Implementation of SMART on FHIR in Developing Countries Through SFPBRF

Fast Healthcare Interoperability Resources (FHIR) is an International health standard for health data developed by Health Level Seven -- (HL7) an international organization for the development of health data standards. FHIR enables data interoperability as it is based on lightweight open source RESTful services. Many developed countries which already running electronic health record systems are now focused on the adoption of FHIR to unlock its potential benefits by integrating other technologies like Substitutable Medical Applications, Reusable Technology (SMART) platform. In most of the developing countries electronic health record system does not exist because they lag in resources to invest in electronic health record systems and they are still operating on paper-based health record system, so they are unable to adopt FHIR and other related technologies like SMART. Due to which, interoperability is not enabled on this paper-based data. These countries remain at a distance from the benefits of FHIR and SMART platform to provide better patient care to their patients, quick and efficient clinical decision making and better diagnostics. This paper presents the implementation of SMART on FHIR in healthcare organizations of developing countries through a proposed framework SFPBRF which not only maps paper-based health record system's data to HL7's FHIR standard but also integrate the complete SMART on FHIR platform to run SMART apps on this FHIR conformed data. This paper presents successful translation (done by translation engine) of paper-based data to HL7 FHIR standard. It also shows the running of open source and internally developed SMART apps on this FHIR conformed data. Thus, by the successful mapping and implementation of SMART on FHIR through proposed framework SFPBRF we can conclude that FHIR can be adopted in healthcare organizations of developing countries and SMART on FHIR can help a lot in achieving better patient care, quick and efficient decision making and better diagnostics in developing countries.

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