通过快速医疗互操作资源 (FHIR) 实现REDCap与电子健康记录的整合的机会,障碍和补救措施
Alex C Cheng1,2, Cathy Shyr1,2, Adam Lewis2
1Department of Biomedical Informatics, Vanderbilt Institute of Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN 37203, United States.
JAMIA open
|October 6, 2025
概括
通过HL7快速医疗互操作资源 (FHIR) 加快采用电子健康记录 (EHR) 数据的临床研究技术,需要解决技术和组织障碍. 消息传递,教育和资金是成功集成EHR-REDCap的关键驱动力.
科学领域:
- 医疗信息学 医疗信息学
- 临床研究技术 临床研究技术
- 数据互操作性数据互操作性
背景情况:
- 电子健康记录 (EHR) 数据集成对于推进临床研究至关重要.
- HL7 快速医疗互操作资源 (FHIR) 标准有助于数据交换.
- 在研究机构中,REDCap被广泛使用,为EHR集成创造了机会.
研究的目的:
- 通过FHIR加速采用利用EHR数据的临床研究技术.
- 识别和解决阻碍REDCap-EHR整合的技术和组织障碍.
- 探索解决采用挑战的策略.
主要方法:
- 分析实施REDCap-EHR集成的机构经验.
- 对现有和潜在的集成系统用户进行调查.
- 讨论技术和组织障碍,并提出解决方案.
主要成果:
- 尽管有强大的研究人员需求和监管支持 (第21世纪疗法法案最终规则),但由于IT和监管方面的担忧,REDCap-EHR集成的采用往往被减缓.
- 技术控制可以缓解一些关于研究中FHIR应用的担忧.
- 采用的关键驱动因素包括有效的信息传递,全面的教育和安全的外围资金.
结论:
- 成功的REDCap-EHR集成用于自动化数据交换是可以实现的,但需要克服重大障碍.
- 通过明确的沟通,用户培训和财政支持来解决这些问题至关重要.
- 在推动采用时,信息,教育和资金比单独的技术解决方案更具影响力.
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