Interoperability of heterogeneous health information systems: a systematic literature review

Article by by Amir Torab‐Miandoab, Taha Samad‐Soltani, Ahmadreza Jodati and Peyman Rezaei‐Hachesu

Abstract

Background: The lack of interoperability between health information systems reduces the quality of care provided to patients and wastes resources. Accordingly, there is an urgent need to develop integration mechanisms among the various health information systems. The aim of this review was to investigate the interoperability requirements for heterogeneous health information systems and to summarize and present them.

Methods: In accordance with the PRISMA guideline, a broad electronic search of all literature was conducted on the topic through six databases, including PubMed, Web of science, Scopus, MEDLINE, Cochrane Library and Embase to 25 July 2022. The inclusion criteria were to select English‐written articles available in full text with the closest objec‐ tives. 36 articles were selected for further analysis.

Results: Interoperability has been raised in the field of health information systems from 2003 and now it is one of the topics of interest to researchers. The projects done in this field are mostly in the national scope and to achieve the electronic health record. HL7 FHIR, CDA, HIPAA and SNOMED‐CT, SOA, RIM, XML, API, JAVA and SQL are among the most important requirements for implementing interoperability. In order to guarantee the concept of data exchange, semantic interaction is the best choice because the systems can recognize and process semantically similar informa‐ tion homogeneously.

Conclusions: The health industry has become…..