Evidence map›Paper›PMID 38153779›Full record

ArticleJournal of medical Internet research2023

Can OpenEHR, ISO 13606, and HL7 FHIR Work Together? An Agnostic Approach for the Selection and Application of Electronic Health Record Standards to the Next-Generation Health Data Spaces.

Miguel Pedrera-Jiménez, Noelia García-Barrio, Santiago Frid, David Moner, Diego Boscá-Tomás, Raimundo Lozano-Rubí, Dipak Kalra, Thomas Beale, Adolfo Muñoz-Carrero, Pablo Serrano-Balazote

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Miguel Pedrera-JiménezData Science Unit, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0003-0187-3826
Noelia García-BarrioData Science Unit, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0002-2789-8426
Santiago FridMedical Informatics Unit, Hospital Clinic de Barcelona, Barcelona, Spain.ORCID 0000-0001-8400-5770
David MonerVeratech for Health, Valencia, Spain.ORCID 0000-0001-5285-0654
Diego Boscá-TomásVeratech for Health, Valencia, Spain.ORCID 0000-0002-0827-0932
Raimundo Lozano-RubíMedical Informatics Unit, Hospital Clinic de Barcelona, Barcelona, Spain.ORCID 0000-0002-7912-721X
Dipak KalraThe European Institute for Innovation through Health Data, Gent, Belgium.ORCID 0000-0002-2998-9882
Thomas BealeArs Semantica, London, United Kingdom.ORCID 0000-0002-2287-4863
Adolfo Muñoz-CarreroTelemedicine and Digital Health Research Unit, Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0002-0141-7751
Pablo Serrano-BalazoteData Science Unit, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0003-2958-6319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In order to maximize the value of electronic health records (EHRs) for both health care and secondary use, it is necessary for the data to be interoperable and reusable without loss of the original meaning and context, in accordance with the findable, accessible, interoperable, and reusable (FAIR) principles. To achieve this, it is essential for health data platforms to incorporate standards that facilitate addressing needs such as formal modeling of clinical knowledge (health domain concepts) as well as the harmonized persistence, query, and exchange of data across different information systems and organizations. However, the selection of these specifications has not been consistent across the different health data initiatives, often applying standards to address needs for which they were not originally designed. This issue is essential in the current scenario of implementing the European Health Data Space, which advocates harmonization, interoperability, and reuse of data without regulating the specific standards to be applied for this purpose. Therefore, this viewpoint aims to establish a coherent, agnostic, and homogeneous framework for the use of the most impactful EHR standards in the new-generation health data spaces: OpenEHR, International Organization for Standardization (ISO) 13606, and Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR). Thus, a panel of EHR standards experts has discussed several critical points to reach a consensus that will serve decision-making teams in health data platform projects who may not be experts in these EHR standards. It was concluded that these specifications possess different capabilities related to modeling, flexibility, and implementation resources. Because of this, in the design of future data platforms, these standards must be applied based on the specific needs they were designed for, being likewise fully compatible with their combined functional and technical implementation.

Indexed as

Electronic Health RecordsHealth Level SevenConsensusHumansKnowledgeReference Standardselectronic health recordsFAIR principleshealth information standardsHL7 FHIRISO 13606OpenEHRsemantics

Identifiers

PMID38153779
PMCPMC10784985

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.