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Record W4415439554 · doi:10.2196/73691

DermaDashboard: Bridging the Gap Between FHIR Standards and Clinical Usability

2025· article· en· W4415439554 on OpenAlexvenueno aff
Katarzyna Borys, Eva Maria Hartmann, Ahmad Idrissi-Yaghir, Elisabeth Livingstone, Georg Lodde, Cynthia Sabrina Schmidt, Philipp Winnekens, Christoph M. Friedrich, René Hosch, Felix Nensa

Bibliographic record

VenueJMIR Cancer · 2025
Typearticle
Languageen
FieldPsychology
TopicDigital Mental Health Interventions
Canadian institutionsnot available
Fundersnot available
KeywordsInteroperabilityUsabilityBridging (networking)VisualizationData visualizationHealth careAnalyticsData warehouseDashboard

Abstract

fetched live from OpenAlex

Unlabelled: Over the past decade, Fast Healthcare Interoperability Resources (FHIR) have become increasingly relevant in health care data standardization. However, the complex structure of FHIR makes cohort analytics with many-to-many relations extremely time-consuming, and, impossible in many cases. To support exploratory cohort building and data visualization in oncology, especially for nontechnical users, we developed the DermaDashboard, an interactive dashboard built on top of a relational FHIR-compliant PostgreSQL database. Relevant oncology data was preaggregated with a materialized view, and the subsequent visualization layer was implemented using an open-source visualization tool, enabling clinicians to filter and analyze data without requiring familiarity with FHIR or SQL. The database encompassed data from 3949 patients with melanoma and included 82,783 health records. Core FHIR resources were Patient, DiagnosticReport, and QuestionnaireResponse, with 54 mapped attributes spanning demographics, stagings, mutations, and treatments. The resulting dashboard allowed filtering across 29 variables to construct subcohorts and generate aggregation analyses. This implementation shows how open interoperability data standards, such as FHIR, can be used in the development of modular, user-friendly clinical dashboards for cohort analysis, and the architecture demonstrates a feasible path toward democratizing access to structured health care data.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.140
metaresearch head score (Gemma)0.273
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: Methods
Teacher disagreement score0.140
Threshold uncertainty score0.741

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1400.273
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0040.003
Science and technology studies0.0010.003
Scholarly communication0.0150.009
Open science0.0050.014
Research integrity0.0020.004
Insufficient payload (model declined to judge)0.0100.004

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.076
GPT teacher head0.532
Teacher spread0.456 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreMethods

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations1
Published2025
Admission routes1
Has abstractyes

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