Investigation and Development of an Automated Testing Platform for Digitally Implemented Clinical Guidelines in the HealthLevel7 (HL7) Fast Healthcare Interoperability Resources (FHIR) Standard

研究和开发 HealthLevel7 (HL7) 快速医疗互操作性资源 (FHIR) 标准中数字化临床指南的自动化测试平台

• 批准号: CCARD-2022-00462
• 负责人: McIsaac, Jeff
• 金额: $ 2.91万
• 依托单位: Mohawk College of Applied Arts and Technology
• 依托单位国家: 加拿大
• 项目类别: CCI Applied Research and Development Grants
• 财政年份: 2022
• 资助国家: 加拿大
• 起止时间: 2022-01-01 至 2023-12-31
• 项目状态: 已结题
• 来源: https://www.nserc-crsng.gc.ca/ase-oro/Details-Detailles_eng.asp?id=756595
• 关键词: Investigation; Development; Automated; Testing; Platform

Healthcare researchers, federal and provincial government agencies, professional societies and independent organizations develop and update clinical guidelines for care providers (e.g. doctors and nurses), who use and follow those guidelines when providing patient care. Guideline developers can implement guidelines in electronic medical record (EMR) software platforms for easier care provider access. However, each EMR ingests and presents guidelines differently, which makes it challenging for guideline developers to implement guidelines in each EMR and to ensure the guidelines are presented consistently and appropriately across EMRs. That is essential, since guideline compliance is critical, with studies noting that non-compliance has resulted in unnecessary deaths. The project partner, JuniperCDS (Juniper), is a digital health company that is working on developing a care and treatment planning (software) application called JuniperCDS, which is a clinical decision support software solution that enables clinicians to create meaningful, person-centric care plans by delivering in-context recommendations based on the latest clinical guidelines at the point of care. JuniperCDS leverages HealthLevel7 (HL7) Fast Healthcare Interoperability Resources (FHIR) to rapidly deploy new standards-based guideline documents. Juniper has also built an application, called SAGE, to help create those computable guidelines.A major challenge with clinical guideline digital implementation is testing the guideline to ensure it is complete and meets HL7 FHIR standards. Currently, testing a guideline is a highly manual process with minimal existing tools that are difficult to use. With this project, Juniper would like to seize the opportunity to develop a digital testing tool that tests guidelines. The tool will automate a major portion of the testing and provide significant time savings.The Mohawk College mHealth and eHealth Development and Innovation Centre (MEDIC) is a leading national digital health research and development hub. MEDIC's extensive HL7 FHIR and healthcare system integration expertise creates an excellent complementary partnership to collaborate with Juniper on this ARD-funded project. The tool will help to transform and evolve both of Juniper's apps. Externally, the testing tool will be made available immediately for free upon completion as a global public good for testing and validating digitized guidelines.

医疗保健研究人员、联邦和省政府机构、专业协会和独立组织为护理提供者（例如医生和护士）制定和更新临床指南，护理提供者在提供患者护理时使用并遵循这些指南。指南开发人员可以在电子病历 (EMR) 软件平台中实施指南，以便护理提供者更轻松地访问。然而，每个 EMR 摄取和呈现指南的方式都不同，这使得指南开发者在每个 EMR 中实施指南并确保跨 EMR 一致且适当地呈现指南面临挑战。这是至关重要的，因为遵守指南至关重要，研究指出，不遵守指南会导致不必要的死亡。项目合作伙伴 JuniperCDS (Juniper) 是一家数字健康公司，致力于开发名为 JuniperCDS 的护理和治疗计划（软件）应用程序，这是一种临床决策支持软件解决方案，使临床医生能够创建有意义的、以人为本的护理通过在护理点根据最新的临床指南提供上下文建议来制定计划。 JuniperCDS 利用 HealthLevel7 (HL7) 快速医疗互操作性资源 (FHIR) 快速部署新的基于标准的指南文档。瞻博网络还构建了一个名为 SAGE 的应用程序来帮助创建这些可计算的指南。临床指南数字化实施的一个主要挑战是测试指南以确保其完整并符合 HL7 FHIR 标准。目前，测试指南是一个高度手动的过程，使用的现有工具很少，难以使用。通过这个项目，瞻博网络希望抓住机会开发一种用于测试指南的数字测试工具。该工具将使大部分测试自动化，并节省大量时间。莫霍克学院移动医疗和电子医疗发展与创新中心 (MEDIC) 是领先的国家数字医疗研究和开发中心。 MEDIC 广泛的 HL7 FHIR 和医疗保健系统集成专业知识与瞻博网络在这个 ARD 资助的项目上建立了良好的互补伙伴关系。该工具将有助于改造和发展瞻博网络的这两款应用程序。在外部，该测试工具将在完成后立即免费提供，作为测试和验证数字化指南的全球公共产品。