ArticleApplied clinical informatics2022
Integrating a Patient Engagement App into an Electronic Health Record-Enabled Workflow Using Interoperability Standards.
Article in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed.
- User-Centered Design and Implementation of an Interoperable FHIR Application for Pediatric Pneumonia Prognostication in a Randomized Trial.Applied clinical informatics · 2024Trial
- From Pilot to Practice: A Sociotechnical Perspective for Sustainable Adoption of Patient Engagement Technologies.Applied clinical informatics · 2026Article
- Unlocking the Potential of mHealth: Integrating Behaviour Change Techniques in Hypertension App Design.International journal of environmental research and public health · 2025Article
- Right Information, Right Care, Right Patient, Right Time: Community Preferences to Inform a Self-Management Support Tool for Upper Respiratory Symptoms.Applied clinical informatics · 2025Article
- 'A tough nut to crack': inconsistent standards as roadblocks to data interoperability of health information systems in public hospitals in the Gauteng Province of South Africa.Oxford open digital health · 2025Article
- Musculoskeletal Disorder (MSD) Health Data Collection, Personalized Management and Exchange Using Fast Healthcare Interoperability Resources (FHIR).Sensors (Basel, Switzerland) · 2024Review
- Patient-centered clinical decision support challenges and opportunities identified from workflow execution models.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Acceptability, Effectiveness, and Roles of mHealth Applications in Supporting Cancer Pain Self-Management: Integrative Review.JMIR mHealth and uHealth · 2024Review
- Review
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- Strengthening Cybersecurity for Patient Data Protection in Europe.Journal of medical Internet research · 2023Article
- Buy or Build: Challenges Developing Consumer Digital Health Interventions.Applied clinical informatics · 2023Article
- Advances in Clinical Decision Support Systems: Contributions from the 2022 Literature.Yearbook of medical informatics · 2023Article
- Interviews with HIV Experts for Development of a Mobile Health Application in HIV Care-A Qualitative Study.Healthcare (Basel, Switzerland) · 2023Article
- The Evolution of Vision Therapy Software and Its Impact on Vision Care - A Comprehensive Major Review.Romanian journal of ophthalmologyReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundPatient use of mobile health applications is increasing. To promote patient-centered care, data from these apps must be integrated into clinician workflows within the electronic health record (EHR). Health Level 7 Fast Healthcare Interoperability Resources (FHIR) offers a standards-based application programming interface (API) that may support such integration.
objectiveWe aimed to use interoperability standards to integrate a patient mobile application (coronavirus 2019 [COVID-19] Tracker) with an EHR. The COVID-19 Tracker engages patients by sending introductory and reminder text messages, collecting vital signs and symptom data from COVID-19 patients, and providing actionable guidance if concerning issues are identified. This case report explored the use of FHIR APIs to integrate the app into EHR-enabled clinical workflows.
methodsThe authors used notes from project meetings and from semistructured discussions among the application development team to track the design and implementation processes. Seven points of integration between the application and the EHR were identified, and approaches using FHIR to perform these integrations were delineated.
resultsAlthough this clinical decision support integration project benefited from its standards-based approach, many challenges were encountered. These were due to (1) partial implementation of the FHIR standard in the EHR, particularly, components needed for patient engagement applications; (2) limited experience with the adoption of FHIR standards; and (3) gaps in the current FHIR standard. Alternative approaches, often not based on interoperability standards, were developed to overcome these limitations.
conclusionDespite the challenges encountered due to the early stages of FHIR development and adoption, FHIR standards provide a promising mechanism for overcoming longstanding barriers and facilitating the integration of patient engagement apps with EHRs. To accelerate the integration of apps into clinical workflows, additional components of the FHIR standard must be implemented within the EHR and other clinical systems. Continued expansion of available FHIR resources will help with tighter workflow integration.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.