Beyond One-Off Integrations: A Commercial, Substitutable, Reusable, Standards-Based, Electronic Health Record-Connected App

作     者：Mandl, Kenneth D. Gottlieb, Daniel Ellis, Alyssa 

作者机构：Boston Childrens Hosp Computat Hlth Informat Program 300 Longwood Ave Boston MA 02115 USA Harvard Med Sch Dept Biomed Informat Boston MA USA 

出 版 物：《JOURNAL OF MEDICAL INTERNET RESEARCH》 (J. Med. Internet Res.)

年 卷 期：2019年第21卷第2期

页      面：e12902页

核心收录：

学科分类：1204[管理学-公共管理] 1001[医学-基础医学(可授医学、理学学位)] 10[医学] 

基　　金：NIGMS NIH HHS [R01 GM104303] Funding Source: Medline 

主　　题：electronic medical records application programming interfaces 

摘      要：The Substitutable Medical Apps and Reusable Technology (SMART) Health IT project launched in 2010 to facilitate the development of medical apps that are scalable and substitutable. SMART defines an open application programming interface (API) specification that enables apps to connect to electronic health record systems and data warehouses without custom integration efforts. The SMART-enabled version of the Meducation app, developed by Polyglot, has been implemented at scores of hospitals and clinics in the United States, nation-wide. After expanding their product s reach by relying on a universal, open API for integrations, the team estimates that one project manager can handle up to 20 simultaneous implementations. The app is made available through the SMART App Gallery, an open app store that supports discovery of apps and, because the apps are substitutable, market competition. This case illustrates how a universal open API for patient and clinician-facing health IT systems supported and accelerated commercial success for a start-up company. Giving end users a wide and ever-growing choice of apps that leverage data generated by the health care system and patients at home through a universal, open API is a promising and generalizable approach for rapid diffusion of innovation across health systems.