Literature DB >> 32308850

Balancing Functionality versus Portability for SMART on FHIR Applications: Case Study for a Neonatal Bilirubin Management Application.

Polina Kukhareva1, Phillip Warner1, Salvador Rodriguez1, Heidi Kramer1, Charlene Weir1, Claude Nanjo1, David Shields1, Kensaku Kawamoto1.   

Abstract

SMART on FHIR applications are standards-based tools integrated with electronic health record (EHR) systems and intended for dissemination across EHR platforms. A key challenge for disseminating many apps is that EHR vendors provide different levels of support for FHIR. Thus, app developers must balance functionality versus portability. In this case study, a feature-rich app for neonatal bilirubin management was developed prioritizing physician-requested functionality, with custom FHIR interfaces implemented within the EHR as needed. Following wide intra-institutional use, several approaches are being pursued for adapting the app for cross-institutional dissemination: user surveys and interviews to identify least-valued app features which could potentially be omitted; enabling the application to provide differential features depending on available EHR FHIR capabilities; replacing custom FHIR interfaces with native EHR FHIR interfaces as they became available; and using a canonical logical data model known as QUICK that can be mapped to different FHIR versions and profiles. ©2019 AMIA - All rights reserved.

Entities:  

Year:  2020        PMID： 32308850      PMCID： PMC7153075     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN： 1559-4076


  10 in total

1.  Multi-National, Multi-Institutional Analysis of Clinical Decision Support Data Needs to Inform Development of the HL7 Virtual Medical Record Standard.

Authors:  Kensaku Kawamoto; Guilherme Del Fiol; Howard R Strasberg; Nathan Hulse; Clayton Curtis; James J Cimino; Beatriz H Rocha; Saverio Maviglia; Emory Fry; Harm J Scherpbier; Vojtech Huser; Patrick K Redington; David K Vawdrey; Jean-Charles Dufour; Morgan Price; Jens H Weber; Thomas White; Kevin S Hughes; James C McClay; Carla Wood; Karen Eckert; Scott Bolte; David Shields; Peter R Tattam; Peter Scott; Zhijing Liu; Andrew K McIntyre
Journal:  AMIA Annu Symp Proc       Date:  2010-11-13

2.  Intelligent Mortality Reporting With FHIR.

Authors:  Ryan A Hoffman; Hang Wu; Janani Venugopalan; Paula Braun; May D Wang
Journal:  IEEE J Biomed Health Inform       Date:  2018-04-06       Impact factor: 5.772

3.  Implementation of the HEART Pathway: Using the Consolidated Framework for Implementation Research.

Authors:  Sabina B Gesell; Shannon L Golden; Alexander T Limkakeng; Christine M Carr; Andrew Matuskowitz; Lane M Smith; Simon A Mahler
Journal:  Crit Pathw Cardiol       Date:  2018-12

4.  Opening the Duke electronic health record to apps: Implementing SMART on FHIR.

Authors:  Richard A Bloomfield; Felipe Polo-Wood; Joshua C Mandel; Kenneth D Mandl
Journal:  Int J Med Inform       Date:  2016-12-12       Impact factor: 4.046

5.  A FHIR Human Leukocyte Antigen (HLA) Interface for Platelet Transfusion Support.

Authors:  William J Gordon; Jane Baronas; William J Lane
Journal:  Appl Clin Inform       Date:  2017-06-07       Impact factor: 2.342

6.  Driving Innovation in Health Systems through an Apps-Based Information Economy.

Authors:  Kenneth D Mandl; Joshua C Mandel; Isaac S Kohane
Journal:  Cell Syst       Date:  2015-07       Impact factor: 10.304

7.  Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation.

Authors: 
Journal:  Pediatrics       Date:  2004-07       Impact factor: 7.124

8.  The SMART Platform: early experience enabling substitutable applications for electronic health records.

Authors:  Kenneth D Mandl; Joshua C Mandel; Shawn N Murphy; Elmer Victor Bernstam; Rachel L Ramoni; David A Kreda; J Michael McCoy; Ben Adida; Isaac S Kohane
Journal:  J Am Med Inform Assoc       Date:  2012-03-17       Impact factor: 4.497

9.  SMART on FHIR: a standards-based, interoperable apps platform for electronic health records.

Authors:  Joshua C Mandel; David A Kreda; Kenneth D Mandl; Isaac S Kohane; Rachel B Ramoni
Journal:  J Am Med Inform Assoc       Date:  2016-02-17       Impact factor: 4.497

10.  Beyond One-Off Integrations: A Commercial, Substitutable, Reusable, Standards-Based, Electronic Health Record-Connected App.

Authors:  Kenneth D Mandl; Daniel Gottlieb; Alyssa Ellis
Journal:  J Med Internet Res       Date:  2019-02-01       Impact factor: 5.428
  10 in total
  6 in total

Review 1.  Evaluation in Life Cycle of Information Technology (ELICIT) framework: Supporting the innovation life cycle from business case assessment to summative evaluation.

Authors:  Polina V Kukhareva; Charlene Weir; Guilherme Del Fiol; Gregory A Aarons; Teresa Y Taft; Chelsey R Schlechter; Thomas J Reese; Rebecca L Curran; Claude Nanjo; Damian Borbolla; Catherine J Staes; Keaton L Morgan; Heidi S Kramer; Carole H Stipelman; Julie H Shakib; Michael C Flynn; Kensaku Kawamoto
Journal:  J Biomed Inform       Date:  2022-02-12       Impact factor: 6.317

2.  Challenges and opportunities for advancing patient-centered clinical decision support: findings from a horizon scan.

Authors:  Prashila Dullabh; Shana F Sandberg; Krysta Heaney-Huls; Lauren S Hovey; David F Lobach; Aziz Boxwala; Priyanka J Desai; Elise Berliner; Chris Dymek; Michael I Harrison; James Swiger; Dean F Sittig
Journal:  J Am Med Inform Assoc       Date:  2022-06-14       Impact factor: 7.942

Review 3.  Contemporary clinical decision support standards using Health Level Seven International Fast Healthcare Interoperability Resources.

Authors:  Howard R Strasberg; Bryn Rhodes; Guilherme Del Fiol; Robert A Jenders; Peter J Haug; Kensaku Kawamoto
Journal:  J Am Med Inform Assoc       Date:  2021-07-30       Impact factor: 7.942

4.  The technical landscape for patient-centered CDS: progress, gaps, and challenges.

Authors:  Prashila Dullabh; Krysta Heaney-Huls; David F Lobach; Lauren S Hovey; Shana F Sandberg; Priyanka J Desai; Edwin Lomotan; James Swiger; Michael I Harrison; Chris Dymek; Dean F Sittig; Aziz Boxwala
Journal:  J Am Med Inform Assoc       Date:  2022-05-11       Impact factor: 7.942

Review 5.  New Standards for Clinical Decision Support: A Survey of The State of Implementation.

Authors:  Peter Taber; Christina Radloff; Guilherme Del Fiol; Catherine Staes; Kensaku Kawamoto
Journal:  Yearb Med Inform       Date:  2021-09-03

6.  Establishing a multidisciplinary initiative for interoperable electronic health record innovations at an academic medical center.

Authors:  Kensaku Kawamoto; Polina V Kukhareva; Charlene Weir; Michael C Flynn; Claude J Nanjo; Douglas K Martin; Phillip B Warner; David E Shields; Salvador Rodriguez-Loya; Richard L Bradshaw; Ryan C Cornia; Thomas J Reese; Heidi S Kramer; Teresa Taft; Rebecca L Curran; Keaton L Morgan; Damian Borbolla; Maia Hightower; William J Turnbull; Michael B Strong; Wendy W Chapman; Travis Gregory; Carole H Stipelman; Julie H Shakib; Rachel Hess; Jonathan P Boltax; Joseph P Habboushe; Farrant Sakaguchi; Kyle M Turner; Scott P Narus; Shinji Tarumi; Wataru Takeuchi; Hideyuki Ban; David W Wetter; Cho Lam; Tanner J Caverly; Angela Fagerlin; Chuck Norlin; Daniel C Malone; Kimberly A Kaphingst; Wendy K Kohlmann; Benjamin S Brooke; Guilherme Del Fiol
Journal:  JAMIA Open       Date:  2021-07-31
  6 in total

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