A landscape survey of planned SMART/HL7 bulk FHIR data access API implementations and tools
A landscape survey of planned SMART/HL7 bulk FHIR data access API implementations and tools
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DOI：
10.1093/jamia/ocab028
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发表时间：
2021-03-01
影响因子：
6.4
通讯作者：
Mandl, Kenneth D.
中科院分区：
文献类型：
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作者：
Jones, James;Gottlieb, Daniel;Mandl, Kenneth D.
国家卫生信息技术协调员办公室实施《21 世纪治愈法案》互操作性和信息阻止条款的最终规则要求支持两个 SMART（可替代医疗应用、可重用技术）应用程序编程接口 (API)，并将健康七级国际 (HL7) 快速医疗互操作性资源 (FHIR) 实例化为健康数据的通用语言。我们试图评估跨组织实施 SMART/HL7 批量 FHIR 访问 API 的当前状态和近期计划，包括电子健康记录供应商、云供应商、公共卫生承包商、研究机构、付款人、FHIR 工具开发商和其他健康信息技术平台提供商。我们了解到，许多未通过法规要求使用标准化批量数据的组织正在快速为各种用例实施 API。这可能预示着标准化人口级健康数据交换将达到前所未有的水平，这将支持应用程序和分析生态系统。重点介绍了早期采用者对 API 的局限性和人口健康领域未解决问题的反馈。
The Office of National Coordinator for Health Information Technology final rule implementing the interoperability and information blocking provisions of the 21st Century Cures Act requires support for two SMART (Substitutable Medical Applications, Reusable Technologies) application programming interfaces (APIs) and instantiates Health Level Seven International (HL7) Fast Healthcare Interoperability Resources (FHIR) as a lingua franca for health data. We sought to assess the current state and near-term plans for the SMART/HL7 Bulk FHIR Access API implementation across organizations including electronic health record vendors, cloud vendors, public health contractors, research institutions, payors, FHIR tooling developers, and other purveyors of health information technology platforms. We learned that many organizations not required through regulation to use standardized bulk data are rapidly implementing the API for a wide array of use cases. This may portend an unprecedented level of standardized population-level health data exchange that will support an apps and analytics ecosystem. Feedback from early adopters on the API's limitations and unsolved problems in the space of population health are highlighted.