PDF(Pubmed)
Abstract：
HL7 FHIR was created almost a decade ago and is seeing increasingly wide use in high income settings. Although some initial work was carried out in low and middle income (LMIC) settings there has been little impact until recently. The need for reliable and easy to implement interoperability between health information systems in LMICs is growing with large scale deployments of EHRs, national reporting systems and mHealth applications. The OpenMRS open source EHR has been deployed in more than 44 LMIC with increasing needs for interoperability with other HIS. We describe here the development and deployment of a new FHIR module supporting the latest standards and its use in interoperability with laboratory systems, mHealth applications, pharmacy dispensing system and as a tool for supporting advanced user interface designs. We also show how it facilitates date science projects and deployment of machine leaning based CDSS and precision medicine in LMICs.
摘要：
HL7FHIR创建于近十年前，在高收入环境中的使用越来越广泛。尽管在低收入和中等收入（LMIC）环境中进行了一些初步工作，但直到最近才产生影响。随着EHR的大规模部署，对LMICs中卫生信息系统之间可靠且易于实施的互操作性的需求正在增长，国家报告系统和移动健康应用。OpenMRS开源EHR已部署在超过44个LMIC中，与其他HIS的互操作性需求不断增加。我们在这里描述了支持最新标准的新FHIR模块的开发和部署，以及它在与实验室系统的互操作性中的使用。mHealth应用程序，药房配药系统，并作为支持高级用户界面设计的工具。我们还展示了它如何促进日期科学项目以及在LMIC中部署基于机器学习的CDSS和精密医学。
