Clinical Decision Support Based on FHIR Data Exchange Standard

Abstract

Abstract. With the improvement of the level of medical information, the major hospitals have the appropriate medical information system (Hospital Information System, HIS) to manage clinical medical data. However, because of the difference of HIS, the structure of clinical medical data is also different, which seriously affects the transmission, compatibility and use of clinical data, that making the data incomplete or can't be effectively used. In this paper, we use the Fast Healthcare Interoperability Resources (FHIR) standard to standardize the exchange of clinical medical data, and build a data sharing platform with multi agent platform, so that the clinical medical data can be integrated by Agent for clinical decisions making.

The Fast Health Interoperability Resources (FHIR) Standard: Systematic Literature Review of Implementations, Applications, Challenges and Opportunities

“…From a conceptual framework, we considered the categories of general FHIR implementation [ 48 , 59 ], using SMART on FHIR [ 3 , 14 , 22 , 31 ], HL7 API (HAPI)-FHIR server/library/applications [ 14 , 16 , 20 , 32 , 34 - 36 , 40 , 43 , 51 , 54 , 55 , 73 , 76 , 81 , 82 ], and FHIR general framework [ 14 , 40 , 78 ]. In consideration of compatibility, we chose FHIR data model/data exchange [ 5 , 11 , 26 , 45 , 55 , 66 , 67 , 73 ] and defining ontology to align with FHIR [ 44 , 68 , 69 ] as the main categories. In addition, we classified all implementation-related work under the miscellaneous category [ 21 , 25 , 30 , 32 , 47 , 60 , 71 ], such as FHIR implementation of the legacy clinical data repository system, FHIR implementation of the agent-based system, implementation of operational data model metadata [ 86 ] to FHIR questionnaire resource implementation, FHIR implementation of the electronic treatment form, Clinical Asset Mapping Program for FHIR, integration of the architecture of domain information model (ISO/IEEE 11073 DIM) [ 31 ] with FHIR, and FHIR-based decision support systems.…”

“…A resource is the smallest discrete concept that can be maintained independently and is the smallest possible unit of a transaction [ 5 ]. Thus, a resource is a known identity providing meaningful data.…”

Health Informatics: Engaging Modern Healthcare Units: A Brief Overview

“…A resource is the smallest discrete concept that can be independently maintained and is the lowest feasible unit of a transaction (36). As a result, a resource is a known identity that provides useful data.…”