背景:卫生信息系统之间的互操作性是保证人口卫生保健连续性的基本要求。快速医疗保健互操作性资源(FHIR)是一种标准,可用于设计和开发可互操作的系统,并在全球范围内广泛采用。然而,FHIR培训课程需要一个易于管理的基于Web的自学平台,该平台带有模块,以创建学习者回答的场景和问题。本文提出了一种自动评估答案的FHIR教学系统,为学习者提供持续的反馈和进步。
目的:我们正在设计和开发一个学习管理系统,申请,部署,并自动评估FHIR网络课程。
方法:通过与参与学术和专业FHIR活动(大学和卫生机构)的专家进行访谈,收集了教学FHIR的系统要求。采访是半结构化的,记录和记录每个会议。此外,我们使用了一个临时工具来注册和分析所有需求,以引出需求。最后,获得的信息与现有证据进行了三角测量。该分析用Atlas-ti软件进行。出于设计目的,需求分为功能性和非功能性。功能要求是(1)测试和问题管理器,(2)用于编排组件的应用程序编程接口(API),(3)自动评估响应的测试评估器,和(4)学生的客户端应用程序。安全性和可用性是设计功能和安全接口的基本非功能要求。软件开发方法基于传统的螺旋模型。拟议系统的最终用户是(1)服务器所有技术方面的系统管理员,(2)教师设计课程,(3)对学习FHIR感兴趣的学生。
结果:这项工作中描述的主要结果是Huemul,用于FHIR培训的学习管理系统,其中包括以下组件:(1)HuemulAdmin:用于创建用户的Web应用程序,测试,和问题并定义分数;(2)HuemulAPI:用于不同软件组件之间通信的模块(FHIR服务器,客户端,和引擎);(3)Huemul引擎:用于答案评估的组件,以识别差异并验证内容;(4)Huemul客户端:用于用户显示测试和问题的Web应用程序。Huemul在平台上与10个活跃课程相关的416名学生成功实施。此外,老师们创造了60个测试和695个问题。总的来说,完成课程的416名学生对Huemul的评价很高。
结论:Huemul是第一个允许创建课程的平台,测试,以及能够自动评估和反馈FHIR操作的问题。Huemul已在多种FHIR教学场景中为医疗保健专业人员实施。与Huemul一起接受FHIR培训的专业人员正在领导成功的国家和国际举措。
BACKGROUND: Interoperability between health information systems is a fundamental requirement to guarantee the continuity of health care for the population. The Fast Healthcare Interoperability Resource (FHIR) is the standard that enables the design and development of interoperable systems with broad adoption worldwide. However, FHIR training curriculums need an easily administered web-based self-learning platform with modules to create scenarios and questions that the learner answers. This paper proposes a system for teaching FHIR that automatically evaluates the answers, providing the learner with continuous feedback and progress.
OBJECTIVE: We are designing and developing a learning management system for creating, applying, deploying, and automatically assessing FHIR web-based courses.
METHODS: The system requirements for teaching FHIR were collected through interviews with experts involved in academic and professional FHIR activities (universities and health institutions). The interviews were semistructured, recording and documenting each meeting. In addition, we used an ad hoc instrument to register and analyze all the needs to elicit the requirements. Finally, the information obtained was triangulated with the available evidence. This analysis was carried out with Atlas-ti software. For design purposes, the requirements were divided into functional and nonfunctional. The functional requirements were (1) a test and question manager, (2) an application programming interface (API) to orchestrate components, (3) a test evaluator that automatically evaluates the responses, and (4) a client application for students. Security and usability are essential nonfunctional requirements to design functional and secure interfaces. The software development methodology was based on the traditional spiral model. The end users of the proposed system are (1) the system administrator for all technical aspects of the server, (2) the teacher designing the courses, and (3) the students interested in learning FHIR.
RESULTS: The main result described in this work is Huemul, a learning management system for training on FHIR, which includes the following components: (1) Huemul Admin: a web application to create users, tests, and questions and define scores; (2) Huemul API: module for communication between different software components (FHIR server, client, and engine); (3) Huemul Engine: component for answers evaluation to identify differences and validate the content; and (4) Huemul Client: the web application for users to show the test and questions. Huemul was successfully implemented with 416 students associated with the 10 active courses on the platform. In addition, the teachers have created 60 tests and 695 questions. Overall, the 416 students who completed their courses rated Huemul highly.
CONCLUSIONS: Huemul is the first platform that allows the creation of courses, tests, and questions that enable the automatic evaluation and feedback of FHIR operations. Huemul has been implemented in multiple FHIR teaching scenarios for health care professionals. Professionals trained on FHIR with Huemul are leading successful national and international initiatives.