Opportunities, barriers, and remedies for implementing REDCap integration with electronic health records via Fast Healthcare Interoperability Resources (FHIR)

Abstract

Objective Accelerate adoption of clinical research technology that obtains electronic health record (EHR) data through HL7 Fast Healthcare Interoperability Resources (FHIR). Materials and Methods Based on experience helping institutions implement REDCap-EHR integration and surveys of users and potential users, we discuss the technical and organizational barriers to adoption with strategies for remediation. Results With strong demand from researchers, the 21st Century Cures Act Final Rule in place, and REDCap software already in use at most research organizations, the environment seems ideal for REDCap - EHR integration for automated data exchange. However, concerns from information technology and regulatory leaders often slow progress and restrict how and when data from the EHR can be used. Discussion and Conclusion While technological controls can help alleviate concerns about FHIR applications used in research, we have found that messaging, education, and extramural funding remain the strongest drivers of adoption.