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Browsing by Author "Jaffe, Charles"
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Item Clinical, technical, and implementation characteristics of real-world health applications using FHIR(Oxford University Press, 2022-10-12) Griffin, Ashley C.; He, Lu; Sunjaya, Anthony P.; King, Andrew J.; Khan, Zubin; Nwadiugwu, Martin; Douthit, Brian; Subbian, Vignesh; Nguyen, Viet; Braunstein, Mark; Jaffe, Charles; Schleyer, Titus; Medicine, School of MedicineObjective: Understanding the current state of real-world Fast Healthcare Interoperability Resources (FHIR) applications (apps) will benefit biomedical research and clinical care and facilitate advancement of the standard. This study aimed to provide a preliminary assessment of these apps' clinical, technical, and implementation characteristics. Materials and methods: We searched public repositories for potentially eligible FHIR apps and surveyed app implementers and other stakeholders. Results: Of the 112 apps surveyed, most focused on clinical care (74) or research (45); were implemented across multiple sites (56); and used SMART-on-FHIR (55) and FHIR version R4 (69). Apps were primarily stand-alone web-based (67) or electronic health record (EHR)-embedded (51), although 49 were not listed in an EHR app gallery. Discussion: Though limited in scope, our results show FHIR apps encompass various domains and characteristics. Conclusion: As FHIR use expands, this study-one of the first to characterize FHIR apps at large-highlights the need for systematic, comprehensive methods to assess their characteristics.