**Disclaimer**
**The menu items above marked with a star are yet not specified**
In MedCom13, MedCom has a joint testing project ’Kommunale prøvesvar på ny infrastruktur’(‘HomeCareObservations on new infrastructure’), where MedCom’s two central modernization tracks are connected: FHIR and EHMI, where both the message communication and the infrastructure are modernized. The modernization is due to the need to improve the quality of e.g. security, transparency, robustness and efficient, international digital message communication. Overall the EHMI Production Pilot is described in the Project Description as part of MedCom13 here
In the project, a test will be carried out in operation in parts of Q1 and Q2 2026.
In the test, the new FHIR standard for municipal test responses, HomeCareObservation, will be sent from municipal emergency services (EOJ) to general medical practice (LPS) via EHMI.
The dispatch of the standard must be done via the new underlying eDelivery infrastructure, which is carried out on the Health Data Network, Sundhedsdatanettet, and there must also be a test of EHMI functionalities such as document sharing and Delivery status (Track’n’Trace).
The project has a number of deliverables of specifications, which can be seen below in EHMI Production Pilot specification schema
Table of contents
EHMI Core is defined as
EHMI Core is further described here
EHMI Core Security is defined as
EHMI Delivery Status is defined as
EHMI Delivery Status is further described here
EHMI Delivery Status Security is defined as
EHMI Specification | Q1 2024 | Q2 2024 | Q3 & Q4 2024 |
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EHMI Core read more… |
ehmiSMP Spec for AP ehmiSBDH Spec for MSH & AP |
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EHMI Core Security read more… |
EHMI Security for EHMI Core |
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EHMI EDS read more… |
EHMI Spec for EDS Client write operation - EUA - MSH - AP read more… |
EHMI Specs for EDS Server operations EHMI Spec for other EDS Client operations |
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EHMI Servers |
EHMI Specs for all EHMI Server operations: - EDS - EAS - EER |
Tenders for: - EHMI EDS Server - EHMI EAS Server - EHMI EER Server |
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EHMI Server & API Security |
EHMI API Security for: - EDS EDS Security is handled as described in: Sikkerhedsarkitektur EHMI Services v0.22 (opens in new window) |
EHMI Server & API Security for: - EDS - EAS - EER |
Tenders for: - EHMI Security Server |
EHMI Domain | FHIR Profile(s) | FHIR IG(s) | Change/New | Comments |
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EHMI Core | MessageDefinition | MedComMessaging IG | New | A new basic profile, that will be inherited in all concrete Message Profiles. Is used to define Version among other things |
EHMI Core | All concrete message profiles will have a MessageDefinition. In the production pilot especially HomeCareObservationMessageDefinition | All Concrete Message IGs. In the production pilot especially HomeCareObservation IG | New | Is used to define Version among other things |
EHMI Core | All Concrete Message Profiles | All Concrete Message IGs | Change | Message Profiles are going to reference MessageDefinition |
EHMI Core | DocumentReference | MedComDocumentSharing IG? | New | A new basic profile, that will be inherited in all? concrete Message Profiles. Is used to transmit XDS Metadata to XDS. Could be part of a new MedComDocumentSharing IG, that serve as the base of DocumentSharing in MedCom’s FHIR hierarchi of IGs |
EHMI Core | All concrete message profiles will have a DocumentReference. In the production pilot especially HomeCareObservationDocumentReference | All Concrete Message IGs. In the production pilot especially HomeCareObservation IG? Or maybe a special DocumentRefernce IG | New | Is used to transmit XDS Metadata to XDS for a concrete Message Profile |
EHMI Endpoint Register | Device | EHMI Endpoint Register IG | New | Is used to define applications. Will have relations to Endpoints and MessageDefinitions |
EHMI Delivery Status | Device | EHMI Delivery Status IG | New | Is used to define source for EDS DeliveryStatus services |