TY - JOUR
T1 - The Fast Health Interoperability Resources (FHIR) Standard
T2 - Systematic literature review of implementations, pplications, challenges and opportunities
AU - Ayaz, Muhammad
AU - Pasha, Muhammad F.
AU - Alzahrani, Mohammed Y.
AU - Budiarto, Rahmat
AU - Stiawan, Deris
N1 - Publisher Copyright:
© Muhammad Ayaz, Muhammad F Pasha, Mohammed Y Alzahrani, Rahmat Budiarto, Deris Stiawan.
PY - 2021/7
Y1 - 2021/7
N2 - Background: Information technology has shifted paper-based documentation in the health care sector into a digital form, in which patient information is transferred electronically from one place to another. However, there remain challenges and issues to resolve in this domain owing to the lack of proper standards, the growth of new technologies (mobile devices, tablets, ubiquitous computing), and health care providers who are reluctant to share patient information. Therefore, a solid systematic literature review was performed to understand the use of this new technology in the health care sector. To the best of our knowledge, there is a lack of comprehensive systematic literature reviews that focus on Fast Health Interoperability Resources (FHIR)-based electronic health records (EHRs). In addition, FHIR is the latest standard, which is in an infancy stage of development. Therefore, this is a hot research topic with great potential for further research in this domain. Objective: The main aim of this study was to explore and perform a systematic review of the literature related to FHIR, including the challenges, implementation, opportunities, and future FHIR applications. Methods: In January 2020, we searched articles published from January 2012 to December 2019 via all major digital databases in the field of computer science and health care, including ACM, IEEE Explorer, Springer, Google Scholar, PubMed, and ScienceDirect. We identified 8181 scientific articles published in this field, 80 of which met our inclusion criteria for further consideration. Results: The selected 80 scientific articles were reviewed systematically, and we identified open questions, challenges, implementation models, used resources, beneficiary applications, data migration approaches, and goals of FHIR. Conclusions: The literature analysis performed in this systematic review highlights the important role of FHIR in the health care domain in the near future.
AB - Background: Information technology has shifted paper-based documentation in the health care sector into a digital form, in which patient information is transferred electronically from one place to another. However, there remain challenges and issues to resolve in this domain owing to the lack of proper standards, the growth of new technologies (mobile devices, tablets, ubiquitous computing), and health care providers who are reluctant to share patient information. Therefore, a solid systematic literature review was performed to understand the use of this new technology in the health care sector. To the best of our knowledge, there is a lack of comprehensive systematic literature reviews that focus on Fast Health Interoperability Resources (FHIR)-based electronic health records (EHRs). In addition, FHIR is the latest standard, which is in an infancy stage of development. Therefore, this is a hot research topic with great potential for further research in this domain. Objective: The main aim of this study was to explore and perform a systematic review of the literature related to FHIR, including the challenges, implementation, opportunities, and future FHIR applications. Methods: In January 2020, we searched articles published from January 2012 to December 2019 via all major digital databases in the field of computer science and health care, including ACM, IEEE Explorer, Springer, Google Scholar, PubMed, and ScienceDirect. We identified 8181 scientific articles published in this field, 80 of which met our inclusion criteria for further consideration. Results: The selected 80 scientific articles were reviewed systematically, and we identified open questions, challenges, implementation models, used resources, beneficiary applications, data migration approaches, and goals of FHIR. Conclusions: The literature analysis performed in this systematic review highlights the important role of FHIR in the health care domain in the near future.
KW - CDA Substitutable Medical Applications Reusable Technologies
KW - Clinical document architecture
KW - EHR
KW - Electronic health record
KW - Fast Health Interoperability Resources
KW - FHIR
KW - Health standard
KW - HL7
KW - SMART
KW - Systematic literature review
UR - http://www.scopus.com/inward/record.url?scp=85111650694&partnerID=8YFLogxK
U2 - 10.2196/21929
DO - 10.2196/21929
M3 - Review Article
C2 - 34328424
AN - SCOPUS:85111650694
SN - 2291-9694
VL - 9
JO - JMIR Medical Informatics
JF - JMIR Medical Informatics
IS - 7
M1 - e21929
ER -