e.g. mhealth
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Through integration with the e Referral platform using Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR), the BAW platform will receive the pdf package, including the referral details and the required fax number [14-16]. The BAW platform will then automate the process following a predefined workflow and deliver information to the fax-based receiving clinician through the second integration with the fax service platform.
JMIR Med Inform 2025;13:e62983
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Several studies emphasized the necessity of standard terminologies and ontologies to enhance data consistency and interoperability. In addition, multiple sources explored different machine learning techniques, such as supervised and unsupervised learning approaches, to detect and mitigate issues related to incomplete or inconsistent data. Key insights from the literature were incorporated into the introduction and methodology sections, providing a solid theoretical foundation for this study.
JMIR Med Inform 2025;13:e60204
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Both PROMIS and the CDE repository are essential for enhancing the interoperability of health data.
In practice, the deployment of PGHD acquisition applications requires that survey questions be drawn from these established standardized resources. Data collected using questions outside of these resources still require additional efforts to achieve standardization.
JMIR Med Inform 2025;13:e71687
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Previous reviews on interoperability have not focused on specific industries such as health care, nor have they consistently provided structured classifications. One review addressed user model interoperability but lacked a systematic approach [17]. Another study examined evaluation models of interoperability, categorizing 12 models across 4 granularity levels [10]. While this study mentioned interoperability attributes, these were not developed through a systematic procedure [10].
J Med Internet Res 2025;27:e69465
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To facilitate this exchange, HIE requires a data exchange or data interoperability framework that provides a standardized format for transferring health data [2]. One of the organizations that provides such interoperability frameworks is Health Level Seven (HL7) [3]. HL7 is a nonprofit organization that develops interoperability frameworks, such as HL7 FHIR (Fast Healthcare Interoperability Resources). It is a newer standard that provides a modern and flexible approach to exchanging health information.
JMIR Form Res 2025;9:e51270
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In Germany, the Medical Informatics Initiative (MII) has established a large-scale data sharing network [19] based on electronic health record data from university hospitals, using the Health Level 7 (HL7) Fast Health care Interoperability Resources (FHIR) standard for data integration [20]. Hospitals harmonize heterogeneous clinical data in local data integration centers (DICs) nationwide, and a central portal has been established to access this data [21].
J Med Internet Res 2025;27:e65681
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It advocates for using existing International Organization for Standardization (ISO) standards to ensure consistency and interoperability. TEHDAS focuses on data interoperability, identifying standards for data discovery and common data models.
J Med Internet Res 2025;27:e66273
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interoperabilityStandards and Interoperability
JMIR Form Res 2025;9:e63902
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We explore the strengths and limitations of digital PADs and emphasize that for the innovation to work, it is essential that the PADs are interoperable, ideally integrated into each country’s health care data infrastructure via Fast Healthcare Interoperability Resources.
J Med Internet Res 2025;27:e68549
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Data Interoperability in COVID-19 Vaccine Trials: Methodological Approach in the VACCELERATE Project
Interoperability is defined as the ability of different information systems, devices, or applications to connect in a coordinated manner within and across organizational boundaries, enabling stakeholders to access, exchange, and cooperatively use data with the goal of optimizing the health of individuals and populations [1].
Interoperability standards provide a common language and set of expectations that enable interoperability between systems and devices.
JMIR Med Inform 2025;13:e65590
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