{"id":"https://openalex.org/W4413956507","doi":"https://doi.org/10.3233/shti251395","title":"Embedding FHIR in Medical PDF: A Migration Path for Interoperable Documentation","display_name":"Embedding FHIR in Medical PDF: A Migration Path for Interoperable Documentation","publication_year":2025,"publication_date":"2025-09-03","ids":{"openalex":"https://openalex.org/W4413956507","doi":"https://doi.org/10.3233/shti251395","pmid":"https://pubmed.ncbi.nlm.nih.gov/40899541"},"language":"en","primary_location":{"id":"doi:10.3233/shti251395","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251395","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.3233/shti251395","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5033330593","display_name":"Jonas Bienzeisler","orcid":"https://orcid.org/0000-0003-3633-147X"},"institutions":[{"id":"https://openalex.org/I887968799","display_name":"RWTH Aachen University","ror":"https://ror.org/04xfq0f34","country_code":"DE","type":"education","lineage":["https://openalex.org/I887968799"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Jonas Bienzeisler","raw_affiliation_strings":["Institute of Medical Informatics, University Hospital RWTH Aachen, Germany"],"raw_orcid":"https://orcid.org/0000-0003-3633-147X","affiliations":[{"raw_affiliation_string":"Institute of Medical Informatics, University Hospital RWTH Aachen, Germany","institution_ids":["https://openalex.org/I887968799"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031214483","display_name":"Alexander Kombeiz","orcid":"https://orcid.org/0000-0001-9745-8576"},"institutions":[{"id":"https://openalex.org/I887968799","display_name":"RWTH Aachen University","ror":"https://ror.org/04xfq0f34","country_code":"DE","type":"education","lineage":["https://openalex.org/I887968799"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Alexander Kombeiz","raw_affiliation_strings":["Institute of Medical Informatics, University Hospital RWTH Aachen, Germany"],"raw_orcid":"https://orcid.org/0000-0001-9745-8576","affiliations":[{"raw_affiliation_string":"Institute of Medical Informatics, University Hospital RWTH Aachen, Germany","institution_ids":["https://openalex.org/I887968799"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107018969","display_name":"Hauke Heidemeyer","orcid":"https://orcid.org/0000-0002-7401-6860"},"institutions":[{"id":"https://openalex.org/I887968799","display_name":"RWTH Aachen University","ror":"https://ror.org/04xfq0f34","country_code":"DE","type":"education","lineage":["https://openalex.org/I887968799"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Hauke Heidemeyer","raw_affiliation_strings":["Institute of Medical Informatics, University Hospital RWTH Aachen, Germany"],"raw_orcid":"https://orcid.org/0000-0002-7401-6860","affiliations":[{"raw_affiliation_string":"Institute of Medical Informatics, University Hospital RWTH Aachen, Germany","institution_ids":["https://openalex.org/I887968799"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114427743","display_name":"Miriam Katharina Hertwig","orcid":null},"institutions":[{"id":"https://openalex.org/I887968799","display_name":"RWTH Aachen University","ror":"https://ror.org/04xfq0f34","country_code":"DE","type":"education","lineage":["https://openalex.org/I887968799"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Miriam Hertwig","raw_affiliation_strings":["Emergency Department, University Hospital RWTH Aachen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Department, University Hospital RWTH Aachen, Germany","institution_ids":["https://openalex.org/I887968799"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073822579","display_name":"Bernadett Erdmann","orcid":"https://orcid.org/0009-0005-9530-6911"},"institutions":[{"id":"https://openalex.org/I4210141254","display_name":"Fraunhofer Project Centre Wolfsburg","ror":"https://ror.org/03jgt3n70","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210141254","https://openalex.org/I4923324"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Bernadett Erdmann","raw_affiliation_strings":["Emergency Department, Klinikum Wolfsburg, Wolfsburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Department, Klinikum Wolfsburg, Wolfsburg, Germany","institution_ids":["https://openalex.org/I4210141254"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083121726","display_name":"Marco Pegoraro","orcid":"https://orcid.org/0000-0002-8997-7517"},"institutions":[{"id":"https://openalex.org/I887968799","display_name":"RWTH Aachen University","ror":"https://ror.org/04xfq0f34","country_code":"DE","type":"education","lineage":["https://openalex.org/I887968799"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Marco Pegoraro","raw_affiliation_strings":["Chair of Process and Data Science, RWTH Aachen University, Aachen, Germany"],"raw_orcid":"https://orcid.org/0000-0002-8997-7517","affiliations":[{"raw_affiliation_string":"Chair of Process and Data Science, RWTH Aachen University, Aachen, Germany","institution_ids":["https://openalex.org/I887968799"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060744574","display_name":"Saskia Ehrentreich","orcid":"https://orcid.org/0000-0002-3434-8780"},"institutions":[{"id":"https://openalex.org/I95793202","display_name":"Otto-von-Guericke-Universit\u00e4t Magdeburg","ror":"https://ror.org/00ggpsq73","country_code":"DE","type":"education","lineage":["https://openalex.org/I95793202"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Saskia Ehrentreich","raw_affiliation_strings":["IPHAM, Otto von Guericke University, Magdeburg, Germany"],"raw_orcid":"https://orcid.org/0000-0002-3434-8780","affiliations":[{"raw_affiliation_string":"IPHAM, Otto von Guericke University, Magdeburg, Germany","institution_ids":["https://openalex.org/I95793202"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Patrick A. Eder","orcid":null},"institutions":[{"id":"https://openalex.org/I4210086842","display_name":"Laboklin (Germany)","ror":"https://ror.org/002td9r73","country_code":"DE","type":"company","lineage":["https://openalex.org/I4210086842"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Patrick A. Eder","raw_affiliation_strings":["ZTM Bad Kissingen, Bad Kissingen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ZTM Bad Kissingen, Bad Kissingen, Germany","institution_ids":["https://openalex.org/I4210086842"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119528499","display_name":"Jasmin Mosebach","orcid":null},"institutions":[{"id":"https://openalex.org/I4210086842","display_name":"Laboklin (Germany)","ror":"https://ror.org/002td9r73","country_code":"DE","type":"company","lineage":["https://openalex.org/I4210086842"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Jasmin Mosebach","raw_affiliation_strings":["ZTM Bad Kissingen, Bad Kissingen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ZTM Bad Kissingen, Bad Kissingen, Germany","institution_ids":["https://openalex.org/I4210086842"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028449239","display_name":"Asarnusch Rashid","orcid":"https://orcid.org/0000-0003-1221-1828"},"institutions":[{"id":"https://openalex.org/I4210086842","display_name":"Laboklin (Germany)","ror":"https://ror.org/002td9r73","country_code":"DE","type":"company","lineage":["https://openalex.org/I4210086842"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Asarnusch Rashid","raw_affiliation_strings":["ZTM Bad Kissingen, Bad Kissingen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ZTM Bad Kissingen, Bad Kissingen, Germany","institution_ids":["https://openalex.org/I4210086842"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017874388","display_name":"Raphael W. Majeed","orcid":"https://orcid.org/0000-0002-8260-8815"},"institutions":[{"id":"https://openalex.org/I4210129183","display_name":"German Center for Lung Research","ror":"https://ror.org/03dx11k66","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210129183","https://openalex.org/I4405256427"]},{"id":"https://openalex.org/I4210131615","display_name":"Universities of Giessen and Marburg Lung Center","ror":"https://ror.org/045f0ws19","country_code":"DE","type":"education","lineage":["https://openalex.org/I4210131615"]},{"id":"https://openalex.org/I887968799","display_name":"RWTH Aachen University","ror":"https://ror.org/04xfq0f34","country_code":"DE","type":"education","lineage":["https://openalex.org/I887968799"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Raphael W. Majeed","raw_affiliation_strings":["Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), German Center for Lung Research (DZL), Giessen, Germany","Institute of Medical Informatics, University Hospital RWTH Aachen, Germany"],"raw_orcid":"https://orcid.org/0000-0002-8260-8815","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), German Center for Lung Research (DZL), Giessen, Germany","institution_ids":["https://openalex.org/I4210131615","https://openalex.org/I4210129183"]},{"raw_affiliation_string":"Institute of Medical Informatics, University Hospital RWTH Aachen, Germany","institution_ids":["https://openalex.org/I887968799"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5033330593"],"corresponding_institution_ids":["https://openalex.org/I887968799"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.53157895,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"331","issue":null,"first_page":"186","last_page":"194"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.16740000247955322,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.16740000247955322,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11986","display_name":"Scientific Computing and Data Management","score":0.16259999573230743,"subfield":{"id":"https://openalex.org/subfields/1802","display_name":"Information Systems and Management"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11937","display_name":"Research Data Management Practices","score":0.1454000025987625,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interoperability","display_name":"Interoperability","score":0.7819106578826904},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.7650328874588013},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.7443114519119263},{"id":"https://openalex.org/keywords/documentation","display_name":"Documentation","score":0.6141002178192139},{"id":"https://openalex.org/keywords/reuse","display_name":"Reuse","score":0.4631587266921997},{"id":"https://openalex.org/keywords/scalability","display_name":"Scalability","score":0.4493532180786133},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.34188586473464966},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.3305089771747589},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.32706016302108765},{"id":"https://openalex.org/keywords/programming-language","display_name":"Programming language","score":0.09160849452018738},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.08916905522346497}],"concepts":[{"id":"https://openalex.org/C20136886","wikidata":"https://www.wikidata.org/wiki/Q749647","display_name":"Interoperability","level":2,"score":0.7819106578826904},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.7650328874588013},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.7443114519119263},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.6141002178192139},{"id":"https://openalex.org/C206588197","wikidata":"https://www.wikidata.org/wiki/Q846574","display_name":"Reuse","level":2,"score":0.4631587266921997},{"id":"https://openalex.org/C48044578","wikidata":"https://www.wikidata.org/wiki/Q727490","display_name":"Scalability","level":2,"score":0.4493532180786133},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.34188586473464966},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.3305089771747589},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.32706016302108765},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.09160849452018738},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.08916905522346497},{"id":"https://openalex.org/C548081761","wikidata":"https://www.wikidata.org/wiki/Q180388","display_name":"Waste management","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005858","descriptor_name":"Germany","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005858","descriptor_name":"Germany","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.3233/shti251395","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251395","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:40899541","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40899541","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:publications.rwth-aachen.de:1031714","is_oa":true,"landing_page_url":"https://publications.rwth-aachen.de/record/1031714","pdf_url":null,"source":{"id":"https://openalex.org/S4306401362","display_name":"RWTH Publications (RWTH Aachen)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I887968799","host_organization_name":"RWTH Aachen University","host_organization_lineage":["https://openalex.org/I887968799"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Studies in health technology and informatics 331, 186-194 (2025). doi:10.3233/SHTI251395","raw_type":"info:eu-repo/semantics/publishedVersion"}],"best_oa_location":{"id":"doi:10.3233/shti251395","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti251395","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2093262417","https://openalex.org/W4312626803","https://openalex.org/W2618286804","https://openalex.org/W2123131699","https://openalex.org/W2329643025","https://openalex.org/W650116260","https://openalex.org/W2378329187","https://openalex.org/W4390790060","https://openalex.org/W2134191509","https://openalex.org/W3209454962"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Medical":[1],"services":[2,84],"routinely":[3],"transmit":[4],"patient":[5],"data":[6,47,73,147],"using":[7,80],"PDF,":[8],"even":[9],"as":[10,13,95],"FHIR":[11,40,60],"emerges":[12],"the":[14,71,120],"standard":[15],"for":[16,144],"structured":[17,46,153],"healthcare":[18],"interoperability.":[19],"This":[20,102],"mismatch":[21],"reflects":[22],"a":[23,123,141],"broader":[24],"fragmentation":[25],"in":[26,135],"digital":[27],"documentation,":[28],"where":[29],"pragmatic":[30],"workflows":[31],"often":[32],"outpace":[33],"technical":[34],"ideals.":[35],"METHODS:":[36],"We":[37],"propose":[38],"embedding":[39],"bundles":[41],"into":[42,148],"PDF":[43,96,132],"to":[44,66,74,129],"enable":[45],"reuse":[48,154],"without":[49,155],"disrupting":[50],"established":[51],"processes.":[52],"These":[53],"hybrid":[54],"documents":[55],"can":[56,92],"be":[57,93],"processed":[58],"via":[59],"Binary":[61],"endpoints,":[62],"allowing":[63],"downstream":[64],"systems":[65],"extract,":[67],"validate,":[68],"and":[69,90,108],"map":[70],"embedded":[72],"interoperable":[75,149],"resources.":[76],"RESULTS:":[77],"A":[78],"proof-of-concept":[79],"German":[81],"emergency":[82],"medical":[83],"records":[85],"demonstrates":[86],"that":[87],"vital":[88],"parameters":[89],"timestamps":[91],"transmitted":[94],"while":[97],"preserving":[98],"machine-readable":[99],"structure.":[100],"CONCLUSION:":[101],"approach":[103,139],"respects":[104],"existing":[105],"transport":[106],"mechanisms":[107],"accommodates":[109],"heterogeneous":[110],"IT":[111],"landscapes.":[112],"By":[113],"bridging":[114],"legacy":[115],"formats":[116],"with":[117],"modern":[118],"standards,":[119],"method":[121],"offers":[122],"scalable":[124],"migration":[125,142],"path":[126],"toward":[127],"interoperability-ready":[128],"deploy":[130],"wherever":[131],"are":[133],"already":[134],"use.":[136],"Thus,":[137],"our":[138],"provides":[140],"pathway":[143],"integrating":[145],"routine":[146],"research":[150],"infrastructures,":[151],"enabling":[152],"altering":[156],"clinical":[157],"workflows.":[158]},"counts_by_year":[],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}
