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Fast Healthcare Interoperability Resources (FHIR)-Based Interoperability Design in Indonesia: Content Analysis of

Lukman Heryawan1, Yukiko Mori2, Goshiro Yamamoto3

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Summary

Indonesia’s Satusehat platform faces challenges with FHIR server, profile, and data mapping issues. Proposed solutions include a federated architecture and integrated FHIR systems to improve healthcare interoperability in primary care.

Keywords:
COVID-19Fast Healthcare Interoperability Resources (FHIR)IndonesiaSatusehatcontent analysishealth informationinteroperabilityinteroperability designprivate clinicsocial networking

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Area of Science:

  • Health Informatics
  • Health Data Interoperability
  • Primary Health Care Systems

Background:

  • Healthcare interoperability is vital for health information exchange, with Fast Healthcare Interoperability Resources (FHIR) as a key framework.
  • The COVID-19 pandemic highlighted the importance of interoperable data for patient tracking and vaccination monitoring.
  • Indonesia utilizes interoperable systems for COVID-19 tracking and aims to expand this to primary care settings, including Puskesmas and private clinics.

Purpose of the Study:

  • To promote interoperable health data exchange in Indonesia's primary care sector through the Satusehat project.
  • To ensure health data is interoperable and exchangeable between healthcare organizations, specifically Puskesmas and private clinics.
  • To identify and address challenges hindering the successful implementation of the Satusehat platform.

Main Methods:

  • Content analysis of messages from the Satusehat Social Networking Service Telegram group to identify platform pain points.
  • Analysis of identified pain points to suggest existing approaches for addressing them.
  • Development of a proposed design for interoperability tailored for Puskesmas and private clinics.

Main Results:

  • Key pain points identified include FHIR server issues (61 instances), data mapping challenges (37 instances), and FHIR profile selection problems (9 instances).
  • Server issues were the most prevalent, followed by mapping and profile issues.
  • Proposed solutions include a federated FHIR server architecture, an FHIR writer/viewer system, and an integrated FHIR conversion framework.

Conclusions:

  • The proposed solutions aim to resolve identified pain points and advance Satusehat platform implementation in Indonesian primary care.
  • These solutions offer potential adoption for other countries facing similar challenges in nationwide healthcare interoperability projects.
  • Successful implementation can enhance data exchange and interoperability within Indonesia's primary healthcare network.