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Making Science Computable Using Evidence-Based Medicine on Fast Healthcare Interoperability Resources: Standards
Andrey Soares1, Lisa M Schilling1, Joshua Richardson2
1Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
The EBMonFHIR project developed interoperable standards for sharing health evidence using Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR). This enables better integration of evidence-based medicine (EBM) into clinical practice and policy.
Area of Science:
- Health Informatics
- Medical Informatics
- Evidence-Based Medicine
Background:
- Evidence-based medicine (EBM) integration into healthcare systems is limited by a lack of scalable, computer-readable standards for evidence distribution.
- Improved dissemination and implementation of synthesized evidence are crucial for advancing EBM and health policy.
Purpose of the Study:
- Introduce the EBMonFHIR project, which extends Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) infrastructure.
- Establish an interoperability standard for the electronic exchange of health-related scientific knowledge.
Main Methods:
- Ongoing refinement of FHIR resources for representing evidence from clinical studies and syntheses.
- Development of tools to aid in the creation and visualization of these FHIR resources.
Main Results:
- Creation of specific FHIR resources (ArtifactAssessment, Citation, Evidence, EvidenceReport, EvidenceVariable) for evidence representation.
- Further development by COKA/HEvKA projects on EvidenceReport, Citation, and ArtifactAssessment FHIR resources.
- Ongoing work includes refining FHIR resources, developing controlled terminology for EBM concepts, and creating visualization and data entry tools.
Conclusions:
- EBMonFHIR resources, combined with other FHIR resources, facilitate interoperable exchange of EBM components.
- This enables downstream tools and health information technology systems to effectively utilize scientific evidence.
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