Figure - PMC

Skip to main content

An official website of the United States government

Here's how you know

Here's how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

View full-text article in PMC

. 2020 Mar 11;20:53. doi: 10.1186/s12911-020-1056-9

Search in PMC
Search in PubMed
View in NLM Catalog
Add to search

© The Author(s). 2020

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

PMC Copyright notice

Fig. 1 — An overview of the integration steps embedded in the FHIR PIT software application pipeline. API = application programming interface; FHIR = Health Level 7 Fast Healthcare Interoperability Resources; ICEES = Integrated Clinical and Environmental Exposures Service; UI = user interface; US Census ACS = US Census Bureau’s American Community Survey; US Census Bureau TIGER = US Census Bureau’s Topologically Integrated Geographic Encoding and Referencing system; US EPA conUS CMAQ = US Environmental Protection Agency’s conUS Community Multiscale Air Quality modeling data; US DOT FHWA HPMS = US Department of Transportation, Federal Highway Administration, Highway Patrol Monitoring System. Red color = sensitive, fully identified clinical data; dark blue color = public data on environmental exposures; light blue color = secure, firewall- and Institutional Review Board–protected integration steps; dark green color = de-identified, binned integrated feature tables; light green color = ICEES OpenAPI. (Note that data from the National Center for Education Statistics have not yet been integrated using FHIR PIT, but an approach is under development to integrate data on school exposures with home exposures data and clinical data, thereby addressing issues related to patient mobility and differential exposures. A simplified version of the FHIR PIT pipeline was published in JAMIA 2019;26(1):1064–1073 and is reprinted in adapted form here with full permission from the publisher. In contrast to the simplified version of the FHIR PIT pipeline, the version shown here includes and clearly distinguishes all of the data sources and integration steps that are assembled by the current version of the pipeline.)