IMPLEMENTATION OF FHIR STANDARD FOR INDONESIAN ELECTRICAL HEALTH RECORD INTEROPERABILITY
The presence of Electrical Health Records (EHR) gives the potential to improve interoperability between health services. Interoperability is the ability of two or more systems to exchange information and to use the information that has been exchanged. The presence of interoperability can provide...
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| Format: | Theses |
| Language: | Indonesia |
| Subjects: | |
| Online Access: | https://digilib.itb.ac.id/gdl/view/49228 |
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| Institution: | Institut Teknologi Bandung |
| Language: | Indonesia |
| Summary: | The presence of Electrical Health Records (EHR) gives the potential to improve
interoperability between health services. Interoperability is the ability of two or
more systems to exchange information and to use the information that has been
exchanged. The presence of interoperability can provide the information when and
where required to meet the patient care needs. However, not all Electronic Health
Records have achieved the level of interoperability. Indonesia has also
implemented electronic health records developed in Health Information System
applications. The development of HIS in Indonesia is still fragmented and built
differently among health services. Communication is hard to achieve because the
EHR software is built differently among the health service. The interoperability
standards have been developed to support interoperability. The use of
interoperability standards can act as the middle ground to coordinate between
different software systems. Fast Healthcare Interoperability Resource (FHIR) is an
interoperability standard developed by HL7 for exchanging healthcare information
electronically. FHIR can support syntactic and semantic interoperability upon the
concept of Resource and Representational State Transfer Application
Programming Interface (REST API). This research aims to implement the FHIR
standard on Indonesian Electronic Health Records to achieve interoperability. This
study takes the case of a general polyclinic medical record as a research object.
We conduct mapping and Gap analysis to see the ability of the FHIR Resource to
represent the requirement of medical records in Indonesian general polyclinic. The
results of the gap analysis show that the Profile design is needed to provide the
specifications for using FHIR Resource following by the requirements of medical
records in Indonesian general polyclinic. The next step is designing an
interoperable client-server prototype of EHR based on FHIR interoperability that
implements the FHIR Resource and REST API to exchange data. Medical record
data is exchanged by using FHIR Resource that conforms to Profile specifications.
The implementation of the FHIR standard gives the effectiveness and feasibility of
Indonesian medical record syntactic interoperability and also supports the use of
terminology codes to meet semantic interoperability. |
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