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Actualmente la mayoría de las soluciones de telemedicina son propietarias, otra de las características es que hay muchos desarrollos específicos para cada enfermedad (control de pacientes diabéticos, hipertensos, chagásicos, etc.), lo que genera un panorama de sistemas heterogéneo y orientado a silos con interoperabilidad limitada. Resolver el problema de la interoperabilidad requiere un fuerte enfoque en la integración y estandarización de datos en las infraestructuras de telemedicina. El objetivo de HL7-FHIR es proveer un estándar que permita que los módulos y programas puedan interoperar para permitir una integración flexible con servicios nuevos, existentes y el uso de estándares internacionales para permitir una alta reutilización de módulos e interoperabilidad.
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La unificación de las aplicaciones con HL7-FHIR permite ampliar la capacidad de interoperar la información, esto permite mejores flujos de trabajo con una más eficiente prestación y mejor calidad de atención a los pacientes. Distintos grupos de trabajo dentro de HL7-FHIR están viendo cómo ayudar a los proveedores de telesalud a ofrecer soluciones optimizadas a través de una integración perfecta con cualquier Historia Clínica Electrónica. Actualmente HL7-FHIR puede satisfacer la mayoría de las necesidades de integración a través de los estándares disponibles, de todas formas, se está mejorando cada día más los flujos de trabajo con HL7-FHIR en distintos entornos de telemedicina. HL7-FHIR está utilizándose cada día más para facilitar las integraciones y se aclarará qué recursos se utilizan con mayor frecuencia para facilitar las crecientes demandas que la telemedicina requiere.
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