Clinical, technical, and implementation characteristics of real-world health applications using FHIR

Ashley C. Griffin; Lu He; Anthony P. Sunjaya; Andrew J. King; Zubin Khan; Martin Nwadiugwu; Brian Douthit; Vignesh Subbian; Viet Nguyen; Mark Braunstein; Charles Jaffe; Titus Schleyer

doi:10.1093/jamiaopen/ooac077

Clinical, technical, and implementation characteristics of real-world health applications using FHIR

Ashley C. Griffin
, Lu He
, Anthony P. Sunjaya
, Andrew J. King
, Zubin Khan
, Martin Nwadiugwu
, Brian Douthit
, Vignesh Subbian
, Viet Nguyen
, Mark Braunstein
, Charles Jaffe
, Titus Schleyer

Biomedical Engineering

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Objective: Understanding the current state of real-world Fast Healthcare Interoperability Resources (FHIR) applications (apps) will benefit biomedical research and clinical care and facilitate advancement of the standard. This study aimed to provide a preliminary assessment of these apps' clinical, technical, and implementation characteristics. Materials and Methods: We searched public repositories for potentially eligible FHIR apps and surveyed app implementers and other stakeholders. Results: Of the 112 apps surveyed, most focused on clinical care (74) or research (45); were implemented across multiple sites (56); and used SMART-on-FHIR (55) and FHIR version R4 (69). Apps were primarily stand-alone web-based (67) or electronic health record (EHR)-embedded (51), although 49 were not listed in an EHR app gallery. Discussion: Though limited in scope, our results show FHIR apps encompass various domains and characteristics. Conclusion: As FHIR use expands, this study - one of the first to characterize FHIR apps at large - highlights the need for systematic, comprehensive methods to assess their characteristics.

Original language	English (US)
Article number	ooac077
Journal	JAMIA Open
Volume	5
Issue number	4
DOIs	https://doi.org/10.1093/jamiaopen/ooac077
State	Published - Dec 1 2022

Keywords

application programming interface
fast healthcare interoperability resources
health information interoperability
medical informatics

ASJC Scopus subject areas

Health Informatics

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10.1093/jamiaopen/ooac077

Cite this

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title = "Clinical, technical, and implementation characteristics of real-world health applications using FHIR",

abstract = "Objective: Understanding the current state of real-world Fast Healthcare Interoperability Resources (FHIR) applications (apps) will benefit biomedical research and clinical care and facilitate advancement of the standard. This study aimed to provide a preliminary assessment of these apps' clinical, technical, and implementation characteristics. Materials and Methods: We searched public repositories for potentially eligible FHIR apps and surveyed app implementers and other stakeholders. Results: Of the 112 apps surveyed, most focused on clinical care (74) or research (45); were implemented across multiple sites (56); and used SMART-on-FHIR (55) and FHIR version R4 (69). Apps were primarily stand-alone web-based (67) or electronic health record (EHR)-embedded (51), although 49 were not listed in an EHR app gallery. Discussion: Though limited in scope, our results show FHIR apps encompass various domains and characteristics. Conclusion: As FHIR use expands, this study - one of the first to characterize FHIR apps at large - highlights the need for systematic, comprehensive methods to assess their characteristics.",

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AU - Sunjaya, Anthony P.

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AU - Khan, Zubin

AU - Nwadiugwu, Martin

AU - Douthit, Brian

AU - Subbian, Vignesh

AU - Nguyen, Viet

AU - Braunstein, Mark

AU - Jaffe, Charles

AU - Schleyer, Titus

PY - 2022/12/1

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N2 - Objective: Understanding the current state of real-world Fast Healthcare Interoperability Resources (FHIR) applications (apps) will benefit biomedical research and clinical care and facilitate advancement of the standard. This study aimed to provide a preliminary assessment of these apps' clinical, technical, and implementation characteristics. Materials and Methods: We searched public repositories for potentially eligible FHIR apps and surveyed app implementers and other stakeholders. Results: Of the 112 apps surveyed, most focused on clinical care (74) or research (45); were implemented across multiple sites (56); and used SMART-on-FHIR (55) and FHIR version R4 (69). Apps were primarily stand-alone web-based (67) or electronic health record (EHR)-embedded (51), although 49 were not listed in an EHR app gallery. Discussion: Though limited in scope, our results show FHIR apps encompass various domains and characteristics. Conclusion: As FHIR use expands, this study - one of the first to characterize FHIR apps at large - highlights the need for systematic, comprehensive methods to assess their characteristics.

AB - Objective: Understanding the current state of real-world Fast Healthcare Interoperability Resources (FHIR) applications (apps) will benefit biomedical research and clinical care and facilitate advancement of the standard. This study aimed to provide a preliminary assessment of these apps' clinical, technical, and implementation characteristics. Materials and Methods: We searched public repositories for potentially eligible FHIR apps and surveyed app implementers and other stakeholders. Results: Of the 112 apps surveyed, most focused on clinical care (74) or research (45); were implemented across multiple sites (56); and used SMART-on-FHIR (55) and FHIR version R4 (69). Apps were primarily stand-alone web-based (67) or electronic health record (EHR)-embedded (51), although 49 were not listed in an EHR app gallery. Discussion: Though limited in scope, our results show FHIR apps encompass various domains and characteristics. Conclusion: As FHIR use expands, this study - one of the first to characterize FHIR apps at large - highlights the need for systematic, comprehensive methods to assess their characteristics.

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Clinical, technical, and implementation characteristics of real-world health applications using FHIR

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Keywords

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