Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 May 22:2024:581-589.
eCollection 2024.

Changes in Health Information Exchange Use Behavior After Introduction of a Fast Healthcare Interoperability Resources (FHIR) Application

Haleigh M Kampman  1 , Rebecca L Rivera  2   3 , Seho Park  4 , Jason T Schaffer  5 , Amy Hancock  2 , Saurabh Rahurkar  6 , Paul Musey  5 , Diane Kuhn  5 , Joshua R Vest  1   2 , Titus K Schleyer  2   3
Affiliations

Changes in Health Information Exchange Use Behavior After Introduction of a Fast Healthcare Interoperability Resources (FHIR) Application

Haleigh M Kampman et al. AMIA Annu Symp Proc. .

Abstract

The aim of our study was to characterize emergency department clinicians' health information exchange (HIE) use patterns after the implementation of a Fast Healthcare Interoperability Resources (FHIR) application. Using longitudinal electronic health record log data, we categorized HIE use behavior as: no HIE use (0), Web-based viewer use only (1), FHIR application use only (2), or Web-based viewer and FHIR application use (3). We sequenced HIE use behavior from September 2019 to February 2023, then employed hierarchical agglomerative clustering to identify clinician characteristics associated with each HIE use pattern. Our results showed four usage patterns representing (1) clinicians who "lagged" in HIE use and continued as sporadic HIE users (n=66, 46.1%), (2) "late adopters" who had more consistent usage over time (n=32, 22.4%), (3) "legacy users" whose preferred modality was the Web-based viewer (n=25, 17.5%), and (4) "mixed modality users" who displayed frequent changes in HIE access modality (n=20, 14.0%).

Keywords: FHIR; Fast Healthcare Interoperability Resources; HIE; Health Information Exchange; Interoperability.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Clinician HIE Use Behavior Types After Health Dart Implementation.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Vest JR. Health information exchange: national and international approaches. Adv Health Care Manag. 2012;12:3–24. - PubMed
    1. Congress. Medicare access and CHIP Reauthorization Act of 2015. 2015.
    1. HHS. Report to the office of the national coordinator for health information technology on defining key health information technology terms. 2008.
    1. Ayaz M, Pasha MF, Alzahrani MY, Budiarto R, Stiawan D. The fast health interoperability resources (FHIR) standard: systematic literature review of implementations, applications, challenges and opportunities. JMIR Med Inform. 2021;9(7):e21929. - PMC - PubMed
    1. Menachemi N, Rahurkar S, Harle CA, Vest JR. The benefits of health information exchange: an updated systematic review. J Am Med Inform Assoc. 2018;25(9):1259–1265. - PMC - PubMed

MeSH terms

LinkOut - more resources