1. Private healthcare providers (4000) Patient data repository
Public healthcare providers
Kanta services
Hospital districts (20)
Kanta messaging layer
Pharmaceutical database
Primary care org. (192)
ePrescription
service
Prescriptions
Dispensations
Renewals
Logs
Private healthcare providers (4000)
Patient data repository
Encounters
Radiology DICOM studies
Logs
Pharmacies (~800)
Health records, structured
Health records, legacy
Web- GUIs for HCPs
Health care professionals
Patient summary management
Diagnoses
Risks
Other summary data
eHealth National Contact Point
management service
Patient data
eHealth DSI (CEF)
Consent and will management
Other countries
Consents and their restrictions
Living wills and other wills (organ donation, etc)
My Kanta pages
Citizens (> )
Personal Health Record
Customer’s mydata
Apps
Data repository for social services
Social care providers
Customer docs
Customership and service item data
Main standards
HL7 V3: CDA R2 L3 and Medical Records
HL7 FHIR DSTU2 (PHR)
JSON, XHTML (PHR and social services)
PDF/A (legacy data and social services)
IHE IT-I Profiles (Imaging and epSOS)
W3C XML DSig
WS Addressing, WS-I
TLS, X.509
Legacy data
Summary management
Logs
Other national services
National code server
Code systems and terminologies
Form structures
Pharmacy register
Organization register
X-Road
Certification services
HCP and SCP register

2. Timeline of Finnish Healthcare ICT Standardization for Interoperability
Personal Health Record in production
Legislation about
the national
Kanta system and
supporting
services
All public healthcare
uses the Patient Data Repository
National health project starts
epSOS work
started in FIN
Experimental
legislation on seamless service chains
National core
datasets
defined
ePrescription
service production
phase incl. My Kanta pages service for citizens
Patient Data Repository
production
phase
All private
healthcare
uses the
Patient Data Repository
Regional
hospital
information
systems
starting
HL7 Finland
founded
Kela appointed
as a national
actor in national healthcare
ICT services
IHE Finland
founded
Finnish
IHE SIG
founded
1995
1997
1999
2000
2002
2003
2004
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
National
Kanta
architecture
defined
National
pharmaceutical
database
founded
National imaging infrastructure in production
KVARKKI
national
imaging
architecture
defined
First FHIR pilots
National
code server
founded
ICD-10
adopted in
Finland
Ministry decision on CDA R2 for national standard for structured dataset
Web-based ePrescription in production, available for all prescribers
HL7 Medical records
specifications for
ePrescription and
Patient Data Repository
eHealth National Contact Point in production
First
national HL7 v2
profiles
Finnish profile for CDA R1
epSOS national contact point in production
Finnish
basic profile
for CDA R2
Oral and dental healthcare structured documentation specifications
PikaXML
definition
for electronic
referral process
Revised legislation
on consent management
and patient summary
service
Finnish profile
for HL7 V3
messaging