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

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

With a heightened emphasis on wellness fairness all over our function, ONC has adopted the thought of “health equity by style.” Together individuals lines, well being IT can, and must, be applied to much better discover and mitigate disparities although improving options for underrepresented populations. In 2019, under the Main Edge Acceleration Projects (LEAP) for Health and fitness IT method, ONC funded the University of Texas at Austin’s Dell Health care School (Dell Med) to design, produce, and show enhanced affected individual engagement technologies for care and exploration, with a concentration on overall health equity.

The Dell Med team proposed establishing a individual engagement technological innovation system utilizing software programming interfaces (APIs) and the similar national benchmarks for interoperability, protection, and authorization becoming used by electronic wellbeing data, specifically FHIR® and Intelligent on FHIR.

Building the FHIRedApp Platform

The FHIRedApp system was made making use of human-centered design methodology to establish the requires and choices of a various team of Latino, African-American, and Asian-American patients. To layout an quick-to-use platform, the workforce held 20 Local community Engagement Studio (CES) sessions with ethnically and racially diverse people from Central Texas. The course of action concerned beta testing, semi-structured interviews, and pilot tests with members to make certain the app’s superior usability.

A neighborhood navigator led every single CES session, and the discussion subjects incorporated local community health and fitness ordeals, group readiness, structure tastes, adoption, and sustainability. The process for creating the application also included human-centered design methodologies and insights collected from the CES periods aided recognized functions and capabilities that ethnically and racially numerous people wanted from a wellness app system.  A higher-fidelity prototype of the app (Figure 1) was then made, beta tested by assorted people, and used by the growth group to code for the remaining application.

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

Determine 1: FHIRedApp superior-fidelity prototype

While the FHIRedApp will be equipped to hook up to FHIR API endpoints delivered by qualified EHR systems needed by the ONC Cures Act Closing Rule, the platform has also been designed to leverage health information exchanges (HIEs) and research networks, which act as details aggregators from several EHRs. The FHIRedApp is also an application platform that lets clients to achieve accessibility to their data, grant entry to all or component of their info, and make it readily available to 3rd-get together application developers through FHIR APIs. The Dell Med crew is presently building a pilot application to enable with recruitment for exploration scientific studies and integration with social products and services referral networks.

The improvement of FHIRedApp has shown how know-how innovations utilizing FHIR APIs for exchanging facts can be informed by means of a methodology of community engagement and human-centered layout. Wanting forward, the team and neighborhood users hope to continuously supply additional capabilities and enhancements on the platform and examination scalability making use of other HIEs and information sources in the potential. To find out far more about this job, go through the Dell Med team’s results.


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