Where APIs meet Health Equity by Design: Introducing the FHIRedApp Health Innovation

Allan I. Fleming

With a heightened focus on overall health fairness in the course of our function, ONC has adopted the notion of “health equity by layout.” Alongside those traces, wellness IT can, and should, be utilised to better identify and mitigate disparities although improving opportunities for underrepresented populations. In 2019, under the Major Edge Acceleration Initiatives (LEAP) for Health and fitness IT program, ONC funded the University of Texas at Austin’s Dell Health-related College (Dell Med) to design and style, build, and exhibit increased affected person engagement technologies for care and exploration, with a emphasis on overall health equity.

The Dell Med crew proposed acquiring a client engagement technological know-how platform employing software programming interfaces (APIs) and the same nationwide standards for interoperability, protection, and authorization remaining employed by electronic overall health data, namely FHIR® and Smart on FHIR.

Planning the FHIRedApp Platform

The FHIRedApp system was made utilizing human-centered design methodology to detect the requires and tastes of a diverse group of Latino, African-American, and Asian-American sufferers. To design an effortless-to-use system, the group held 20 Neighborhood Engagement Studio (CES) classes with ethnically and racially varied sufferers from Central Texas. The process involved beta testing, semi-structured interviews, and pilot tests with contributors to make certain the app’s significant usability.

A local community navigator led every single CES session, and the dialogue subject areas involved neighborhood wellbeing experiences, group readiness, design tastes, adoption, and sustainability. The method for developing the application also integrated human-centered design and style methodologies and insights collected from the CES sessions served recognized attributes and capabilities that ethnically and racially diverse people ideal from a well being application platform.  A significant-fidelity prototype of the application (Determine 1) was then formulated, beta tested by assorted people, and utilised by the development workforce to code for the closing app.

Image of the FHIRedApp showing the prototype of how the app may work.

Determine 1: FHIRedApp significant-fidelity prototype

Though the FHIRedApp will be equipped to link to FHIR API endpoints delivered by licensed EHR systems essential by the ONC Cures Act Closing Rule, the system has also been created to leverage wellness facts exchanges (HIEs) and investigate networks, which act as facts aggregators from several EHRs. The FHIRedApp is also an application platform that permits sufferers to attain entry to their knowledge, grant access to all or section of their information, and make it obtainable to 3rd-bash application developers via FHIR APIs. The Dell Med crew is presently building a pilot app to help with recruitment for research research and integration with social products and services referral networks.

The growth of FHIRedApp has proven how technological innovation innovations utilizing FHIR APIs for exchanging facts can be educated via a methodology of community engagement and human-centered style and design. Searching ahead, the group and community users hope to continuously offer you extra characteristics and enhancements on the system and take a look at scalability working with other HIEs and data resources in the potential. To study far more about this job, read through the Dell Med team’s findings.


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