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Push Button Population Health: The SMART/HL7 FHIR Bulk Data Access Application Programming Interface

Overview
Journal NPJ Digit Med
Date 2020 Dec 10
PMID 33299056
Citations 28
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Abstract

The 21st Century Cures Act requires that certified health information technology have an application programming interface (API) giving access to all data elements of a patient's electronic health record, "without special effort". In the spring of 2020, the Office of the National Coordinator of Health Information Technology (ONC) published a rule-21st Century Cures Act Interoperability, Information Blocking, and the ONC Health IT Certification Program-regulating the API requirement along with protections against information blocking. The rule specifies the SMART/HL7 FHIR Bulk Data Access API, which enables access to patient-level data across a patient population, supporting myriad use cases across healthcare, research, and public health ecosystems. The API enables "push button population health" in that core data elements can readily and standardly be extracted from electronic health records, enabling local, regional, and national-scale data-driven innovation.

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References
1.
Ahmad F, Rasmussen L, Persell S, Richardson J, Liss D, Kenly P . Challenges to electronic clinical quality measurement using third-party platforms in primary care practices: the healthy hearts in the heartland experience. JAMIA Open. 2020; 2(4):423-428. PMC: 6994020. DOI: 10.1093/jamiaopen/ooz038. View

2.
Gallego B, Walter S, Day R, Dunn A, Sivaraman V, Shah N . Bringing cohort studies to the bedside: framework for a 'green button' to support clinical decision-making. J Comp Eff Res. 2015; 4(3):191-197. DOI: 10.2217/cer.15.12. View

3.
Longhurst C, Harrington R, Shah N . A 'green button' for using aggregate patient data at the point of care. Health Aff (Millwood). 2014; 33(7):1229-35. DOI: 10.1377/hlthaff.2014.0099. View

4.
Mandel J, Kreda D, Mandl K, Kohane I, Ramoni R . SMART on FHIR: a standards-based, interoperable apps platform for electronic health records. J Am Med Inform Assoc. 2016; 23(5):899-908. PMC: 4997036. DOI: 10.1093/jamia/ocv189. View

5.
Song Z, Ji Y, Safran D, Chernew M . Health Care Spending, Utilization, and Quality 8 Years into Global Payment. N Engl J Med. 2019; 381(3):252-263. PMC: 6733755. DOI: 10.1056/NEJMsa1813621. View