MDIRA: IEEE, IHE, and FHIR Clinical Device and Information Technology Interoperability Standards, bridging Home to Hospital to “Hospital-in-Home”

Sloane, Elliot B.; Cooper, Todd; Silva, Ricardo

doi:10.1109/southeastcon45413.2021.9401934

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…Moreover, FHIR is used to connect devices with each other, which means, in particular, that the Integrating the Healthcare Enterprise (IHE) [ 74 ] standard has been revised to support HL7 messaging as well. In turn, IHE has been developing an open-source device tool set for home and hospital use that recently enabled device control capabilities, a capability accelerated during the COVID-19 pandemic to allow nurses and physicians to operate ventilators and infusion devices outside the contaminated patient room [ 75 ].…”

Section: Resultsmentioning

confidence: 99%

Ten Topics to Get Started in Medical Informatics Research

Wolfien,

Ahmadi,

Fitzer

et al. 2023

J Med Internet Res

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The vast and heterogeneous data being constantly generated in clinics can provide great wealth for patients and research alike. The quickly evolving field of medical informatics research has contributed numerous concepts, algorithms, and standards to facilitate this development. However, these difficult relationships, complex terminologies, and multiple implementations can present obstacles for people who want to get active in the field. With a particular focus on medical informatics research conducted in Germany, we present in our Viewpoint a set of 10 important topics to improve the overall interdisciplinary communication between different stakeholders (eg, physicians, computational experts, experimentalists, students, patient representatives). This may lower the barriers to entry and offer a starting point for collaborations at different levels. The suggested topics are briefly introduced, then general best practice guidance is given, and further resources for in-depth reading or hands-on tutorials are recommended. In addition, the topics are set to cover current aspects and open research gaps of the medical informatics domain, including data regulations and concepts; data harmonization and processing; and data evaluation, visualization, and dissemination. In addition, we give an example on how these topics can be integrated in a medical informatics curriculum for higher education. By recognizing these topics, readers will be able to (1) set clinical and research data into the context of medical informatics, understanding what is possible to achieve with data or how data should be handled in terms of data privacy and storage; (2) distinguish current interoperability standards and obtain first insights into the processes leading to effective data transfer and analysis; and (3) value the use of newly developed technical approaches to utilize the full potential of clinical data.

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Section: Resultsmentioning

confidence: 99%

Ten Topics to Get Started in Medical Informatics Research

Wolfien,

Ahmadi,

Fitzer

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…The ISPf performs API calling authorization to verify the calling rights and then routes the API calls to the respective organization to which the API belongs. This process facilitates data exchange among multiple organizations [62][63][64][65][66][67][68][69][70][71][72][73][74][75]. An example of this mode is the efficient transfer of medical records when a patient referral occurs.…”

Section: Data Integrationmentioning

confidence: 99%

“…Nan et al [62], 2021; Taechoyotin et al [63], 2021; Maxi and Morocho [64], 2022; Rosenau et al [65], 2022; Corici et al [66], 2020; Papaioannou et al [67], 2021; Hidayat and Hermanto [68], 2020; Sloane et al [69], 2021; Mukhiya and Lamo [70], 2021; Gruendner et al [71], 2022; Gruendner et al [72], 2020; Park et al [73], 2022; Ziminski et al [74], 2021; De et al [75], 2021…”

Section: Integrated Service Platformmentioning

confidence: 99%

Designing Interoperable Health Care Services Based on Fast Healthcare Interoperability Resources: Literature Review

Nan¹,

Xu²

2023

JMIR Med Inform

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Background With the advent of the digital economy and the aging population, the demand for diversified health care services and innovative care delivery models has been overwhelming. This trend has accelerated the urgency to implement effective and efficient data exchange and service interoperability, which underpins coordinated care services among tiered health care institutions, improves the quality of oversight of regulators, and provides vast and comprehensive data collection to support clinical medicine and health economics research, thus improving the overall service quality and patient satisfaction. To meet this demand and facilitate the interoperability of IT systems of stakeholders, after years of preparation, Health Level 7 formally introduced, in 2014, the Fast Healthcare Interoperability Resources (FHIR) standard. It has since continued to evolve. FHIR depends on the Implementation Guide (IG) to ensure feasibility and consistency while developing an interoperable health care service. The IG defines rules with associated documentation on how FHIR resources are used to tackle a particular problem. However, a gap remains between IGs and the process of building actual services because IGs are rules without specifying concrete methods, procedures, or tools. Thus, stakeholders may feel it nontrivial to participate in the ecosystem, giving rise to the need for a more actionable practice guideline (PG) for promoting FHIR’s fast adoption. Objective This study aimed to propose a general FHIR PG to facilitate stakeholders in the health care ecosystem to understand FHIR and quickly develop interoperable health care services. Methods We selected a collection of FHIR-related papers about the latest studies or use cases on designing and building FHIR-based interoperable health care services and tagged each use case as belonging to 1 of the 3 dominant innovation feature groups that are also associated with practice stages, that is, data standardization, data management, and data integration. Next, we reviewed each group’s detailed process and key techniques to build respective care services and collate a complete FHIR PG. Finally, as an example, we arbitrarily selected a use case outside the scope of the reviewed papers and mapped it back to the FHIR PG to demonstrate the effectiveness and generalizability of the PG. Results The FHIR PG includes 2 core elements: one is a practice design that defines the responsibilities of stakeholders and outlines the complete procedure from data to services, and the other is a development architecture for practice design, which lists the available tools for each practice step and provides direct and actionable recommendations. Conclusions The FHIR PG can bridge the gap between IGs and the process of building actual services by proposing actionable methods, procedures, and tools. It assists stakeholders in identifying participants’ roles, managing the scope of responsibilities, and developing relevant modules, thus helping promote FHIR-based interoperable health care services.

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Designing Interoperable Health Care Services Based on Fast Healthcare Interoperability Resources: Literature Review (Preprint)

Nan¹,

Xu²

2022

Preprint

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BACKGROUND In the era of the digital economy, the demand for medical and public health services has soared in recent years, asking for developing innovative healthcare service models. This trend has accelerated the urgency to implement effective and efficient data exchange and service interoperability, which enable coordinated care services among tiered healthcare institutions, improve the quality of oversight of regulators, and provide vast and comprehensive data collection to support clinical medicine and health economics research, thus improving the overall service quality and patient satisfaction. However, the isolated data islands among heterogeneous IT systems have been a significant problem, seriously restricting data sharing and service interoperability capabilities. In this context, HL7 FHIR was formally introduced in 2014 and has since continued evolving. Because of its many advantages, such as a simple data model, flexible exchanging model, and adequate open source tools, this standard has attracted worldwide attention in the healthcare industry and has been adopted and promoted by health systems in the UK, USA, and Canada. OBJECTIVE By investigating and analyzing the latest literature on FHIR from the perspectives of motivations, techniques, and applications, we proposed a general FHIR Practice Guideline (FHIR PG) to facilitate stakeholders in the healthcare ecosystem to both understand the FHIR standard and build interoperable services with ease. METHODS We identified 487 papers from the Web of Science and IEEE databases and selected 85 papers published between January 1, 2020, and July 1, 2022, as the source of investigation. First, we chose to classify these papers into three categories: data standardization, data management, and data interoperation, for each of which we discussed the motivations, techniques, and applications. Then, we proposed a general FHIR PG for the entire FHIR practice process through careful analysis and collation. RESULTS The general FHIR PG clarified the unique roles of all the stakeholders involved, including the Implementation Guides (IGs) standard committee, healthcare IT system vendor, and application developer. And it integrated the data standardization flow, data exchange model, and service implementation approach into a complete practice process. As a result, the general FHIR PG facilitates stakeholders to practice the FHIR standard and design interoperable healthcare services. CONCLUSIONS This paper proposed a general FHIR PG by discussing the process of data standardization, data management, and data interoperation from the latest literature. The general FHIR PG can help a stakeholder in the healthcare ecosystem to identify its unique roles, manage the scope of responsibilities, and plan the work content, thereby facilitating the implementation and promotion of the FHIR standard.

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MDIRA: IEEE, IHE, and FHIR Clinical Device and Information Technology Interoperability Standards, bridging Home to Hospital to “Hospital-in-Home”

Cited by 4 publications

References 1 publication

Ten Topics to Get Started in Medical Informatics Research

Ten Topics to Get Started in Medical Informatics Research

Designing Interoperable Health Care Services Based on Fast Healthcare Interoperability Resources: Literature Review

Designing Interoperable Health Care Services Based on Fast Healthcare Interoperability Resources: Literature Review (Preprint)

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