Electronic Health Records and Pulmonary Function Data: Developing an Interoperability Roadmap An Official American Thoracic Society Workshop Report

Meredith C. McCormack, M. Bradley Drummond, Rebecca Bascom, Michael Brandt, Felip Burgos, Sam Butler, Christopher Caggiano, Anne E.F. Dimmock, Josh Fessel, Adrian Fineberg, Michelle Freemer, Jeffrey Goldstein, Francisco C. Guzman, Cara N. Halldin, J. D. Johnson, Gwendolyn S. Kerby, Jerry A. Krishnan, Laura Kurth, Marrah Lachowicz-Scroggins, Gareth MorganRichard A. Mularski, Cara B. Pasquale, Antonello Punturieri, Julie Ryu, Tom Sinclair, Nadia F. Stachowicz, Ann Taite, Jacob Tilles, Jennifer R. Truta, David N. Weissman, Tianshi David Wu, Barbara P. Yawn

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

A workshop “Electronic Health Records and Pulmonary Function Data: Developing an Interoperability Roadmap” was held at the American Thoracic Society 2019 International Conference. “Interoperability” is defined as is the ability of different information-technology systems and software applications to directly communicate, exchange data, and use the information that has been exchanged. At present, pulmonary function test (PFT) equipment is not required to be interoperable with other clinical data systems, including electronic health records (EHRs). For this workshop, we assembled a diverse group of experts and stakeholders, including representatives from patient-advocacy groups, adult and pediatric general and pulmonary medicine, informatics, government and healthcare organizations, pulmonary function laboratories, and EHR and PFT equipment and software companies. The participants were tasked with two overarching Aobjectives: 1) identifying the key obstacles to achieving interoperability of PFT systems and the EHR and 2) recommending solutions to the identified obstacles. Successful interoperability of PFT data with the EHR impacts the full scope of individual patient health and clinical care, population health, and research. The existing EHR–PFT device platforms lack sufficient data standardization to promote interoperability. Cost is a major obstacle to PFT–EHR interoperability, and incentives are insufficient to justify the needed investment. The current vendor–EHR system lacks sufficient flexibility, thereby impeding interoperability. To advance the goal of achieving interoperability, next steps include identifying and standardizing priority PFT data elements. To increase the motivation of stakeholders to invest in this effort, it is necessary to demonstrate the benefits of PFT interoperability across patient care and population health.

Original languageEnglish (US)
Pages (from-to)E1-E11
JournalAnnals of the American Thoracic Society
Volume18
Issue number1
DOIs
StatePublished - Jan 2021

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine

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