A Model for Implementing an Interoperable Electronic Consent Form for Medical Treatment Using HL7 FHIR

Lackerbauer, Anna M.; Lin, Alvin; Krauß, Oliver; Hearn, Jason; Helm, Emmanuel

doi:10.24105/ejbi.2018.14.3.6

Cited by 11 publications

(10 citation statements)

References 8 publications

(13 reference statements)

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“…In consideration of compatibility, we chose FHIR data model/data exchange [ 5 , 11 , 26 , 45 , 55 , 66 , 67 , 73 ] and defining ontology to align with FHIR [ 44 , 68 , 69 ] as the main categories. In addition, we classified all implementation-related work under the miscellaneous category [ 21 , 25 , 30 , 32 , 47 , 60 , 71 ], such as FHIR implementation of the legacy clinical data repository system, FHIR implementation of the agent-based system, implementation of operational data model metadata [ 86 ] to FHIR questionnaire resource implementation, FHIR implementation of the electronic treatment form, Clinical Asset Mapping Program for FHIR, integration of the architecture of domain information model (ISO/IEEE 11073 DIM) [ 31 ] with FHIR, and FHIR-based decision support systems.…”

Section: Resultsmentioning

confidence: 99%

The Fast Health Interoperability Resources (FHIR) Standard: Systematic Literature Review of Implementations, Applications, Challenges and Opportunities

Ayaz¹,

Pasha²,

Alzahrani³

et al. 2021

JMIR Med Inform

131

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Background Information technology has shifted paper-based documentation in the health care sector into a digital form, in which patient information is transferred electronically from one place to another. However, there remain challenges and issues to resolve in this domain owing to the lack of proper standards, the growth of new technologies (mobile devices, tablets, ubiquitous computing), and health care providers who are reluctant to share patient information. Therefore, a solid systematic literature review was performed to understand the use of this new technology in the health care sector. To the best of our knowledge, there is a lack of comprehensive systematic literature reviews that focus on Fast Health Interoperability Resources (FHIR)-based electronic health records (EHRs). In addition, FHIR is the latest standard, which is in an infancy stage of development. Therefore, this is a hot research topic with great potential for further research in this domain. Objective The main aim of this study was to explore and perform a systematic review of the literature related to FHIR, including the challenges, implementation, opportunities, and future FHIR applications. Methods In January 2020, we searched articles published from January 2012 to December 2019 via all major digital databases in the field of computer science and health care, including ACM, IEEE Explorer, Springer, Google Scholar, PubMed, and ScienceDirect. We identified 8181 scientific articles published in this field, 80 of which met our inclusion criteria for further consideration. Results The selected 80 scientific articles were reviewed systematically, and we identified open questions, challenges, implementation models, used resources, beneficiary applications, data migration approaches, and goals of FHIR. Conclusions The literature analysis performed in this systematic review highlights the important role of FHIR in the health care domain in the near future.

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Section: Resultsmentioning

confidence: 99%

The Fast Health Interoperability Resources (FHIR) Standard: Systematic Literature Review of Implementations, Applications, Challenges and Opportunities

Ayaz¹,

Pasha²,

Alzahrani³

et al. 2021

JMIR Med Inform

131

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“…Grantors may be patients, patient's relatives, or legally authorized persons appointed by a court to care for individuals who cannot care for themselves. The person for whom a legal representative is appointed could be either minor children or adults who are considered incapacitated 22 27…”

Section: Resultsmentioning

confidence: 99%

“…Identifies the treatment/s being consented to. Treatment is described in its medical name or patients' words 10 22 27…”

Section: Resultsmentioning

confidence: 99%

Pediatric Consent on FHIR

Voronov,

Jafari,

Zhao

et al. 2024

Appl Clin Inform

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Background: Standardizing and formalizing consent processes and forms can prevent ambiguities, convey a more precise meaning, and support machine interpretation of consent terms. Objectives: Our goal was to introduce a systematic approach to standardize and digitize pediatric consent forms, which are complex due to legal requirements for child and legal guardian involvement. Methods: First, we reviewed the consent requirements from the Arizona Department of Health Services (ADHS) and we used 21 Arizona pediatric treatment consents from five healthcare organizations to propose and evaluate an implementation-agnostic Consent for Treatment Framework. Second, we assessed the adequacy of the Fast Healthcare Interoperability Resources (FHIR) to support the proposed framework. Results: The resulting Consent for Treatment Framework is compliant with the state consent requirements and has been validated with pediatric consent forms. We also demonstrated that the FHIR standard has the required expressiveness to compute the framework’s specifications and therefore compute the 21 consent forms. Conclusions: Healthcare organizations can apply the shared open-source code and FHIR implementation guidelines to standardize the design of machine-interpretable pediatric treatment consent forms. The resulting FHIR-based executable models comply with state law and support interoperability and data sharing.

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“…Daumke presented an architecture to harmonize commercial clinical text-mining tools by FHIR, which can be used as a clinical information model standard [19]. Recently, many research and industry products have presented how FHIR can be used for healthcare data integration [20][21][22][23][24][25][26][27], and discuss how FHIR realized the interoperability between different healthcare systems.…”

Section: Literature Reviewmentioning

confidence: 99%

Implement an International Interoperable PHR by FHIR—A Taiwan Innovative Application

Lee

Hsu

et al. 2020

Sustainability

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Personal health records (PHRs) have lots of benefits for things such as health surveillance, epidemiological surveillance, self-control, links to various services, public health and health management, and international surveillance. The implementation of an international standard for interoperability is essential to accessing personal health records. In Taiwan, the nationwide exchange platform for electronic medical records (EMRs) has been in use for many years. The Health Level Seven International (HL7) Clinical Document Architecture (CDA) was used as the standard of the EMRs. However, the complication of implementing CDA became a barrier for many hospitals to realize the standard EMRs. In this study, we implemented a Fast Healthcare Interoperability Resources (FHIR)-based PHR transformation process including a user interface module to review the contents of PHRs. We used “My Health Bank, MHB”, a PHR data book developed and issued to all people by the Taiwan National Health Insurance, as the PHRs contents in this study. Network Time Protocol (NTP)/Simple Network Time Protocol (SNTP) was used in the security and user authentication mechanism when processing and applying personal health information. Transport Layer Security (TLS) 1.2 (such as HyperText Transfer Protocol Secure (HTTPS) was used for protection in data communication. User authentication is important in the platform. OAuth (OAuth 2.0) was used as a user authentication mechanism to confirm legitimate user access to ensure data security. The contents of MHB were analyzed and mapped to the FHIR, and then converted to FHIR format according to the mapping logic template. The function of format conversion was carried out by using ASP.NET. XPath and JSPath technologies filtered out specific information tags. The converted data structure was verified through an HL7 Application Programming Interface (HAPI) server, and a new JSON file was finally created. This platform can not only capture any PHR based on the FHIR format but also publish FHIR-based MHB records to any other platform to bridge the interoperability gap between different PHR systems. Therefore, our implementation/application with the automatic transformation from MHB to FHIR format provides an innovative method for people to access their own PHRs (MHB). No one has published a similar application like us using a nationwide PHR standard, MHB, in Taiwan. The application we developed will be very useful for a single person to use or for other system developers to implement their own standard PHR software.

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A Model for Implementing an Interoperable Electronic Consent Form for Medical Treatment Using HL7 FHIR

Cited by 11 publications

References 8 publications

The Fast Health Interoperability Resources (FHIR) Standard: Systematic Literature Review of Implementations, Applications, Challenges and Opportunities

The Fast Health Interoperability Resources (FHIR) Standard: Systematic Literature Review of Implementations, Applications, Challenges and Opportunities

Pediatric Consent on FHIR

Implement an International Interoperable PHR by FHIR—A Taiwan Innovative Application

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