PUBLIC HEALTH & REGISTRIES CONNECTORS

Standards, Governance, APIs & Production Readiness

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Connect authorized public-health authorities and registries with governed reporting, longitudinal registry updates and population-health workflows.

FHIRIHESNOMED CTLOINCGovernanceAPIs & SDKsProduction

Compliant by Design

Build around privacy, legal basis and minimization.

Standards-Based Interoperability

Use FHIR/IHE and international terminology through MSIS.

Operational & Reliable

Handle acknowledgement, errors and reconciliation in production.

Impact at Scale

Scale trustworthy reporting and registry programs.

End-to-End Architecture

Data Sources

EHR, LIS, pharmacy, devices, environmental/public data

MSIS

Clinical normalization, terminology and quality

Public Health Connectors

FHIR/API/SFTP/IHE/national formats

Authorities / Registries

Submission, acknowledgement and update

Monitoring & Reconciliation

Status, errors, corrections and audit

Applicable Standards

Standard	Application	Notes
HL7 FHIR R4/R5	Structured APIs/resources	Use official implementation guides/profiles
IHE profiles	Document/identity exchange where applicable	Profile-specific
SNOMED CT / LOINC / ICD / UCUM	Clinical terminology/units	Through MSIS with original-code preservation
National formats	Mandatory reporting/registry schemas	Authority-specific adapters
EEHRxF / EHDS	EU alignment	Future/phased; avoid overclaiming

Governance & Legal

Document legal basis by reporting/registry/program

Use consent only where it is actually the legal mechanism

Enforce purpose limitation and data minimization

Separate primary care and public-health/secondary-use contexts

Maintain controller/processor/data-sharing responsibilities

Support patient/data-subject rights as applicable

APIs & SDKs

typescriptCopy

// Illustrative public-health SDK surface
const report = await client.publicHealth.submitReport({
  jurisdiction: 'LU',
  reportType: 'notifiable-disease',
  eventReference: 'Observation/123'
});

SDK/API names are illustrative until the public Public Health API is frozen.

Testing & Certification

Use authority-provided sandbox/test environments where available

Validate official profiles/schema/value sets

Test legal-basis/minimization branches

Test rejection/correction/duplicate scenarios

Capture conformance evidence required by authority

Re-test after specification revisions

Monitoring & Operations

Monitor submission success/acknowledgement latency

Alert before statutory/reporting deadlines

Track connector/certificate/feed freshness

Reconcile rejected/missing reports

Maintain incident and authority-support runbooks

Audit manual corrections

Best Practices

Treat each authority as a governed adapter, not a generic endpoint

Keep source data and normalized data together with provenance

Version mappings/rules/profiles

Do not expose individual-level data to aggregate use cases unnecessarily

Label planned national/EU connectors clearly

Build correction/reconciliation before production

Developer Integration Surface

Surface	Operation / resource	Use	Status
Public Health API	report / registry / eligibility / status	Stable app orchestration	Versioned when frozen
FHIR/IHE	Profile-specific exchange	Authority interoperability	Standards
National adapters	Official APIs/files	Authority connectivity	Country/program-specific
SDK	Typed reporting/program helpers	Developer productivity	Published versions only
Operations/events	ack/reject/correction/health	Production workflow	Evolving

Next Steps

Freeze target authority specifications

Complete sandbox/conformance testing

Review legal/governance controls

Configure monitoring/reconciliation

Complete authority production onboarding

Track standard/regulatory changes