Using Fast Healthcare Interoperability Resources (FHIR) for the Integration of Risk Minimization Systems in Hospitals

摘要

With the growing strain of medical staff and complexity of patient care, the risk of medical errors increases. In this work we present the use of Fast Healthcare Interoperability Resources (FHIR) as communication standard for the integration of an ontology-and agent-based system to identify risks across medical processes in a clinical environment. Current studies provide an estimation of more than 400,000 lethal harms due to preventable medical errors during hospital treatment per year, with 10-to 20-fold serious harms occuring [1]. Clinical decision support systems (CDSS) can assist in preventing such errors, but have not yet integrated the new messaging standard Fast Healthcare Interoperability Resources (HL7 FHIR [2]). In the research project "OntoMedRisk", we developed an agent-based system to identify risks based on a special ontology [3]. This system aims at supporting medical staff with risk detection and error prevention. A requirement for practical demonstration is the integration of this system into an existing hospital IT infrastructure, which was carried out at Jena University Hospital (JUH).