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

Background: Approximately 40% of all recorded deaths in Austria are due to behavioral risks. These risks could be avoided with appropriate measures.

Objectives: Extension of the concept of EHR and EMR to an electronic prevention record, focusing on primary and secondary prevention.

Methods: 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.

Results: 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.

Conclusion: A concept was created on how an electronic health prevention record based on HL7 FHIR and the OMOP common data model can be implemented.