February 7, 2023


Better Ingredients

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

With a heightened target on health equity through our perform, ONC has adopted the strategy of “health equity by style and design.” Alongside people traces, well being IT can, and need to, be utilised to far better determine and mitigate disparities when boosting options for underrepresented populations. In 2019, below the Major Edge Acceleration Jobs (LEAP) for Health and fitness IT system, ONC funded the College of Texas at Austin’s Dell Health-related School (Dell Med) to layout, develop, and reveal enhanced individual engagement systems for care and exploration, with a focus on overall health equity.

The Dell Med crew proposed creating a client engagement technological innovation system working with application programming interfaces (APIs) and the similar national benchmarks for interoperability, stability, and authorization getting employed by electronic wellness records, namely FHIR® and Good on FHIR.

Planning the FHIRedApp System

The FHIRedApp system was made utilizing human-centered structure methodology to detect the requirements and choices of a numerous group of Latino, African-American, and Asian-American patients. To layout an effortless-to-use platform, the crew held 20 Community Engagement Studio (CES) periods with ethnically and racially numerous people from Central Texas. The method involved beta tests, semi-structured interviews, and pilot testing with participants to guarantee the app’s significant usability.

A local community navigator led every CES session, and the dialogue subject areas incorporated community health activities, local community readiness, structure preferences, adoption, and sustainability. The approach for creating the app also integrated human-centered structure methodologies and insights gathered from the CES periods helped discovered attributes and abilities that ethnically and racially varied people desired from a overall health app platform.  A higher-fidelity prototype of the app (Determine 1) was then designed, beta examined by diverse people, and used by the improvement group to code for the final app.

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

Determine 1: FHIRedApp large-fidelity prototype

Although the FHIRedApp will be ready to join to FHIR API endpoints provided by licensed EHR technologies expected by the ONC Cures Act Closing Rule, the system has also been created to leverage overall health facts exchanges (HIEs) and investigate networks, which act as facts aggregators from numerous EHRs. The FHIRedApp is also an app system that makes it possible for clients to acquire entry to their data, grant access to all or portion of their facts, and make it out there to third-social gathering app builders by way of FHIR APIs. The Dell Med workforce is presently building a pilot application to help with recruitment for investigation scientific studies and integration with social expert services referral networks.

The improvement of FHIRedApp has proven how know-how innovations applying FHIR APIs for exchanging info can be informed via a methodology of neighborhood engagement and human-centered style and design. Seeking ahead, the workforce and group users hope to constantly offer supplemental functions and enhancements on the platform and take a look at scalability working with other HIEs and info resources in the long term. To discover much more about this venture, read the Dell Med team’s findings.