication of system users via required mechanisms, usually OIDC (OpenID Connect).
In the public sector for Norway this is usually via IDPorten .
In the provate sector for Norway this is usually BankID or VippsID and can be via the third-party service from Signicat AS.
Example: all customers
|FHIR Server||HAPI FHIR||Available||-|
|Private Cloud||NO & DE Kubernetes||Available||Continuous improvement|
|Monitoring||Azure devops & security||Available||Continuous improvement|
|Identity Provider IAM||Azure AD, Identity Server||Available||-|
|Admin portal||Azure deployments||Available||Q1 2021|
|OIDC/OAuth2||-||Available + solution customisation||Continuous improvement|
|SMART App Launch||-||Available||Continuous improvement|
|NoFHIR to FHIR Converter||FHIR Facade||Avaiable||Continuous improvement|
|FHIR to NoFHIR Converter||Egde||Available||Continuous improvement|
|NHN Persontjenesten||EHG integration||Available||Operational|
|NHN Adresseregisteret||EHG integration||Available||Operational|
|NHN Adresseregisteret||service via proxy||In test||Operational|
|NHN ASP service||EHG qualified||Available||Operational|
|NHN Samsvartest||EHG integration||In development||2023|
|Pasientens prøvesvar (NILAR)||FHIR||Candidate|
|Norsk helsenett - Journal||EDI XML||In development||Q3 2021|
|Norsk helsenett - Sysvak||EDI XML||In development||Q3 2021|
|Helsenorge||FHIR||Under consideration||Q4 2021|
|UiO TSD||CSV||In development||Q2 2021|
|NAV Hjelpemidler||?||Under consideration||2022|
|Visma HsPro||EDI||Ready for test||Q4 2023|
|Infodoc Fastlege||EDI||Ready for service||2023|
|Checkware||SOAP XML||In sevice||Operational|
|DIPS Arena||FHIR||In development||2023/2024|
|SSHF StaySafe||?||In development||?|
|Extensor integration||EDI||Ready for service||2023|
|Connector |System/Format |Status |Roadmap| |————|———–|———–|-| |Signicat |OIDC |Complete |Operational| |ID-Porten |OIDC |Complete |Operational| |NHN HelseID|EHG service & integration|Available|Continuous improvement| |BankID |OIDC |via Signicat |?| |Sykehuspartner federingstjeneste (IAM)| |In service |Operational| | | | | | n Guides (IG’s) <!– Examples - “There has to be a diabetes control document once every three months”.
Please refer to indivdual Implementation Guides (IG’s)
Each technical implementation guide will be published as a specifc set of artifacts.
Egde aims to use International standards whereever possible. For National use Egde uses or bases all profiles on existing national profiles and is committed to working with the community to develop and qualify new profiles.
Refer to the overall Egde Health Gateway IG: Egde Health Gateway IG and profiles. <!– ### Usage
Terminology references can be found in individual IG’s.
ValueSets are provided in individual IG’s.
The following code systems are currently in use:
Please see indivdual IG’s.
The Egde Health Gateway is designed to support the hightest levels of Norwegian, European and US security best practices as applied to patient and other health data.
This includes the following:
Compliance with the “Norm for informasjonssikkerhet og personvern I helse og omsorgssektoren (Normen)”.
For further details refer to: https://www.ehelse.no/normen
For an English version refer to:https://www.ehelse.no/normen/documents-in-english
Compliance with HIPAA (Goal: 2023)
The Schrems II Decision is a key ruling by the Court of Justice of the European Union (CJEU), in July 2020 they declared that Privacy Shield, the EU-US personal data transfer mechanism, was no longer lawful. This decision will have significant impacts on EU-US data transfers, and many organizations will need to update their programs to rely on alternative transfer mechanisms.
The following challenges arise that may impact Egde Health Platform customers:
The Egde Health Platform & Gateway are built on the Microsoft Azure Stack technology. Development and test systems where there is no personal or health data used can be deployed to public Azure instances. Production systems for Norwegian customers are deployed to a private data centres in Norway and are therefore compliant with the Schrems II ruling.
(TODO: 2023 update needed here)
The Egde Health Platform helps customer solutions to comply with the Norwegian Patient Journal law covering issues such as duty of confidentiality and security including logging and auditing requirements. Egde can provide technical advisory services and technical components to allow customers to comply with this law. Egde does provide legal advice. The full customer solution or service must be designed for compliance including those parts of the solution that lie outside of the remit of the Egde Health Platform and/or Gateway.
GDPR covers privacy requirements for individuals including:
The full customer solution or service must be designed for GDPR but the Egde Health Platform & Gateway is designed to help customers confiorm to this requirement.
Available - description to follow
General help on this document: Andy Harrison Technical help: Jan Ivar Øyulvstad
Key to published status of each section: