Inera Core Implementation Guide
0.2.0 - ci-build Sweden

Inera Core Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Official URL: https://inera.se/fhir/core/ImplementationGuide/se.inera.core Version: 0.2.0
Draft as of 2025-12-16 Computable Name: IneraCoreIG

Inera Core Implementation Guide

Introduction

Welcome to the Inera Core Implementation Guide - the Swedish national FHIR profiles for healthcare information exchange.

This Implementation Guide (IG) defines the foundational FHIR profiles, extensions, and terminology bindings required for interoperability in Swedish healthcare. It serves as the core specification for the Nationell Patientöversikt (NPÖ) and other national healthcare information exchange initiatives in Sweden.

Purpose

The Inera Core IG provides:

  • Swedish Base Profiles: National adaptations of FHIR resources aligned with International Patient Access (IPA) principles
  • TKB Integration: Complete mappings from TKB (Tjänstekontraktsbaserade tjänster) logical models to FHIR resources
  • Swedish Terminology: Comprehensive bindings to Swedish code systems including:
    • Swedish national identifiers (personnummer, samordningsnummer)
    • HSA-ID for healthcare professionals and organizations
    • Swedish clinical code systems (KV Befattning, KV Vårdkontakttyp, NPL, ATC, ICD-10-SE, etc.)
  • PDL Compliance: Support for Patientdatalagen (Patient Data Law) requirements including provenance tracking and access control

Scope

This IG covers the following areas:

Patient and Demographics

  • Patient identification using Swedish national identifiers
  • Gender and demographic information aligned with Swedish standards

Clinical Content

  • Diagnoses (ICD-10-SE, SNOMED CT SE)
  • Allergies and intolerances (NPL, ATC coded)
  • Medications (NPL, ATC coded)
  • Laboratory results (NPU, LOINC coded)
  • Clinical observations and assessments

Healthcare Providers

  • Practitioner identification via HSA-ID
  • Professional roles (KV Befattning)
  • Organizational hierarchy (vårdgivare → vårdenhet → organisationsenhet)

Care Activities

  • Encounters/care contacts (vårdkontakter)
  • Care documentation
  • Provenance and audit trails for PDL compliance

Audience

This IG is intended for:

  • System developers implementing healthcare information systems in Sweden
  • Integration architects designing national healthcare infrastructure
  • Clinical informaticians modeling healthcare data
  • Standards organizations coordinating Swedish healthcare interoperability

Conformance

For detailed conformance requirements, see the Conformance page.

Dependencies

This IG builds upon:

  • HL7 Sweden Base Profiles (1.1.0) - Swedish national base profiles
  • FHIR R4 (4.0.1) - Base FHIR standard
  • IPA (1.1.0) - International patient access patterns
  • Swedish Terminology - SNOMED CT SE, NPU, ICD-10-SE, NPL, ATC, KV codes

For detailed dependency information and rationale, see the Dependencies page.

Contact Information

For questions, feedback, or collaboration opportunities:

Informationsarkitektur Team
Inera AB
Email: informationsarkitektur@inera.se
Web: https://www.inera.se

  • Guidance: Implementation guidance, mapping strategies, and TKB integration
  • Artifacts: Browse all profiles, extensions, value sets, code systems, and concept maps
  • Downloads: Download the complete IG package
  • Change Log: Track changes across versions

Status

Current Version: 0.2.0 (CI Build)
Status: Draft
Publication Date: 2025

This is a continuous integration build and is subject to change. Implementers should be aware that this specification is not yet finalized.

This Implementation Guide is maintained by Inera AB as part of Sweden's national healthcare information infrastructure.