Towards an Electronic Health Prevention Record Based on HL7 FHIR and the OMOP Common Data Model.

Abstract

Approximately 40% of all recorded deaths in Austria are due to behavioral risks. These risks could be avoided with appropriate measures. Extension of the concept of EHR and EMR to an electronic prevention record, focusing on primary and secondary prevention. The concept of a structured prevention pathway, based on the principles of P4 Medicine, was developed for a multidisciplinary prevention network. An IT infrastructure based on HL7 FHIR and the OHDSI OMOP common data model was designed. An IT solution supporting a structured and modular prevention pathway was conceptualized. It contained a personalized management of prevention, risk assessment, diagnostic and preventive measures supported by a modular, interoperable IT infrastructure including a health app, prevention record web-service, decision support modules and a smart prevention registry, separating primary and secondary use of data. A concept was created on how an electronic health prevention record based on HL7 FHIR and the OMOP common data model can be implemented.