The ecosystem of apps and software integrated with certified health information technology
The ecosystem of apps and software integrated with certified health information technology
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DOI：
10.1093/jamia/ocab171
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发表时间：
2021-09-06
影响因子：
6.4
通讯作者：
Johnson, Christian
中科院分区：
文献类型：
--
作者：
Barker, Wesley;Johnson, Christian
目的：本研究：1)通过EHR应用库和应用类型对应用市场进行表征；2)跟踪2019年底至2020年EHR应用程序库的变化；3)检查应用程序如何连接到EHR数据系统，以及应用程序是否支持HL7 FHIR标准。材料和方法：我们开发了一个程序，从Allscripts、athenahealth、Cerner Corporation、Epic Systems Corporation和SMART托管的公共应用程序库中收集数据。本研究的数据收集始于2019年12月，结束于2020年12月。该程序在此期间运行了11次，收集的数据用于生成本研究中观察到的发现和趋势。结果：在研究期间，独立应用程序总数从600个增加到734个。市场上最常见的应用类型是用于行政管理（42%）和临床使用（38%）。大约五分之一的应用程序（22%）表示支持FHIR标准。对FHIR的支持因预期的功能和库而异。讨论：这项研究提供了连接到电子病历的第三方应用程序的数量，它们提供什么服务，以及这些连接是否使用基于标准的应用程序编程接口（api）的早期见解。结论：改善电子健康信息的访问和使用是联邦政府的优先事项，包括第三方应用程序，这些应用程序可以引入竞争以及同类最佳功能和用户体验。这项研究表明，在一些最大的电子病历开发商之间存在着增长空间和差异。
Objective: This study: 1) characterized the app market by EHR app gallery and type of app; 2) tracked changes in the EHR app galleries from the end of 2019 through 2020; and 3) examined how apps connect to EHR data systems, and if the apps support the HL7 FHIR standard.Materials and Methods: We developed a program that gathered data from the public app galleries hosted by Allscripts, athenahealth, Cerner Corporation, Epic Systems Corporation, and SMART. Data collection for this study began in December 2019 and ended December 2020. The program was run 11 times during this period, and the data collected were used to generate the findings and trends observed in this study.Results: The total number of unique apps increased from 600 to 734 during the study period. The most common types of apps marketed were intended for administrative (42%) and clinical use (38%). About 1 in 5 apps (22%) described support for the FHIR standard. Support for FHIR varied by intended functionality and gallery.Discussion: This study provides early insights into the number of third-party apps that are connecting to EHRs, what services they provide, and if these connections use standards-based application programming interfaces (APIs).Conclusion: It is a federal government priority to improve the access and use of electronic health information, including third-party apps that can introduce competition as well as best-of-breed functions and user experiences. This study shows that there is room for growth, and variation exists among some of the largest EHR developers.