April 19, 2024


Health Gets

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

2 min read
Image of the FHIRedApp showing the prototype of how the app may work.

With a heightened target on health fairness all over our work, ONC has adopted the strategy of “health equity by design and style.” Together people lines, wellbeing IT can, and should, be made use of to greater recognize and mitigate disparities while boosting options for underrepresented populations. In 2019, below the Leading Edge Acceleration Projects (LEAP) for Well being IT system, ONC funded the University of Texas at Austin’s Dell Healthcare College (Dell Med) to structure, create, and demonstrate enhanced affected person engagement technologies for care and study, with a target on wellness fairness.

The Dell Med group proposed developing a client engagement know-how platform employing software programming interfaces (APIs) and the exact same countrywide criteria for interoperability, security, and authorization currently being utilized by digital health documents, specifically FHIR® and Sensible on FHIR.

Creating the FHIRedApp System

The FHIRedApp system was designed applying human-centered style methodology to recognize the requires and tastes of a numerous team of Latino, African-American, and Asian-American individuals. To style an straightforward-to-use platform, the staff held 20 Neighborhood Engagement Studio (CES) sessions with ethnically and racially diverse individuals from Central Texas. The procedure involved beta screening, semi-structured interviews, and pilot screening with individuals to ensure the app’s large usability.

A group navigator led every single CES session, and the dialogue topics integrated neighborhood well being experiences, neighborhood readiness, structure choices, adoption, and sustainability. The procedure for creating the app also incorporated human-centered style and design methodologies and insights collected from the CES classes helped recognized features and capabilities that ethnically and racially numerous individuals wanted from a wellbeing app platform.  A high-fidelity prototype of the application (Figure 1) was then designed, beta examined by varied people, and applied by the advancement workforce to code for the final application.

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

Figure 1: FHIRedApp high-fidelity prototype

Whilst the FHIRedApp will be capable to link to FHIR API endpoints presented by licensed EHR technologies needed by the ONC Cures Act Final Rule, the system has also been developed to leverage wellbeing facts exchanges (HIEs) and research networks, which act as information aggregators from multiple EHRs. The FHIRedApp is also an application system that will allow sufferers to obtain accessibility to their details, grant accessibility to all or section of their facts, and make it obtainable to third-occasion app builders by using FHIR APIs. The Dell Med group is presently establishing a pilot application to help with recruitment for investigate reports and integration with social companies referral networks.

The progress of FHIRedApp has proven how technologies innovations making use of FHIR APIs for exchanging data can be knowledgeable as a result of a methodology of neighborhood engagement and human-centered design and style. Wanting forward, the workforce and group users hope to continually present more capabilities and enhancements on the platform and examination scalability applying other HIEs and knowledge resources in the upcoming. To learn much more about this task, go through the Dell Med team’s results.


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