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Enabling Better Interoperability for HealthCare: Lessons in Developing a Standards Based Application Programing

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Summary
This summary is machine-generated.

We developed a standardized, domain-independent Application Programming Interface (API) for Electronic Medical Record (EMR) systems using Fast Healthcare Interoperability Resources (FHIR). This FHIR API enhances healthcare application interoperability and simplifies integration with systems like Open Medical Record System (OpenMRS).

Keywords:
Emerging economiesFhirHL7InteroperabilitySmartStandards

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Area of Science:

  • Health Informatics
  • Software Engineering

Background:

  • Healthcare applications require seamless interoperability for efficient data exchange.
  • Existing Electronic Medical Record (EMR) systems often use domain-specific APIs, hindering broad adoption and integration.
  • The Fast Healthcare Interoperability Resources (FHIR) standard offers a modern approach to healthcare data exchange.

Purpose of the Study:

  • To develop a standardized, domain-independent Application Programming Interface (API) for Electronic Medical Record (EMR) systems.
  • To enhance the interoperability and adoption of healthcare applications.
  • To demonstrate the feasibility of integrating third-party applications using the new API.

Main Methods:

  • Leveraged the modular architecture of the Open Medical Record System (OpenMRS).
  • Developed a FHIR-based add-on module for OpenMRS to consume FHIR resources and requests.
  • Integrated a third-party Substitutable Medical Apps & Reusable Technology (SMART) application with OpenMRS via FHIR.

Main Results:

  • Successfully created an OpenMRS FHIR module supporting a subset of FHIR resources for clinical data interaction.
  • Demonstrated simplified healthcare application connectivity through FHIR API integration.
  • The FHIR API reduces the development effort compared to domain-specific APIs.

Conclusions:

  • A domain-independent API for EMR systems is achievable.
  • The FHIR standard adoption can replace legacy standards like HL7 V2 and V3.
  • A gradual integration of the FHIR API into the OpenMRS platform is proposed as the preferred communication method.