Congratulations to the Prize winners!

Trillium II Prize Award Announcement

On June 13, 2019 at the HIMSS & Health 2.0 European Conference in Helsinki, the winners of the Trillium Prize competition for most innovative idea or use of the International Patient Summary (IPS) standard were announced. They were selected from an international and independent jury from a list of nine finalists from Europe, Canada and Latin America.

Two initiatives that reflect the transformative power of the IPS in health and care were selected, showing how standards can serve as infrastructure to innovation both incremental building on existing solutions and disruptively challenging the status quo:

  • Trifork (Denmark), which proposes to extend the nationally operational Danish Shared Medication Record service, funded by the Danish Health Data Authority to provide Danish citizens with their patient summary information when abroad.
  • CAPABLE (Norway), which aims to provide citizens a tool to empower citizens to active use of personal health information in the IPS to make healthy nutritional choices being mindful of food and medication combinations.

While Trifork is an infrastructure driven project to facilitate safe care, CAPABLE is very much an empowerment tool for the citizens to be in control of their health and wellness. What is common to both projects is the need for health data that are provided through stable, safe, and trusted interfaces. This is exactly what the HL7 FHIR IPS standard is about.

The Trillium II project launched in 2019 the Prize award competition to advance awareness and innovative use of the HL7 FHIR International Patient Summary (IPS) among health companies and organizations. IPS standards advance the vision of the patient summary as a window to a person’s health information and highlight the value of health data as social good and human right. Consistently adapted and tailored to specific use cases, IPS standards implemented in electronic clinical documents in the HL7 FHIR format or as collection of FHIR resources from a library of building blocks. Reusable building block for allergies, medication, problems and conditions, lab results, and images, care plans, etc. are rapidly emerging to advance health data quality, safety, and trust delivering interoperability anytime and anywhere. Implementations of the IPS building blocks are already advancing proof of concept implementations of the Electronic Health Record Exchange Format recommendation announced by the European Commission in February 2019.

The winners of the Trillium II Prize Competition realized early the importance of the IPS building blocks.IPS

In 2007, the Danish Health Data Authority set out to establish a nationwide Shared Medication Record, containing up-to-date information on every citizen in Denmark and shared across all local systems in the healthcare sector. Trifork was selected as vendor and has been part of building, tuning, expanding and driving the system since the beginning. Introducing IPS is a natural next step to the range of national services in the Danish healthcare infrastructure. Using existing well-established services such as the Shared Medication Record eases the transition for existing systems towards a national support for IPS in Denmark and makes it safer to cross borders for both Danes as well as international citizens and still being able to receive the correct medical care in case needed.

For more information on a Shared Medication Record IPS extension contact:

CAPABLE, on the other hand, aims to empower citizens to active use of their health information and the University of Oslo, Akershus University Hospital and Norsk e-helse AS are part of the project. The vision for CAPABLE is to support every citizen who want to collect, curate and/or complement, and control personal health information. The content suggested in the IPS is an excellent starting point to include data like ePrescription, medication list and information leaflets, appointments and clinical summary, and special diet and nutritional requirements. This can drive innovation by allowing for and supporting citizens in efforts to collect, manage and safely keep clinical and personal health information, starting with a) better use of medication, b) understand the role of nutrition for health, especially related to medication, c) coordinate data from primary care, hospitals and other relevant sources. The “CAPABLE-tool” will be available to citizens, to be used as they like at all points of need.

Citizen can be the carrier of their health information using the “CAPABLE-tool” in all interactions with the health and care system; a visit to a specialty clinic, hospitalization in Norway, Scandinavia as well as abroad (cross-border), in consultation with GP or Primary care institutions (nursing home or a skilled care facility), or in private clinics. Making citizens as aware of the benefits in carefully selected health information in the IPS with the “CAPABLE-tool” comes with concrete opportunities and potential to improve digital health literacy, empower and engage people, and use their resources wisely to improve the quality of life and overall wellbeing. When fully deployed, we expect the “CAPABLE-tool” to impact health and care in multiple ways and by “let citizens help there is potential to create significant value for the citizen, the health system and society. For example, in Norway alone, lack of compliance in medication management is estimated to cause some 2000 premature deaths every year, and direct costs of 5 billion NOK per year. A recent cost-benefit analysis suggests that prevention and treatment of nutritional problems may contribute to 800 million NOK in reduced hospital costs, and additional reductions in primary care.

For more information on CAPABLE please contact:


The Trillium II Prize finalists and award ceremony

The Trillium II Prize

In the Trillium II project, we launched in 2019 a Prize award to promote the awareness and innovative use of the HL7 FHIR International Patient Summary (IPS) by health companies and organizations.

IPS standards advance the vision of the patient summary as a window to a person’s health information and highlight the value of health data as social good and human right, i.e. it makes key health information about me available anytime and anywhere.

The Finalists

CEN and HL7 has worked closely for 2 years to deliver pragmatic standards and implementation guides and The Trillium II project has supported this work strategically. So, the Prize was also our chance to see if this work has been successful in spreading the knowledge and guidance on IPS implementation. So, did it turn out to be just a hype and a dream? No, thankfully not!

After an internal eligibility review process, we had nine finalists who each in their own way has a strong and ambitious plan for how to innovatively use IPS.  They came from SMEs, Governments & public authorities, private companies and multi-national consortia and they represent Latin America, North American and Europe. This shows that IPS is truly global and end-users in all countries can benefit from it.

The Prize finalists have applied IPS across a range of different types of applications and use cases across the health and care continuum:

  1. FrailSafe: IPS for Frailty risk assessment by Gruppo SIGLA (IT) demonstrated interoperability with HL7 FHIR IPS to share key health data among healthcare systems.
  2. Expanding Shared Medication Record to IPS by Trifork A/S (DK) aims to build, tune and expand the Shared Medication Record (SMR) established by the Danish Health Data Authority in 2007 with IPS for all Danes when abroad.
  3. CAPABLE tool for active use of IPS by patients in all health and care interactions by University of Oslo, Akerhus Univerity Hospital, Norwegian E-Helse AS (NO) wants to empower citizens to actively collect, manage and update clinical and personal health data as IPS, info leaflets, appointments, diet and nutrition needs, etc.
  4. Care Consumers mediating sharing of their IPS among care providers by Drimpy (NL) allows care consumers can supervise and share their health data in the Personal Health Record available in the eHealth portal.
  5. IPS connecting ambulances to hospitals by North Denmark Region (DK) will use the IPS to integrate the Prehospital Patient Record on tablets used by paramedics in ambulances with the Electronic Patient Record at the hospitals / healthcare systems of all 5 Danish regions.
  6. IPS as part of Telehealth Platform by Ask Your Pharmacist (CAN) will use IPS for clinically support health professionals in unscheduled teleconsultations.
  7. IPS in the Latin American Network for Cooperation in Health Informatics by RACSEL (UY) plans to use IPS for health data exchange turning Clinical Summary Document to HL7 FHIR IPS.
  8. IPS as minimum data set for Electronic Health Record sharing by HL7 ARGENTINA (AR) will deploy the IPS as the minimum data set shared among providers.
  9. MedicalData using pictograms to convey IPS information by MyData S.A. (AR) is using pictograms to convey essential health information in the IPS of a patient for use in emergency situations and alleviate language barriers when travelling abroad.

The award

The finalists were reviewed by an international jury, who has selected the Trillium II award winners for the most innovative use of the IPS.

  • Elaine Blechman, CEO, Prosocial Applications, Inc. & Prof Emerita, Univ. of Colorado
  • Christopher Chute, Chief Research Information Officer for Johns Hopkins Medicine
  • Gora Data, Group Chairman, CAL2CAL Corporation
  • Dee O’Sullivan, Director, netat PatientView
  • Mike Short, Chief Scientific Adviser, Department for International Trade, UK
  • Jeremy Thorp, Past Director of Business Architecture, NHS UK
  • Patricia Van Dyke, Past Chair HL7 International

The Trillium II award ceremony for the most innovative use of the IPS and the official launch of the Global Community of Practice for the IPS will take place at the HIMSS AND HEALTH 2.0 EUROPEAN CONFERENCE (Helsinki, Finland) Spotlight Stage on Thursday June 13 2019, at 14:50.

The future is an IPS community

Beyond the project and the Prize, we will continue to share IPS experiences and tools through the IPS Global Community of Practice for Digital Health Innovation. Visit to tell us to participate and share your ideas.

Trillium II takes part in EU MODEX medical disaster exercise

For Trillium II, it was very valuable experience to be allowed to take part in and observe the EU MODEX (Module Exercises part of the EU Civil Protection Mechanism) medical disaster exercise in Estonia last week. There are many situations in which the International Patient Summary can useful for healthcare staff, incl. medical emergencies.

Extended deadline for Trillium II Prize! (Deadline has passed)

The deadline for taking part in the Trillium II Prize competition for best planned use, integration and promotion of the HL7 FHIR International Patient Summary (IPS) for medical information exchange is extended to May 15, 2019!

We are especially keen for Small to Medium Enterprises (SMEs) and not-for-profits to apply, although any health organisation, other than members of the Trillium II consortium, can enter the competition. Partnerships may also enter, though only if one organisation in the partnership accepts lead role.

The H2020 Trillium II project builds on previous recommendations to put IPS standards at the core of a global community for digital health innovation with the aim of advancing patient safety and trust by bridging the gap between strategic intent and capability to deliver interoperability at a global scale.

All information can be found here

Publication from workshop on ‘Digital Health Policies for Children’s Health’ now available

Collaborating with other initiatives or projects with a shared ambition is important to Trillium II’s work. Therefore, we had together with the MOCHA project a joint workshop on ‘Strengthening children’s immunisation in Europe through health data standards: Connecting Patient Summaries to EU vaccination cards, Immunisation Registries, EHRs, and Home-Based Records’, which was kindly supported by WHO at the UN City in Copenhagen, Denmark.

The workshop discussions and outcomes are compiled in a public report, which you can read here.

The Trillium II Prize is still open

Trillium II is offering a Prize for innovative use of the FHIR international patient summary (IPS) by health companies.

The Trillium II Prize is awarded to the organisation that, in the opinion of the panel of judges, has the best proposal to use, integrate and promote the beneficial use of the FHIR IPS for international medical information exchanges.

Registration is still open through April 2019.

For more information, visit the Trillium II Prize site here.

An IPS Ecosystem Emerges

Trillium II joined forces with the C3Cloud and FrailSafe projects and partners TicSalut, Lombardia Informatica, HL7, SPMS (MySNS), SRDC (C3Cloud), Gnomon (eHealthPass), and GroupoSigna (FrailSafe) to demonstrate in practise the value of the International Patient Summary at the Portugal eHealth Summit 2019 with the extraordinary support of Trillium II partner, SPMS.

In the following material, you can learn more about:

An IPS Ecosystem Emerges – a technical approach

An IPS Ecosystem Emerges – a EU/US collaborative approach

IPS and eHealth Interoperability – Trillium-eHealth_Interoperability_Future

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