User-Centered Design and Implementation of an Interoperable FHIR Application for Pediatric Pneumonia Prognostication in a Randomized Trial.
Robert W TurerStephen C GradwohlJustine StassunJakobi JohnsonJason M SlagleCarrie RealeRuss BeebeHui NianYuwei ZhuDaniel AlbertTimothy CoffmanHala AlawTom WilsonShari JustPerry PeguillanHeather FreemanDonald H ArnoldJudith M MartinSrinivasan SureshScott CoglioRyan HixonKrow AmpofoAndrew T PaviaMatthew B WeingerDerek J WilliamsAsli O WeitkampPublished in: Applied clinical informatics (2024)
The successful implementation of a custom application for pneumonia prognosis and clinical trial support in two health systems on different EHRs demonstrates the importance of UCD, adherence to modern clinical data standards, and rigorous testing. Key lessons included the need for understanding users' real-world needs, regular knowledge management, application maintenance, and the recognition that FHIR applications require careful configuration for interoperability.