Developing an Information Model for Prenatal Monitoring in Primary Care: A Design Science Approach Based on FHIR Interoperability

Details

This research focused on developing and validating an information model for prenatal monitoring within a Brazilian primary healthcare context. By employing Design Science Research (DSR) and focusing on multidisciplinary team collaboration, related health concepts were extracted from use cases. The resulting information model uses a hierarchical structure to represent the coordination of various health professionals. Technically, the study emphasized ensuring interoperability using the HL7 FHIR R4 standard for health information exchange. Specific actions included resource mapping and creating relevant profiles based on implementation guides. Furthermore, the model's compliance with the international standard ISO 13972:2022 (Health Informatics—Clinical Information Model—Features, Structure and Requirements) was analyzed. In conclusion, this research provides an information model that promotes comprehensive and personalized antenatal care and establishes an interoperability foundation for data sharing. This represents a significant contribution demonstrating the integration of multi-domain knowledge in primary healthcare with standardized data exchange protocols (FHIR). The content is presented as an academic paper detailing a case study of implementing an information model using specific technical standards.