Abstract

A Review of Implementation Challenges and Potentials of an Interoperable e-Health System in LMICS

E-health solutions in low-income countries are isolated, cater to specific institutions, and cannot share data across organizations. Existing interoperability frameworks don’t work well in these contexts due to various factors. This research investigates the levels of interoperability frameworks for e-Health data integration and data sharing across the globe and how they are in use in different developing countries. Also, the research suggests the potential of FHIR (Fast Healthcare Interoperability Resources) in LMICs (Low-and Middle-Income Countries) for interoperability of EHR (Electronic Health Records). The research uses PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) of various articles, papers, and research available on web databases, Google Scholar, JMIR (Journal of Medical Internet Research) and PubMed, etc. of the e-health and interoperability in healthcare to analyze the FHIR potentials in LMIC’s like Nepal for interoperability. The result of the research highlights the levels of inter-operability frameworks for healthcare systems, analyzes the potentials of HL7 FHIR, and suggests its implementation in LMICs like Nepal for interoperability.


Author(s): Rohan Dhakal*, Aditya Khadka, Saugat Adhikari, Amrit Bhandari and Sushil Shrestha

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