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Digital technologies have impacted our culture by expanding into every interstice of everyday life. Mobile gadgets for communications, work and leisure, social media, apps and platforms – the diverse array of items that we usually refer to as digital media and that keep people permanently connected – are at the core of a wider change that goes beyond the use of technology. These technologies provide the material structure for the complex and constant fluxes of information that permeate people's lives, originating new dynamics that impact people's relations, beliefs, practices, representations and identities, bodies or creative and political expressions. Understanding technology as a producer of meanings, subjectivities and agency that are shaped by power relations is central to the MyGender project. Hence, technology is not seen as neutral but as a place of political power. This chapter places young adults at the centre of the changing environment as main cultural and media producers and traces their practices, discourses and representations. By integrating diverse theoretical and empirical contributions that focus on the most relevant aspects of this changing environment, analysing significances, practices and negotiations related to digital cultures and young adults, this chapter proposes a narrative critical literature review that aims to provide a solid framework for the remaining chapters, within the theoretical horizon of the MyGender project.

This systematic review aimed to identify and categorize applications using Fast Healthcare Interoperability Resources (FHIR) to support activities outside of direct healthcare provision.

A systematic electronic search was performed, and 53 studies were included after the selection process.

The results show that FHIR is being used to support (1) clinical research (i.e. clinical research based on interventional trials, data interoperability to support clinical research and advanced communication services to support clinical research), (2) public health and (3) medical education. Despite the FHIR potential to support activities outside of direct healthcare provision, some barriers were identified, namely difficulties translating the proposed applications to clinical environments or FHIR technical issues that require further developments.

This study provided a broad review of how FHIR is being applied in clinical activities outside of direct clinical care and identified three major domains, that is, clinical research, public health and medical education, being the first and most representative in terms of number of publications.