Using FHIR to develop a healthcare mobile application

Lamprinakos, Georgios; Mousas, Aziz S.; Boufis, Anastasis; Karmiris, Panagiotis; Mantzouratos, Spyros; Kapsalis, Andreas; Kaklamani, Dimitra I.; Venieris, Iakovos S.

doi:10.4108/icst.mobihealth.2014.257232

Cited by 19 publications

(12 citation statements)

References 4 publications

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“…We obtained 11 categories for FHIR implementation. From a platform point of view, we considered the implementation of mobile/tablet apps [ 3 , 9 , 28 , 35 , 39 , 51 , 57 , 60 , 65 , 70 , 72 , 77 , 82 ], standalone apps/servers [ 3 , 23 , 51 , 58 , 61 ], web services/API [ 3 , 11 , 14 , 26 , 34 , 36 , 40 , 48 , 53 , 56 , 71 , 78 ], and web-based tools/applications [ 18 , 26 , 37 , 40 , 42 , 46 , 55 , 69 , 78 ] categories. From a conceptual framework, we considered the categories of general FHIR implementation [ 48 , 59 ], using SMART on FHIR [ 3 , 14 , 22 , 31 ], HL7 API (HAPI)-FHIR server/library/applications [ 14 , 16 , 20 , 32 , 34 - 36 , 40 , 43 , 51 , 54 , 55 , 73 , 76 , 81 , 82 ], and FHIR general framework [ 14 , 40 ,…”

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

127

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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

127

View full text Add to dashboard Cite

show abstract

“…HL7 FHIR is an emerging standard that is rapidly gaining attention and being adopted by the health information technology industry and health care organizations [ 15 ]. This standard implements various types of information generated in the clinical environment in the form of a resource for exchanging clinical data and, thus, it ensures interoperability.…”

Section: Methodsmentioning

confidence: 99%

“…FHIR is a standard that focuses on providing a secure interoperability environment for health service providers to exchange data using the Representational State Transfer (REST) API [ 15 , 17 , 18 ]. We built a repository with the FHIR server that applied the STU3 (Standard Trial Use 3) version of FHIR to provide create , read , and delete operations for resources (Observation, Sequence) containing genome analysis result information.…”

Section: Methodsmentioning

confidence: 99%

Clinical Genomic Sequencing Reports in Electronic Health Record Systems Based on International Standards: Implementation Study

et al. 2020

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Background To implement standardized machine-processable clinical sequencing reports in an electronic health record (EHR) system, the International Organization for Standardization Technical Specification (ISO/TS) 20428 international standard was proposed for a structured template. However, there are no standard implementation guidelines for data items from the proposed standard at the clinical site and no guidelines or references for implementing gene sequencing data results for clinical use. This is a significant challenge for implementation and application of these standards at individual sites. Objective This study examines the field utilization of genetic test reports by designing the Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR) for genomic data elements based on the ISO/TS 20428 standard published as the standard for genomic test reports. The goal of this pilot is to facilitate the reporting and viewing of genomic data for clinical applications. FHIR Genomics resources predominantly focus on transmitting or representing sequencing data, which is of less clinical value. Methods In this study, we describe the practical implementation of ISO/TS 20428 using HL7 FHIR Genomics implementation guidance to efficiently deliver the required genomic sequencing results to clinicians through an EHR system. Results We successfully administered a structured genomic sequencing report in a tertiary hospital in Korea based on international standards. In total, 90 FHIR resources were used. Among 41 resources for the required fields, 26 were reused and 15 were extended. For the optional fields, 28 were reused and 21 were extended. Conclusions To share and apply genomic sequencing data in both clinical practice and translational research, it is essential to identify the applicability of the standard-based information system in a practical setting. This prototyping work shows that reporting data from clinical genomics sequencing can be effectively implemented into an EHR system using the existing ISO/TS 20428 standard and FHIR resources.

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“…Nine criteria were used in reviewing each system namely database, multiple users, communication, notifications, data sharing, flexible scheduling, community type, visual aids and statistics and charts. AidIT was the only system identified that provides data storage and access and is a mobile EMR system that allows patients to manage their records and facilitates the exchange of these records between patients and practitioners [8]. The AidIT system provides patients with a personal health folder that organises a patient's data into five separate categories namely: the patient's personal information (e.g.…”

Section: System and Data Requirementsmentioning

confidence: 99%

Blockchain Technology for Empowering Patient-Centred Healthcare: A Pilot Study

Makubalo

Scholtz

Tokosi

2020

Lecture Notes in Computer Science

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Patient-centred care allows patients to have complete autonomy in managing their health information and encourages patients to be proactive. Unfortunately, most patients do not have access to their complete health information as they are stored across the various institutions that they have visited over their lifetime. The purpose of this paper is to report on an investigation into developing a mobile system for patient-centered healthcare using blockchain technology. A design science research approach was used to design, develop and evaluate a prototype that implemented a three-tier architecture using blockchain. Formative evaluations of the prototype revealed that the system could successfully support patient-managed healthcare. The implications of this project would be changing the way patients and healthcare practitioners interact with each other by improving the quality of clinical encounters by allowing patients access to their health information, sharing the information with healthcare practitioners and both parties collaborating in the development of a treatment plan.

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Using FHIR to develop a healthcare mobile application

Abstract: Health care domain have attracted considerable amount of research fields. One of the field that has a drastic focus on health care domain is data mining. Mainly health care system focuses on some data mining theories like classification, clustering etc.

Cited by 19 publications

References 4 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

Clinical Genomic Sequencing Reports in Electronic Health Record Systems Based on International Standards: Implementation Study

Blockchain Technology for Empowering Patient-Centred Healthcare: A Pilot Study

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