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HL7 FHIR in Practice Review

HL7 FHIR in Practice Review

Table of Contents

Have you ever faced a challenge in getting to grips with HL7 FHIR standards in your health tech projects? I recently picked up “HL7 FHIR in Practice: Real-World Implementation and Use Case Kindle Edition,” and it has transformed my approach to these complex standards. I thought it would be valuable to share my thorough review with you. Let’s break it down to see how this resource can help in your own projects.

Find your new HL7 FHIR in Practice: Real-World Implementation and Use Case Kindle Edition on this page.

What Makes “HL7 FHIR in Practice” Stand Out?

Practical Real-World Implementation

Many resources discuss HL7 FHIR standards theoretically, but this book takes it a notch higher by focusing on real-world implementations. I found this immensely helpful because it bridges the gap between theory and practical application. The book includes case studies and examples that provide context and illustrate how FHIR standards can be implemented effectively in real scenarios.

Comprehensive Use Cases

Not only does the book cover general use cases, but it also dives deeply into niche areas. This makes it not just another run-of-the-mill guide but a comprehensive resource. From hospital information systems to mobile health apps, the range of examples ensures you’ll know how to handle FHIR in your specific area of interest.

Easy-to-Understand Language

The authors have done a commendable job in breaking down complex concepts into simple, digestible language. Whether you’re a seasoned veteran or a novice in health tech, you’ll find the explanations straightforward and easy to follow. This makes the book accessible to a wide audience.

Step-by-Step Guidance

One of the biggest challenges when tackling a new standard is knowing where to start. This book offers step-by-step guidance, making the process of implementing FHIR less daunting. Each step is well-explained with detailed instructions that can be easily followed without getting overwhelmed.

Feature Details
Practical Implementation Focus on real-world scenarios rather than theoretical concepts
Comprehensive Use Cases Covers a broad range of examples from different sectors in healthcare
Accessible Language Simplified explanations suitable for all levels of expertise
Step-by-Step Guidance Detailed instructions that break down the process into manageable steps

Deep Dive into Real-World Case Studies

Hospital Information Systems

The book includes multiple case studies on how FHIR is being utilized in hospital settings. These case studies are worth their weight in gold. They detail how hospitals overcame data interoperability challenges using FHIR. Case studies like these will give you a template to mimic for your own hospital or healthcare setting.

Mobile Health Applications

Mobile health apps are increasingly important in today’s health tech landscape. I found the sections on mobile health applications particularly insightful. They explain the nuances and special considerations when implementing FHIR in mobile apps. If you’re developing a health app, this section will be vital for you.

Research and Public Health

Beyond clinical applications, the book also explores how FHIR can be used in research and public health. These sections open your eyes to the broader potential of FHIR standards. If you’re involved in public health or research, you’ll find these use cases to be incredibly enlightening.

HL7 FHIR in Practice: Real-World Implementation and Use Case Kindle Edition

See the HL7 FHIR in Practice: Real-World Implementation and Use Case Kindle Edition in detail.

In-Depth Tutorials and Exercises

Hands-On Tutorials

The book includes hands-on tutorials that guide you through building your own FHIR-based projects. I found this hands-on approach particularly useful. It’s one thing to read about FHIR and another to build something using the standards. These tutorials provide the needed practice to solidify your understanding.

Exercises for Mastery

Each chapter ends with exercises designed to test your understanding of the material covered. These exercises are comprehensive and varied, helping to reinforce what you have learned. They provide a good mix of theoretical and practical questions, ensuring you truly grasp the concepts.

Technology and Technical Requirements

Software and Tools

To get the most out of the book, you’ll need to be familiar with some software and tools commonly used in FHIR implementations. The book provides a list of recommended tools and even guides you on how to set them up. This is great, especially if you’re starting with a clean slate.

Coding and Programming

Some sections require basic programming skills. The book mostly uses examples in Python and JavaScript, languages that are commonly used in the tech industry. However, even if you aren’t a skilled coder, the clear instructions and explained code snippets make it easier to follow along.

HL7 FHIR in Practice: Real-World Implementation and Use Case Kindle Edition

The Pros and Cons

Pros

  • Detailed and Practical: The book provides real-world examples and detailed implementations that are hugely beneficial.
  • User-Friendly Language: The simplified language makes complex topics accessible.
  • Comprehensive Coverage: Touches on various aspects of healthcare, making it a versatile resource.

Cons

  • Technical Depth: While a pro for some, beginners may find the detailed technical content challenging.
  • Tool Requirements: Some familiarity with specific tools and software is required to fully leverage the tutorials and exercises.
Pros Cons
Detailed and Practical Technical Depth might be challenging for beginners
User-Friendly Language Requires familiarity with certain tools and software
Comprehensive Coverage

Final Thoughts

If you’re involved in health tech and are navigating the complexities of HL7 FHIR, “HL7 FHIR in Practice: Real-World Implementation and Use Case Kindle Edition” is a resource you shouldn’t miss. Its practical approach, comprehensive use cases, and accessible language make it an invaluable guide. From hospital information systems to mobile health applications, it covers a vast array of examples that are directly applicable to real-world scenarios.

The book not only provides detailed steps for implementation but also arms you with enough knowledge to adapt FHIR standards to various projects effectively. So, if you’re ready to tackle the challenges of health data interoperability and streamline your healthcare solutions, this Kindle edition might just be what you need. Dive in and see how it can revolutionize your approach to HL7 FHIR standards.

Discover more about the HL7 FHIR in Practice: Real-World Implementation and Use Case Kindle Edition.

Disclosure: As an Amazon Associate, I earn from qualifying purchases.

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Emmanuel Bazile All Rights Reserved

About Me

With 25 years of experience in healthcare IT implementation, Emmanuel began his career at the University of Pittsburgh Medical Center, working as an assistant manager for a billing system implementation. Over the years, he has explored various aspects of the healthcare IT domain, successfully implementing several laboratory information systems and electronic medical record (EMR) systems, such as Cerner Millennium and Epic EMR.

In 2005, Emmanuel shifted his focus to public health, working on bio-surveillance implementation for the Centers for Disease Control and Prevention (CDC). He contributed to the BioSense Data Provisioning Project and performed extensive analysis of HL7 messages in hospitals and healthcare facilities. Additionally, Emmanuel requirements analysis for the CDC BioSense Analysis, Visualization and Reporting (AVR) project and played a key role in publishing the Situational Awareness updates to the BioSense System Requirements Specification (SRS).

Over the past 11 years, Emmanuel has worked in the Middle East, implementing the Epic EMR system at Cleveland Clinic Abu Dhabi. As a multidisciplinary team member, he has taken on various roles, including SCRUM Master, Project Manager, Integration Engineer, and Platform Engineer. Concurrently working as an adjunct university faculty member, teaching graduate-level courses in Systems Life Cycle and undergraduate courses in Health Information Systems

From a technological standpoint, Emmanuel has designed, installed, and implemented complete hospital integration systems using Rhapsody Integration Engine, MS SQL Server, and Public Health Information Networks Messaging System (PHINMS). He has also developed over 10,000 interfaces some of which coded in Java and JavaScript.

In 2019, Emmanuel expanded his skill set and entered the field of digital marketing, quickly becoming a proficient Digital Marketing Strategist. He has since helped numerous clients develop robust digital marketing strategies for their businesses. His expertise encompasses Social Media Marketing, On-page and Off-page SEO, Google Ads, and Google Analytics. Additionally, he and a team have managed clients’ website development projects, ensuring that each site is optimized for SEO, further enhancing their online presence and performance.

Alongside their digital marketing expertise, Emmanuel has delved into the world of Affiliate Marketing, where Emmanuel and his team successfully managed and executed campaigns for a variety of clients. By identifying the right products and services to promote, Emmanuel and his team helped clients generate passive income streams and increase their overall revenue.

Their approach to Affiliate Marketing involves creating valuable content that educates and engages the target audience, while strategically incorporating affiliate links. Emmanuel and his team have experience working with multiple affiliate networks and platforms, ensuring optimal tracking and reporting of performance metrics. By staying up to date with the latest trends and best practices, Emmanuel and his team have been able to optimize affiliate campaigns for maximum results, fostering long-term partnerships and sustainable growth for their clients.

As an accomplished professional, Emmanuel holds dual Bachelor of Arts degrees in Linguistics and English, a Master of Science in Health Information Systems from the University of Pittsburgh, and a Ph.D. in Information Systems from Nova Southeastern University.

My Teaching History

Professor Bazile is a dedicated technology instructor and Adjunct Faculty professor, who began his teaching career in April 2000 at the Business Career Institute in Las Vegas, Nevada.

In 2001, he expanded his expertise by training nurses in the use of Electronic Medical Records (EMR) systems. His experience in both technology and healthcare led to his appointment as an Adjunct Faculty professor at the University of Phoenix in May 2008, where he has taught several graduate-level information technology and healthcare information systems courses.

Dr. Bazile has also developed an HL7 course, which he has taught at various healthcare facilities, drawing from his own book, “HL7: Introductory and Advanced Concepts,” currently available on Amazon. With a passion for teaching and a commitment to ensuring students get the most out of each course he teaches, Dr. Bazile is a valuable asset to both his students and the institutions he serves.

My Teaching Philosophy

My teaching philosophy as an Information Systems professor in healthcare is built on the concept that education should equip students to be confident and capable problem solvers who are prepared to traverse the complicated and ever-changing landscape of Healthcare IT.

In order to accomplish this, I prioritize the creation of a dynamic and engaging learning environment that encourages students to engage with course material and with one another. This involves employing a range of teaching approaches, such as lectures, seminars, and hands-on activities, to ensure that students learn in the manner that best matches their learning style.

I believe the reason we have Information Systems as a discipline is to allow students to apply technology to solve real world problems. If that is the case, both undergraduate and graduate students have to be challenged to incorporate their core academic courses with their matriculated subjects. As such, it is important that students enter their Junior and Senior years with a strong command of the core courses such as Programming, databases, networks, hardware and software, as they serve as the foundation upon which real-world solutions will be built.

I also believe in the importance of incorporating real-world examples and case studies into my courses, as this helps to connect abstract concepts to practical applications. Additionally, I encourage students to apply what they are learning to their own personal and professional goals, as this helps to make the material more meaningful and relevant to their lives.

I strive to foster a positive and supportive learning environment where all students feel comfortable asking questions and participating in class discussions. I believe that this is key to fostering a sense of community and ensuring that all students have the opportunity to succeed.

I have also taught online courses. I have found in an asynchronous learning environment it can be difficult to apply the Peer Teaching or Experiential Learning Pedagogical Approaches. However, I have found the Discovery Learning approach to works quite well. Along with a boost to students’ self-confidence, Discovery Learning in an online environment allows students to synthesize information, expand on existing concepts on their own, while experiencing a positive outcome through trial and error.

Ultimately, my mission as an educator, and a Healthcare IT Information Systems professor is to provide students with the knowledge, skills, and confidence they need to thrive and succeed in their careers and to be technological leaders. By creating a positive and supportive learning environment, incorporating real-world examples and case studies, and encouraging students to apply what they are learning to their own objectives; my hope is to inspire and empower all students to achieve their full potential.

Population Size:

A total of 310 responses were originally received. Any response containing missing data due to unclicked radio buttons or unchecked checkboxes were first reviewed, and, if justified, were omitted from analysis. For surveys with missing data, a total of 18 responses were removed. In order to address any issues with response-set, the data was downloaded into Microsoft Access and queries ran to identify responses that contained the same values for each question. A total of 16 responses were found to be qualified for removal. Another 18 were identified as outliers and removed leaving a total of 258 responses for the study analysis.

In order to assess multivariate outliers, the Mahalanobis distances were calculated and plotted against their corresponding Chi-Square distribution percentiles (Schmidt & Hunter, 2003). The resulting scatterplot is similar to a univariate normal Q-Q plot, where deviations from a straight line show evidence of non-normality. The data showed indications of moderate deviations from multivariate normality, as indicated by the concavity of the data points. There were no additional multivariate outliers or missing values in the data after the removal of 52 responses.

Descriptive Statistics

Frequencies and percentages were conducted for the demographics indicators, while means and standard deviations were calculated for the continuous indicators. For gender, there were 151 females (59%) and 107 males (41%) in the sample. For ethnicity, most participants were Caucasian (119, 46%), followed by African American (56, 22%). The two most populous education levels were Bachelor’s (90, 35%) and Master’s (62, 22%). The biggest proportion of the sample by age group was the 35-44 age group (101, 39%) followed by the 45-54 age group (59, 23%).

Analysis:

Confirmatory Factor Analysis and Composite Reliability

A CFA was conducted along with a reliability analysis to assess construct validity. Examination of modification indices and factor loadings indicated that CSE1, CSE5, CSE7, PC5, ATE1, ATE6, ATE8, PP5, and PP6 were all causing significant problems with the model parameters. The results of the last iteration of the CFA performed in R showed significantly improved fit, although still poor overall (χ2(545) = 2125.61, p < .001, CFI = 0.82, TLI = 0.81, RMSEA = 0.11). The high degrees of freedom indicate that a very large number of parameters are being estimated in this model.

Composite Reliability

For the full model, each construct had excellent reliability. The ATE latent construct had a composite reliability value of 0.89. The ORC construct had a composite reliability value of 0.94. The CSE latent construct had a composite reliability value of 0.85 and PC had a composite reliability value of 0.95. For PP and RES, the composite reliability scores were 0.80 and 0.96 respectively. These values indicate that the loadings for each construct were all directionally similar, and that the items in each construct show a high degree of consistency.

Cronbach’s Alpha

Cronbach’s alpha values were calculated for the items in each construct. The alphas for PC (α = 0.90), AXY (α = 0.94), and RES (α = 0.94) indicated excellent reliability. The alphas for CSE (α = 0.80), ATE (α = 0.88), and PP (α = 0.83) all showed good reliability. These values confirm the results of the composite reliability tests, and reiterate the high degree of reliability within each latent construct.

Partial Least Squares – Structural Equation Modeling

A partial least squares- structural equation modeling (PLS-SEM) was conducted to determine how well the data fit the proposed model, and discern whether significant relationships existed between the independent and dependent constructs. The full model showed AVE values of 0.53 for ATE, 0.69 for AXY, 0.44 for CSE, .72 for PC, .35 for PP, and 0.81 for RES. The high values for AXY, PC, and RES indicate that the amount of variance accounted for in the manifest variables is sufficiently high. The values for ATE, CSE, and PP indicate that some of the variance in the manifest variables is left unexplained.

Structural Model

Once the measurement model had been tested for model specification, the structural model was tested to determine if ATE, AXY, CSE, PC, and PP had a significant effect on RES. A path weighted model was calculated using 10,000 bootstrap samples in R. The results showed a pseudo R-squared value of 0.78. This indicates that approximately 78% of the variance in RES is explainable by the collective effects of CSE, PC, ATE, PP, and AXY.

Further examination of the effects indicated that AXY had a highly significant effect on RES (B = 0.87, p < .001). This indicates that a standard deviation increase in AXY increases the expected value of RES by 0.87 standard deviations. CSE did not have a significant effect on RES (B = 0.02, p = .423). Additionally, CSE (B = 0.02, p = .423), PC (B = 0.05, p = .334), ATE (B = 0.00, p = .983), and PP (B = 0.03, p = .407) did not have significant effects on RES. Table 11 outlines the results of the path estimates.

Correlation Analyses

Both Pearson and Spearman correlations were calculated on the composite scores. The results of the Pearson correlations indicated that CSE was significantly correlated AXY (r = 0.22, p < .001) and RES (r = 0.21, p < .001). The results also indicated that PC was significantly correlated with ATE (r = -0.79, p < .001), AXY (r = 0.18, p < .001), and RES (r = 0.20, p < .001). ATE was significantly correlated with AXY (r = -0.19, p < .001) and RES (r = -0.19, p < .001). AXY was significantly correlated with RES (r = 0.85, p < .001).

ANCOVA Analyses

An analysis of covariance (ANCOVA) was conducted to determine if a significant relationship existed between the AXY, PP, CSE, PC, ATE scores and RES controlling for Gender, Age, Ethnicity, Education, and Specialty. The overall model was found to be significant (F(63,194) = 53.39, p < .001), with an R2 value of .95, indicating that 95% of the variance in RES was explained by the collective effect of the independent variables and covariates.

Since the overall model was found to be significant, the model’s covariates were assessed. The AXY (F(10,194) = 262.20, p < .001), ATE (F(7,194) = 2.20, p = .036), Years computers (F(1,194) = 5.71, p = .018), and PC (F(12,194) = 2.00, p = .026) scores were found to be significant, indicating that a significant amount of variance in RES is explained by AXY, ATE, and PC.

A path diagram depicting the results of the structural model.

Results

This research investigated Computer Self-Efficacy (CSE), Perceived Complexity (PC), Attitudes toward EMR Systems (ATE), Peer Pressure (PP), and Anxiety (AXY) to determine whether these constructs as individuals, or as a group, or coupled together with some other factors could significantly explain resistance to EMR systems. Quantitative examination of self-reported survey results was performed to understand the strength and significance of the relationships, while these relationships were investigated to test the strength of model fit.

the regression paths of the structural model were examined to test the hypotheses. Significance was determined using an alpha level of .05. The model had an overall R2 value of 0.78. This indicates that approximately 78% of the variability in RES can be accounted for by CSE, PC, ATE, PP, and AXY. Since the overall model was significant, the individual coefficients can be interpreted. Some of the hypotheses were supported by the results of this study, and some were rejected. The construction of a data model of the relationships in this study could not meet thresholds that would be evidence of a good fit of the relationships identified in the study.

The fifth hypotheses tested the influence of AXY on resistance to EMR systems. AXY was expressed to be significantly related to resistance (r=.87, p<.001). This finding supports the hypothesis that anxiety with the EMR system will lead to medical care professionals rejecting use of the system. Unlike the findings of the first four hypotheses, the findings of the current study support previous research. Angst and Agarwal (2009) indicated that AXY is a factor which is significantly related to the problem of EMR system resistance. Based on the empirical findings of previous research, the present research and conceptual propositions and conclusions in previously written scholarly articles, there is a great deal of support for the finding that AXY is significantly influenced by EMR resistance.

The findings of this research do not support all findings by previous researchers, and there are multiple relationships which had been established as being significant that were identified as being insignificant in the current research. Generally, because of the inconsistency of previous findings and the current study there may be elements related to the sample examined or other contextual factors which may contribute to the inconsistency that exists. Ultimately, it is suggested that there be further research done on the problem of resistance to EMR system use.

Ultimately the findings support a new take on the problem of EMR system resistance that may contribute to the ways in which scholars investigate the problem of EMR resistance in general. This may also help with the way practitioners approach EMR systems, and articulate value of the systems to medical professionals investing record-keeping systems in the workplace.