除了遵守"21世纪治疗法"规则之外:患者控制的电子健康信息出口应用程序编程接口
Dylan Phelan1, Daniel Gottlieb1,2, Joshua C Mandel1,2
1Computational Health Informatics Program, Boston Children's Hospital, Boston, MA 02215, United States.
Journal of the American Medical Informatics Association : JAMIA
|January 30, 2024
概括
"21世纪治疗法"允许电子健康记录 (EHR) 数据的出口. 本研究提出了通过API实现互操作性,患者控制的电子健康信息 (EHI) 访问的参考实施方案,促进健康数据交换.
科学领域:
- 医疗信息学 医疗信息学
- 健康 IT 互操作性 互操作性
- 监管合规性 监管合规性
背景情况:
- "21世纪疗法法案"要求经过认证的电子健康记录器出口完整的患者电子健康信息 (EHI).
- 通过API实现EHI出口的互操作性对于最大限度地发挥这一任务的影响至关重要.
- 现有的系统需要提升,以充分支持患者导向的数据交换.
研究的目的:
- 开发一个可互操作的,患者控制的对EHI出口的访问工作参考实现.
- 将治疗法案最终规则的政策要求实例化为实际系统.
- 促进第三方应用程序的生态系统,利用患者的EHI.
主要方法:
- 在Argonaut FHIR加速器共识的基础上制定了一个应用程序驱动的EHI访问模型.
- 开发了一个开源的参考实现,使用授权的SMART在FHIR/批量FHIRAPI上.
- 创建了一个由三个组件组成的系统:患者请求网络应用程序,EHI服务器和行政出口管理应用程序.
主要成果:
- 成功创建了一个参考实现,通过API异步提供EHI.
- 该系统允许患者控制的EHI出口请求.
- 利用现有的标准,如FHIR/批量FHIR上的SMART,用于API集成.
结论:
- 一个由患者控制的应用程序,可以通过API实现完全的EHI导出,可以促进国家针对患者的信息交换.
- 发布这些工具旨在刺激社区参与进一步开发和现实世界的测试.
- 该模型简化了患者对健康数据的访问,支持用于护理和研究的数据共享,并鼓励应用生态系统的增长.
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