Overcoming the historical fragmentation of data in the SUS: Interoperability in Recife and EBSERH

Abstract

This study aimed to describe and analyze the integration of experiences developed by Recife-PE and EBSERH, which created the first federation of data from electronic health records between two enterprise service Bus. In both cases, data were integrated and made available to patients and healthcare professionals. In Recife, interoperability was achieved through Connected Health, which incorporated an electronic platform from a technological order implemented in 2019 by the State Family Health Foundation of Bahia. At EBSERH, 45 hospitals began to interoperate the data of more than 25 million users through their own platform, with technology similar to that incorporated by Recife. In June 2023, the two platforms began to interoperate. In addition to receiving national awards for its originality, effectiveness, scope, and efficiency, the case shows solutions and paths, including the interoperability project and its technological model. In addition, the fragmentation of data across different systems, electronic medical records, and other applications was overcome, improving the integrality of care, the capacity for data analysis, and decision-making.