Suitability of Fast Healthcare Interoperability Resources (FHIR) for Wellness Data
2017
Wellness data generated by patients using smart
phones and portable devices can be a key part of
Personal Health Record (PHR) data and offers
healthcare service providers (healthcare providers)
patient health information on a daily basis. Prior
research has identified the potential for improved
communication between healthcare provider and
patient. However the practice of sharing patient
generated wellness data has not been widely adopted
by the healthcare sector; one of the reasons being the
lack of interoperability preventing successful
integration of such device generated data into the PHR
and Electronic Health Record (EHR) systems. To
address the interoperability issue it is important to
make sure that wellness data can be supported in
healthcare information exchange standards. Fast
Healthcare Interoperability Resources (FHIR) is used
in the current research study to identify the technical
feasibility for patient generated wellness data. FHIR is
expected to be the future healthcare information
exchange standard in the healthcare industry.
A conceptual data model of wellness data was
developed for evaluation using FHIR standard. The
conceptual data model contained blood glucose
readings, blood pressure readings and Body Mass
Index (BMI) data and could be extended to accept
other types of wellness data. The wellness data model
was packaged in an official FHIR resource called
Observation. The research study proved the flexibility
of adding new data elements related to wellness in
Observation. It met the requirements in FHIR to
include such data elements useful in self-management
of chronic diseases. It also had the potential in sharing
it with the healthcare provider system.
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