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Stud Health Technol Inform. 2019 Aug 21;264:940-944. doi: 10.3233/SHTI190362.

Integration of FHIR to Facilitate Electronic Case Reporting: Results from a Pilot Study.

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Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA.
Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.
Center for Health Information and Communication, Department of Veterans Affairs, HSR&D Service, Indianapolis, IN, USA.
Center for Health Analytics and Informatics, Georgia Tech Research Institute, Atlanta, GA, USA.


Current approaches to gathering sexually transmitted infection (STI) case information for surveillance efforts are inefficient and lead to underreporting of disease burden. Electronic health information systems offer an opportunity to improve how STI case information can be gathered and reported to public health authorities. To test the feasibility of a standards-based application designed to automate STI case information collection and reporting, we conducted a pilot study where electronic laboratory messages triggered a FHIR-based application to query a patient's electronic health record for details needed for an electronic case report (eCR). Out of 214 cases observed during a one week period, 181 (84.6%) could be successfully confirmed automatically using the FHIR-based application. Data quality and information representation challenges were identified that will require collaborative efforts to improve the structure of electronic clinical messages as well as the robustness of the FHIR application.


Disease Notification; Health Information Exchange; Sexually Transmitted Diseases

[Indexed for MEDLINE]

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