Clinical, technical, and implementation characteristics of real-world health applications using FHIR

Author:

Griffin Ashley C12ORCID,He Lu3ORCID,Sunjaya Anthony P4ORCID,King Andrew J5ORCID,Khan Zubin6,Nwadiugwu Martin7ORCID,Douthit Brian89ORCID,Subbian Vignesh10ORCID,Nguyen Viet11,Braunstein Mark12,Jaffe Charles11,Schleyer Titus1314

Affiliation:

1. Veterans Affairs Palo Alto Health Care System , Palo Alto, California, USA

2. Department of Health Policy, Stanford University School of Medicine , Stanford, California, USA

3. University of California, Irvine , Irvine, California, USA

4. The George Institute for Global Health, UNSW , Sydney, NSW, Australia

5. Department of Critical Care Medicine, University of Pittsburgh , Pittsburgh, Pennsylvania, USA

6. University of the Cumberlands , Williamsburg, Kentucky, USA

7. Division of Biomedical Informatics and Genomics, Tulane University School of Medicine , New Orleans, Louisiana, USA

8. Veterans Affairs Tennessee Valley Health Care System , Nashville, Tennessee, USA

9. Department of Biomedical Informatics, Vanderbilt University , Nashville, Tennessee, USA

10. University of Arizona , Tucson, Arizona, USA

11. Health Level Seven International , Ann Arbor, Michigan, USA

12. Georgia Institute of Technology School of Interactive Computing , Atlanta, Georgia, USA

13. Regenstrief Institute Center for Biomedical Informatics , Indianapolis, Indiana, USA

14. Indiana University School of Medicine , Indianapolis, Indiana, USA

Abstract

Abstract Objective Understanding the current state of real-world Fast Healthcare Interoperability Resources (FHIR) applications (apps) will benefit biomedical research and clinical care and facilitate advancement of the standard. This study aimed to provide a preliminary assessment of these apps’ clinical, technical, and implementation characteristics. Materials and Methods We searched public repositories for potentially eligible FHIR apps and surveyed app implementers and other stakeholders. Results Of the 112 apps surveyed, most focused on clinical care (74) or research (45); were implemented across multiple sites (56); and used SMART-on-FHIR (55) and FHIR version R4 (69). Apps were primarily stand-alone web-based (67) or electronic health record (EHR)-embedded (51), although 49 were not listed in an EHR app gallery. Discussion Though limited in scope, our results show FHIR apps encompass various domains and characteristics. Conclusion As FHIR use expands, this study—one of the first to characterize FHIR apps at large—highlights the need for systematic, comprehensive methods to assess their characteristics.

Funder

United States Government

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

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