One of our fellow travelers on the ONC’s interoperability journey is Query Health. Like the SMART platform architecture, Query Health defines a standard framework for looking at medical record data. While SMART focuses on a single-patient view of that data, Query Health is designed to ask questions about a broad swath of patients so that clinical quality trends can be observed.
Read more
Doctors and parents alike are frustrated by today’s standard growth charts. For a fresh look at how to fix this, the SMART team turned to the New York studio of Fjord, a global service design consultancy. Read their case study to see how they worked with a panel of pediatric specialists to turn medical intuition into design thinking, integrating “multiple graphs into a single view to gain a detailed, all-encompassing picture of a child’s health.”
“We need apps to solve specific problems, not warehouses to store data,” said Jon D’Amore, founder of Clinfometrics, echoing the SMART approach at the Medical Informatics World Conference on April 8. Story in Clinical Innovation + Technology by Laura Pedulli.
Enjoy this interactive transcript of Josh Mandel’s popular webinar about SMART’s open-source tools, synchronized to the video recording. Now you can:
On The Health Care Blog, O’Reilly Media’s Andy Oram contrasts the data-sharing approaches of SMART and Apigee, highlighting the “special value of APIs in health settings.”
Providence Business News, April 8, 2013 — Richard Asinof
Posted to smartplatforms.org with permission
One of the big missing pieces in the build out of the health IT infrastructure now underway as part of health care reform is the development of an underlying programming interface system that will allow for the creative introduction of downloadable apps, similar to what smart phone users can employ.
Dr. Kenneth D. Mandl, a physician and researcher in the Boston Children’s Hospital Informatics Program, where he directs the hospital’s Intelligent Health Laboratory, has been working with software developers to bridge that gap and create apps that allow interface with electronic health records (EHRs), both proprietary and open source.
ABBI and BlueButton+
Over the past six months, I’ve had the privilege of working with the Automate Blue Button Initiative on BlueButton+ specifications for sharing data with patients. Since ABBI’s core goal of enabling automated patient access to health data is so closely aligned with SMART’s vision, it was exciting to see the initial (Push-based) BlueButton+ specifications implemented at HIMSS 13 this month.
Progress in ABBI’s Pull Workgroup has been slower. We’re hashing out the details of an OAuth2-based framework that puts patients in control over when and how apps can fetch health data. An important question has been: how can we enable an ecosystem where thousands of apps connect to providers across the country in a trusted way?
Tuesday, April 2, 2013
12:00–1:00 p.m. EDT
Join the SMART Platforms team at noon EDT on April 2 for a roll-up-your-sleeves webinar to kick-start/speed-up your Consolidated CDA implementation for MU2. These tools will help you:
In this video interview recorded yesterday at the 2013 HIMSS annual conference, Doug Fridsma, Director of the ONC’s Office of Standards and Interoperability, tells MedCity News how SMART fits into the ONC’s accountable care strategy.
The SMART team is proud to introduce the C-CDA Scorecard, a web-based tool to help vendors, providers and other health data holders produce high-quality clinical summaries for Meaningful Use Stage 2.
Consolidated Clinical Document Architecture (C-CDA) is the specification cited by Meaningful Use Stage 2 for creating structured clinical summary documents. C-CDA documents are required by MU2 to support transitions of care, to enable patient-driven “view/download/transmit” objectives, and to promote medical record data portability.
Thanks to the winning entries in the SMART-Indivo App Challenge, patients may one day find themselves using tools like these within the Indivo personally-controlled health record (PCHR):
AMIA members, if you missed the symposium in Chicago but want to learn more about the SMART team’s presentations, our materials are now published in the Proceedings. (If you are not an AMIA member, you will have access to a limited number of pages.)
Apps to display patient data, making SMART available in the i2b2 platform
Building the SMART Platforms Ecosystem: Toward an Apps-Based Health Information Economy
Supporting Population Queries and Clinical Trials in i2b2 with SMART
Integrating Substitutable Medical Apps, Reusable Technologies (SMART) in the i2b2 Platform
We recently posted about Ken Mandl’s participation in a panel at the OSEHRA 1st Annual Open Source EHR Summit and Workshop. Audio and slides are now available to those with OSEHRA user accounts; scroll to Day One, 3pm, “Open Source Best Practice and Business Models.”
Now we’d like to back up and talk briefly about OSEHRA itself, and share links that highlight its relationship to SMART.
SMART Lead Architect Josh Mandel and Evaluator Ross Koppel will speak in the following late-breaking session.
LB05: Interoperability: Why is it Taking so Darn Long?
Tuesday, November 6 3:30 p.m. – 5:00 p.m. Room: Continental A
Gil Kuperman, New York Presbyterian Hospital; Harry Solomon, GE Healthcare; Ross Koppel, University of Pennsylvania; Charles Jaffe, HL7, Joshua Mandel, Children’s Hospital Boston, Douglas B. Fridsma, Office of the National Coordinator for HIT
Questions abound around why it’s taking so long to achieve practical interoperability in the US health system? Patients and their advocates wonder why can’t the records of care at one institution easily be merged with the records of care somewhere else? Or why can’t health information interoperate on the Internet the way that so many other types of industries do? Those in the industry debate the level of difficulty around technical problems and standards.
AMIA 2012 SPC Chair Bill Hersh, MD, asked recently “is it something inherent in the nature of clinical data, such as concern for privacy or the economic aspects of healthcare that lead to organizations not wanting to share data?”
This panel will examine the potential for interoperability to improve care, the role of standards organizations in advancing interoperability and what is needed beyond standards per se to support interoperability-based use cases. Whoever or whatever is at fault, the problem is that in the eyes of many, including AMIA members, interoperability is not happening fast enough. In other words “why is it taking so darn long?”
The AMIA 2012 Annual Symposium begins today in Chicago, where it is currently “Informatics Week” as declared by Mayor Rahm Emanuel.
SMART will be highlighted in Scientific Sessions S27 & S33 on Monday and S94 & S99 on Wednesday, as well as in Poster Session 2 on Tuesday.
A section of our site is now devoted to coverage of the meeting held on September 10-11, including video and slides from keynotes, talks and panels, and a summary report from the meeting.
The meeting brought together over 100 thought leaders and affirmed the importance of developing and maintaining a standard programming interface to underpin an “app store” for health. We began to outline the actions required to create an ecosystem of health IT apps that use EHR data and enable a nimble and constantly evolving health system. Collaborations will soon be underway to define the technical approach and governance for supporting an API standard similar to the SMART Platforms alpha releases.
Yesterday, SMART’s Ken Mandl sat on a panel discussing “Open Source Best Practice and Business Models.” He was joined by US CTO Todd Park, FDA CIO Eric Perakslis, and Netspective CEO Shahid Shah. The session was moderated by BIDMC CIO John Halamka.
The panel was part of OSEHRA’s 1st Annual Open Source EHR Summit and Workshop, taking place October 17-18. OSEHRA, the Open Source Electronic Health Record Agent, “supports an open, collaborative community of users, developers, and companies engaged in advancing electronic health record software and health information technology.”
Source: Dan Housman
After attending last week’s Harvard Health IT Meeting (“ITdotHealth II”), HealthVault’s Sean Nolan got right to work on an app that enables providers to send their patients a copy of their clinical information as a Continuity of Care Document.
Susannah Fox, an Associate Director of the Pew Internet & American Life Project, was at Medicine 2.0 over the weekend. In addition to speaking on a panel, she shared her impressions of Day One on the e-patients.net blog, including a reference to the SMART Platforms presentation and enthusiasm about our clinician-facing apps.
The following is an overview of the conference, held September 10-11, 2012. In several weeks, we will post a complete executive summary, as well as videos and slide presentations from the event.
The concept of substitutable apps has become a reality, as multiple examples illustrate—such as the blood pressure app, now in live clinical use on the Cerner System at Boston Children’s Hospital: Read more
Medicine 2.0, the World Congress on Social Media, Mobile Apps, and Internet/Web 2.0 in Health, Medicine and Biomedical Research, has landed in Boston for its 5th annual conference! The agenda will feature two SMART-related presentations:
Both presentations are part of the session on Web 2.0 approaches for clinical practice, clinical research, quality monitoring to be held in the large auditorium tomorrow (Saturday, 9/15) at 2:00-2:45 p.m. (see page 13 of the final program).
The conference is sold out, but you can still register for the Webcast.
In his piece “Growth of SMART health care apps may be slow, but inevitable,” Andy Oram sums up this week’s Harvard Health IT Meeting, aka ITdotHealth II.
Stay tuned to the SMART Platforms site over the next several weeks for complete, in-depth coverage of the conference.
On his Life as a Healthcare CIO blog, John Halamka gives a synopsis of his contribution to ITdotHealth II. He was among the panelists speaking Monday on “Apps and APIs: Innovating Around Vendor and Homegrown EHRs.” His summary addresses the issue from federal, state, and local perspectives.
In Suddenly it’s all about the APIs, Microsoft HealthVault’s Sean Nolan outlines six key challenges to building an API that is desirable to developers—whose adoption of it, or lack thereof, will make or break its survival in the marketplace.
Tom Krohn, an attendee to the recent Health IT Meeting at Harvard (“ITdotHealth II”), is the business lead for the Eli Lilly Clinical Open Innovation team. Leading up to the meeting, he wrote about the ways his team’s approach aligns with SMART.
Next Monday-Wednesday, August 27-30, the W3C will host a “Summer School” at the MIT CSAIL Stata Center for those interested in learning about the Semantic Web as applied to Health Care and Life Sciences.
Visit the wiki of the event, also known as the HCLS Hackathon, or download the flyer (PDF).
Also be sure to register.
As Health 2.0 News recently reminded the community, the SMART-Indivo App Challenge is underway.
On August 7, a webinar provided an in-depth review of the challenge and allowed interested participants to ask questions to the challenge hosts. Slides from the webinar are available on the challenge website and hosted on Slideshare.
Advance registration for the challenge is recommended. Final submissions are due on September 28, 2012. The first place team will be awarded with $10,000. The second and third place teams will receive awards of $2,000 and $1,000, respectively.
In my 7/24/2012 post, I observed that exchanging uncoded lab results is the state of the art.
Why worry? SMART is pushing to enable third-party apps on disparate health IT systems, and codes are the glue holding meaning together. Without coded data, apps can’t tell a Hemoglobin A1c measurement from a monocyte percentage!
In the USA we have substantial infrastructure to promote the flow of coded data. So where do things break down?
Introducing another partner in our mission to bridge the doctor-developer-designer divide: Fjord. This digital service design consultancy’s New York office will be helping the SMART team create an open-source, web-based, interactive pediatric growth chart application. Embracing a design-led approach to clinical end-user needs, this collaboration aims to develop a new way to present pediatric growth charts so they can be easily read, understood, and shared among clinicians and other medical professionals, as well as used in communication with parents.
The collaboration will start with an immersive phase of interviewing pediatric and medical informatics specialists to help establish current content, context, and usage of the pediatric growth chart. This targeted usability research will surface insights and understanding of how pediatric growth charts are actually used and how they should be changed to enhance their utility for different clinical and communication purposes. The Fjord team will then create detailed designs that will be tested and refined with clinicians and parents.
After the design has been completed, the Fjord and SMART Project teams will collaborate to complete a full development, implementation, and launch of the design, resulting in an end-to-end web app experience to be introduced to, and shared with, the medical and clinical informatics community.
At last week’s Redwood MedNet HIE Conference, I had the chance to attend an “Interoperability Exhibition” demonstrating the data exchange capabilities of several EHRs. Two themes emerged around clinical summary export. I’ll focus on CCDs, but the themes apply to CCRs as well:
Today’s post focuses on #1. In a future post, I’ll investigate the interplay between certification and meaningful use to understand where LOINC codes disappear to.
Next Tuesday and Wednesday, July 24-25, the i2b2 Academic Users’ Group will host its second annual conference at the Joseph B. Martin Conference Center in Boston. Wednesday’s 9:30-10:00 a.m. segment will be a demonstration of the patient-centered view and app bundle developed using the SMART i2b2 cell. The full agenda of the conference, which will be preceded by an NLP workshop, can be found on the i2b2 website.
The SMART team is pleased to announce a new partnership that will break down barriers between developers, designers, and doctors. Sermo, the largest online physician community in the United States, will connect us with their network of over 130,000 members for feedback on SMART apps as they are created.
“We are excited to be working with the SMART project,” said Jon Michaeli, VP, Marketing and Membership. “It’s no secret there are major obstacles associated with the implementation and widespread adoption of an efficient IT infrastructure in the US healthcare system today. Physicians in the Sermo community are constantly exchanging war stories, from how EMR incompatibilities cripple their work streams to how they compromise rather than improve patient care. This project presents a great opportunity for them to share their opinions with leading researchers and technologists who are well positioned to make a difference.”
An example of the kind of insights that Sermo has gathered from its members is the Physician Sentiment Index™ (PSI), conducted annually since 2010 along with athenahealth, a cloud-based physician software and billing firm. The 2012 PSI was just released in June.
The SMART-Indivo App Challenge is now Live!
This contest is a call to developers to build an Indivo app that provides value to patients using data delivered through the SMART API and Indivo-specific extensions. The top 3 submissions will win cash prizes, with the top one taking home $10,000 and the opportunity to exhibit at an upcoming conference.
We look forward to seeing what innovative ideas are enabled by Indivo and its integration with SMART, so check out the contest details, read the Indivo Documentation, visit the Indivo Sandbox, and start hacking!
HANDI–the Healthcare App Network for Development and Innovation–will host a meeting on the SMART platform and OpenEHR on Wednesday, July 11.
This meeting will include expert presentation of the two technologies and an opportunity to explore their further use in the UK and/or possible collaboration at a global level.
Registration is required, and remote seats are still available.
Among the attendees of last week’s Indivo conference was Andy Oram, who writes regularly about the societal effects of Internet policy and technical innovation. His piece in the O’Reilly Radar summarizes Monday’s talks and explains the significance of the “historical” SMART-enabled Indivo v2 release. It also mentions Tuesday’s hackathon, shown below, where developers tried their hands at app creation and integration.
Indivo hackathon 2012
A key topic at this year’s Indivo Users’ Conference was the release of version 2.0, which provides “deep integration with the SMART data models and API.” In other words, the Indivo personal health platform is now a full-fledged SMART container. Visit the Indivo site to learn more about
Conference presentations included a keynote from Farzad Mostashari, National Coordinator of HIT, ONC; Indivo–SMART integration by Daniel Haas, Indivo Lead Architect; the SMART API by Nikolai Schwertner, Senior SMART Developer; Indivo–i2b2 integration by Shawn Murphy, Partners HealthCare; Indivo iOS framework by Pascal Pfiffner, Children’s Hospital Informatics Program; and lightning talks from the MIT Media Lab, Novartis, Childhood Arthritis & Rheumatology Research Alliance, and MuleSoft.
Ken Mandl also premiered the new Indivo Film, an animated “story of what’s to come” in Health IT, voiced by Amy Madigan.
Mandl and Kohane in the New England Journal of Medicine: Escaping the EHR Trap — The Future of Health IT [PDF]. It is a widely accepted myth that medicine requires complex, highly specialized information technology (IT) systems. This myth continues to justify soaring IT costs, burdensome physician workloads, and stagnation in innovation — while doctors become increasingly bound to documentation and communication products that are functionally decades behind those they use in their “civilian” life.
The UK’s National Health Service held its first NHS Hack Day on May 26-27, a weekend marathon of disruptive innovation, largely inspired by the open source culture and hackathon trend in the US. One of the 14 teams to submit an app at the end of the session used SMART, implementing a portion of the SMART API to expose the HES dataset. The result was a modest data grid and radar chart for patient problems (image below). But the strategic ramifications, said co-developer Rob Tweed, are far-reaching. “The technology clearly works and is applicable to use in the UK just as in the US. This is a set of wheels that the NHS can avoid re-inventing.”
The demo app has also added momentum to a specific goal that Tweed and colleague George Lilly are helping us realize: to SMART-enable VistA, the open source EHR created at the US Dept. of Veterans Affairs. The two will be presenting on just that topic next Tuesday, June 5, at the 25th VistA Community Meeting in Fairfax, VA. Their talk will follow shortly after Lead Architect Josh Mandel presents an overview of the SMART architecture.
At yesterday’s Health 2.0 conference, Farzad Mostashari asked why SMART isn’t using CCD export (as specified by Meaningful Use) to extract data from EMR systems. This is a great question, in part because it separates out two important aspects of SMART:
—and focuses on #1. (I don’t think many would argue that CCD is fit for #2. And to be clear: for developers building a SMART app, the details of #1 are almost irrelevant. SMART app developers get one clear-cut API to work with, and consistent SMART data elements)
As reported in the Boston Globe, Farzad Mostashari, at the Health 2.o conference, observed that “The investments in research and development that are going on in the consumer technology space are now dwarfing the investment and innovation that are happening in, say, the military.” As an approach the government can take to promoting improvements in HIT, he cites the SMART project “where Zak Kohane and Ken Mandl are developing a system of “iPhone-like” medical apps designed so that they can be easily swapped out when better ones are developed but that allow for easy saving and transfer of data to a new program.”
Farzad Mostashari, MD, ScM, National Coordinator for Health Information Technology , will keynote the 2012 Indivo X Annual User’s Conference at Harvard Medical School June 18th-19th.
The 2012 Indivo X Annual User’s Conference to be held on June 18th-19th at Harvard Medical School’s Countway Library. Details and registration are available below. This meeting will have a technical focus, but will be of interest if you are:
The Main Conference hours are Monday, June 18, from 1-5:30pm. Topics will include:
On Tuesday, June 19th from 8am-3pm, we will run an all-day hackathon to design and begin implementing innovative patient-facing apps on top of Indivo. The morning will be spent brainstorming, connecting with teams around shared interests, and designing apps, and the afternoon will be devoted to implementation. This event is NOT limited to developers—health professionals, innovators from industry, or anyone with a good idea for an app will be invaluable for making the most of the hackathon. The Indivo team will be on hand to provide support and advice throughout the day.
Space is limited—please register here: Users’ Conference and Hackathon Registration Form
If you have any questions about the event or registration please contact skyler.kelemen@childrens.harvard.edu
Looking forward to seeing you there!
The team has published a technical paper on the SMART platform in JAMIA: The SMART Platform: early experience enabling substitutable applications for electronic health records [PDF].
The SMART team recently had a chance to to interact with the Boston area health IT community. On March 6th executive director Rachel Ramoni and others joined The Greater Boston Health Technology Meetup to discuss the SMART platform. The evening’s proceedings consisted of presentations, demos and a spirited Q&A session focused heavily on how SMART can facilitate commercial app development and strategies for fostering SMART adoption.
The SMART team is happy to announce that it’s working with Mirth Corporation, a global leader in commercial open source healthcare information technology, to SMART-enable the HealthBridge and Redwood MedNet Health Information Exchanges. The SMART API and the growing selection of SMART applications offer a great way to enhance the utility of the health data shared within these two networks. Stay tuned to smartplatforms.org for updates on this and other exciting projects.
About Mirth Corporation
Mirth is a global leader in commercial open source products and services powering healthcare interoperability and community-based care management. Mirth delivers information technology consulting, and hosts high availability secure applications. Mirth solutions are used daily by thousands of health professionals and institutions worldwide to streamline care management processes and to securely exchange health information across enterprises, communities and broad geographies. For more information visit http://www.mirthcorp.com.
SMART and OpenMRS are proud to announce the initial release of a SMART module for OpenMRS.
This module expands the reach of the SMART API by allowing apps to run (unmodified!) on the open-source Open Medical Record System. It also provides a lightweight interface for developers who want to extend the functionality of OpenMRS.
Work on this module began as a Google Summer of Code project and continued through the fall with support from the OpenMRS team.
The initial release provides developers access to the SMART Connect API in OpenMRS. SMART REST API support is planned for a future release.
Josh Mandel, lead architect for the SMART team, will be presenting at this year’s ONC Annual Meeting on November 17th. The focus of his presentation will be on SMART’s efforts to engage the developer community in support of the platform. You can get a front row seat to by joining the webcast.
The SMART team has published a new preview release (v0.3) of the SMART platform. With this release, we are rolling out a number of API changes incorporating feedback from the $5K challenge, simplifying some of the infrastructure, and adding some new data types. We have already updated the public sandbox with the v0.3 code, as well as the developer’s guide.
One of the main changes with v0.3 is that SMART apps are no longer required to have a bootstrap.html. The apps are now launched directly from index.html with the oauth tokens passed as a get parameter. For a more complete run-down on updating your SMART application code, please see: http://wiki.chip.org/smart-project/index.php/Developers_Documentation:_Changelog
We are looking forward to hearing your thoughts and suggestions about the new release.
Ken Mandl interviewed by WBUR’s Carey Goldberg for the Common Health Blog. He reflects on the demise of Google Health, lessons learned for the health system and for personal health records.
Story
“Polyglot Systems has developed a number of products that can improve health outcomes and decrease costs. Despite these benefits, achieving widespread adoption is extremely difficult if the products cause any interruption in provider workflow. This makes EMR/EHR integration essential. The SMART Platform offers Polyglot a way to quickly and affordably integrate its products across multiple EMR and EHR systems. By doing so, the SMART Platform lets Polyglot and other innovators deploy their solutions much more broadly and quickly than would otherwise be the case.”
SMART and i2b2 investigator Shawn Murphy will be presenting SMART at the June 29th i2b2 Academic User’s Group meeting!
On June 16th and 17th, 2011, our judges convened and deliberated to score the apps for the SMART Apps for Health $5,000 Challenge, which opened back in March.
Meducation is the winner.
The Meducation SMART app, created by Polyglot Systems, Inc. – a health IT company with a focus on improving care and access for underserved patient populations – provides multilingual, patient-friendly instructions for medications listed in a physician’s electronic medical record or the personally controlled health record of a patient. The app uses the SMART programming interface to obtain the medication list and then links out to a drug information database, which facilitates the generation of simplified medication instructions for patients, available in a dozen languages.
In addition to the winner, several selected as honorable mentions:
You can view all the submitted apps at http://smartapps.challenge.gov/submissions.
Current-stage EMRs decide if, when, and how you will view the data trapped in their systems. The SMART Platform Apps Challenge was designed to demonstrate what can happen when electronic health information becomes liberated and can be readily consumed by computer applications. iPhone and Android app developers have been very successful because the address book and GPS data in those platforms is clearly and consistently presented by the platform. Our goal is to present health data in as useful and consistent format. Based on the submissions we received, we think we have demonstrated that this approach can be successful.
That we had so many excellent applicants reflects the hunger and need felt in the community to deliver innovative healthcare applications directly to doctors and patients without having to learn the details of a large, monolithic EMR
Congratulations to our winner and honorable mentions!
The SMART team is working on creating a blood pressure centiles SMART app for initial deployment at Children’s Hospital, Boston. There aren’t standard cutoffs for normal pediatric blood pressures. For kids, the normal blood pressure depends upon height and gender. Unfortunately, looking up these normal blood pressures is pretty time consuming. Thus, we’re working with a great, transdisciplinary group of docs at Children’s to create an app that will do the calculating for them and give them more time with their patients. One of those docs is cardiologist Justin Zachariah, M.D., M.P.H. He said, “What you have already created is definitely a quantum leap forward compared to where we are now.” Through SMART, we’ll be able to make this app available to other SMART-enabled systems.
We’re happy to announce that the SMART Apps for Health Challenge resulted in 15 apps being submitted. These apps range from PriorityContact(TM), an app that manages contact with patients, to rxClinicalTrials, which helps to identify trials that a patient might be eligible for through ClinicalTrials.gov. Our entrants each got their app working in the SMART Reference EMR in under 3 months, demonstrating the power of lowering the barriers to developer engagement in health IT. The judging period is now underway, and we’ll announce the winner of the $5,000 on June 22nd. Stay tuned!
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The development team for Indivo X, the SMART-enabled, open source personally controlled health record platform, is going to conduct a webinar on June 3rd. 2011. Topics will include: the current state of the platform and API; ongoing projects in the Indivo X ecosystem, including the use of Indivo X in a patient portal and in an online social network; a proposed roadmap for upcoming features and enhancements, such as plans to support the Direct Project.
Please register here if you plan to join us on June 3rd. We’ll send you an invitation with instructions to join the webinar shortly before the event. An in person meeting will be planned for sometime thereafter. Please go to www.indivohealth.org to learn more about Indivo X.
Indivo Users Webinar Agenda
Friday, June 3, 2011
12Noon Welcome and Intro
12:15pm Indivo X
12:25pm Indivo X Ecosystem
1:05pm Indivo X Roadmap
1:40pm Q&A
2:00pm Adjourn
Indivo X is the SMART-enabled, open source personally controlled health record platform. Daniel Haas, the platform’s lead architect, will be delivering a talk on the architecture of and security implications of Indivo X, its place in the open source community, its prospects for future development, and its relationship to SMART Platforms. Details about his talk can be found here: http://www.oscon.com/oscon2011/public/schedule/detail/19713.
You can learn more about Indivo X at http://indivohealth.org
The SMART $5K Apps Challenge is now closed to entries, but you can still learn about it at our Challenge.gov page!
Our panel of judges are currently reviewing the entries, and winners will be announced on June 22nd.
SMART wishes to thank our eminent panel of judges:
Susannah Fox
Director of Health Research at the Pew Internet & American Life Project
Regina Herzlinger
Nancy R. McPherson Professor of Business Administration, Harvard Business School
David Kibbe
Director, Center for Health Information Technology, American Academy of Family Physicians
The Kibbe Group LLC
Ben Shneiderman
Professor of Computer Science at the Human-Computer Interaction Laboratory at the University of Maryland, College Park
Doug Solomon
Chief Technology Officer at IDEO
Edward Tufte
Professor Emeritus of Political Science, Statistics, and Computer Science at Yale University
Jim Walker
Chief Health Information Officer, Geisinger Health Systems
Learn how your health IT system can harness the power of the developer community.
The SMART (Substitutable Medical Apps, Reusable Technologies) project is working to lower the barriers for external developers to create innovative healthcare apps. A SMART-enabled health IT system will be positioned to take advantage of these innovations and make them available to its users.
Attend our webinar and learn how your health IT system can become SMART.
April 27, 2011 2:00 – 3:00 P.M. Eastern
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OpenMRS has been funded for its fifth consecutive Google Summer of Code!
Among a host of exciting projects, SMART is working with OpenMRS to propose:
Read Mr. Chopra’s White House blog here. He states, “This development will dramatically expand the market for health IT by offering applications that can meet any niche and any need – from individual consumers to small practices to large organizations—thereby making the transformative power of health IT felt more fully and broadly.”
The Office of the National Coordinator of Health Information Technology has posted the SMART Apps Challenge on Challenge.gov.
BOSTON, March 8, 2011 /PRNewswire-USNewswire/ — Through a grant from the Office of the National Coordinator for Health Information Technology (ONC), researchers at Children’s Hospital Boston and Harvard Medical School have developed a first-of-its kind platform architecture to support a flexible health information technology (IT) environment and promote innovation. The SMArt (Substitutable Medical Applications, reusable technologies) platform and interface are being made publicly available today to kick off the start of a $5,000 competition challenging developers to create web applications that provide specific functionality for patients, physicians, or for public health.
First described in a March 2009 New England Journal of Medicine Perspectives article, the SMArt architecture is an “iPhone-like” health IT platform model that aims to transform the way health IT supports health care by facilitating the development of medical applications that are scalable and substitutable; that will drive competition, innovation, and increased efficiency in the functionality of technology for improved health care.
ONC awarded $15 million to the project in April 2010 through the Strategic Health IT Advanced Research Projects (SHARP) program. The SMArt project will enable the equivalent of an iTunes App Store for health and support an ecosystem of applications ranging from medication managers for patients at home to e-prescribing applications and decision support for physicians in the office.
“The goal of this model is to enable a substantial shift towards technologies that are flexible and able to quickly adapt to meet the various needs of their users on a variety of devices,” said Kenneth Mandl, M.D., MPH, of the Children’s Hospital Informatics Program and Harvard Medical School, and co-lead on the SMArt project. “As developers begin to compete on quality, value and usability, we expect to see the introduction of an array of innovative functions and a drop in the cost of healthcare technology. Just as staple applications of the iPad, Android, and Blackberry platforms constantly evolve and compete to meet user demands, the SMArt platform will enable health IT to do the same.”
In August, Mandl and Isaac Kohane, M.D., Ph.D., also of CHIP, Harvard Medical School and co-lead on the SMArt project, held a SMArt Developer Meeting which included more than 60 representatives from academia, government and business. Multiple prototypes of the SMArt platform were presented and feedback was collected from software developers and the health IT community. Following that meeting, the team built the SMArt platform architecture and interface that is being made publicly available today.
“There is an enormous talent pool available in our country’s developers and entrepreneurs to help drive new web and mobile health IT solutions that support health care functions,” said Kohane. “Through this competition we hope to excite this pool; to spark their imaginations and partner with them to move new ideas forward.”
“Future developments in health IT should always be driven by empowering physicians and improving patient care,” said Wil Yu, director of the SHARP program at the Office of the National Coordinator for Health IT.
Developers interested in learning more about the SMArt project and/or participating in the SMArt health app challenge may visit www.smartplatforms.org/challenge for complete details and an environment for development. Entrants are eligible to receive an award – $5,000 and release in an “App Store” – for best application.
A panel of industry leaders has been assembled to judge the challenge and will review submitted apps and announce winners in June 2011. Judges will include Susanna Fox, director of Health Research at the Pew Internet & American Life Project; Regina Herzlinger, the Nancy R. McPherson Professor of Business Administration at the Harvard Business School; David Kibbe, senior advisor to the American Academy of Family Physicians and principal at The Kibbe Group LLC; Ben Shneiderman, professor of Computer Science at the Human-Computer Interaction Laboratory at the University of Maryland, College Park; Doug Solomon, chief technology officer at IDEO; Edward Tufte, professor emeritus of Political Science, Statistics, and Computer Science at Yale University; and Jim Walker, chief health information officer at Geisenger Health Systems.
Children’s Hospital Boston is home to the world’s largest research enterprise based at a pediatric medical center, where its discoveries have benefited both children and adults since 1869. More than 1,100 scientists, including nine members of the National Academy of Sciences, 12 members of the Institute of Medicine and 13 members of the Howard Hughes Medical Institute comprise Children’s research community. Founded as a 20-bed hospital for children, Children’s Hospital Boston today is a 392-bed comprehensive center for pediatric and adolescent health care grounded in the values of excellence in patient care and sensitivity to the complex needs and diversity of children and families. Children’s also is the primary pediatric teaching affiliate of Harvard Medical School. For more information about the hospital and its research visit: www.childrenshospital.org/newsroom.
Harvard Medical School has more than 7,500 full-time faculty working in 11 academic departments located at the School’s Boston campus or in one of 47 hospital-based clinical departments at 17 Harvard-affiliated teaching hospitals and research institutes. Those affiliates include Beth Israel Deaconess Medical Center, Brigham and Women’s Hospital, Cambridge Health Alliance, Children’s Hospital Boston, Dana-Farber Cancer Institute, Forsyth Institute, Harvard Pilgrim Health Care, Hebrew SeniorLife, Joslin Diabetes Center, Judge Baker Children’s Center, Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, McLean Hospital, Mount Auburn Hospital, Schepens Eye Research Institute, Spaulding Rehabilitation Hospital, and VA Boston Healthcare System.
CONTACT:
Keri Stedman
Children’s Hospital Boston
617-919-3110
keri.stedman@childrens.harvard.edu
David Cameron
Harvard Medical School
617-432-0441
David_Cameron@hms.harvard.edu
A couple of months ago, The President’s Council of Advisors on Science and Technology issued its Report to the President on Realizing the Full Potential of Health Information Technology to Improve Healthcare for Americans. We want to tell you how SMART fits in. Read more
On Tuesday, November 9, U.S. Chief Technology Officer Aneesh Chopra delivered a keynote address with Bill Gates at the 2010 mHealth Summit in Washington, D.C., featuring the efforts of Kenneth Mandl, MD, MPH, and Isaac Kohane, MD, PhD, of the Children’s Hospital Boston Informatics Program and Harvard Medical School, and the “SMART” (Substitutable Medical Applications, reusable technologies) project.
Mr. Chopra gave an overview of the project and announced a competition that will begin in March, challenging developers to create a health IT application that provides specific functionality for patients, physicians, or for public health, based on the Boston team’s SMART platform architecture and a common electronic medical record interface.
SMART seeks to recruit and support a new generation of innovators by providing a common interface to multiple HIT platforms. The SMART Health App $5,000 Challenge is to develop web apps that use the SMART API to provide value to patients, providers, researchers, and public health. Examples of such applications are medication management tools, health risk detectors, and e-prescribing applications.
A panel of acclaimed judges is being assembled to review submitted apps and will include Regina Herzlinger, the Nancy R. McPherson Professor of Business Administration at the Harvard Business School; David Kibbe of the The Kibbe Group LLC and Director of the Center for Health Information Technology at the American Academy of Family Physicians; Doug Solomon, Chief Technology Officer at IDEO; Edward Tufte, Professor Emeritus of Political Science, Statistics, and Computer Science at Yale University, and Jim Walker, Chief Health Information Officer at Geisenger Health Systems.
The challenge will open in March 2011.
Interested applicants can learn more and register their interest at www.SMArtPlatforms.org/challenge
SMART apps receive patient data in RDF graphs that contain a set of assertions or “triples” such as:
We think RDF is a flexible and elegant way to represent all kinds of data. But we recognize that RDF and SPARQL (a query language for RDF graphs) aren’t regular items in every Web developer’s toolkit. To help developers SMART developers get up to speed, we’ve written a pair of tutorials on our wiki:
Please have a look, try out the live query tools, and let us know what you think!
Murphy, S. N., Weber, G., Mendis, M., Gainer, V., Chueh, H. C., Churchill, S., and Kohane, I. Serving the enterprise and beyond with informatics for integrating biology and the bedside (i2b2). J Am Med Inform Assoc 2010;17:124-30
Weitzman E.R,, Kaci, L., and D., Mandl K. Sharing Medical Data for Health Research: The Early Personal Health Record Experience. J Med Internet Res 2010;e14
The fourth annual Health 2.0 conference is abuzz about “unplatforms” — loose collections of liquid data services and interlinked apps that allow for mix-ins, mash-ups, and rapid innovation. The unplatform is “un” becaues it doesn’t rely on a central service, repository, or framework. Instead, it’s a frothy milieu of various data and services: in other words, all right ingredients for apps to emerge.
Read more
We now have several resources that were created and used for our developers meeting available.
SMART Architecture Slideshow
SMART Governance Slideshow
SMART Demo Screencast
On August 26th, we had our first Developer’s Meeting here at the SMART headquarters at the Center for Biomedical Informatics in the Countway Library of Medicine. Over 60 academic, vendor, and government representatives participated in the event. The conversation was so lively that we were shushed by one of the librarians, which we took to be a good sign. The presentations made by Ben Adida, our lead architect, and Josh Mandel, our lead developer, may be found here. If you would like to participate in one of our upcoming events, please let us know.
Office of the National Coordinator for Health IT awards $15 million to Harvard Medical School to build the “app-store” for health.
Weber, G. M., Murphy, S. N., McMurry, A. J., Macfadden, D., Nigrin, D. J., Churchill, S., and Kohane, I. S. The Shared Health Research Information Network (SHRINE): a prototype federated query tool for clinical data repositories. J Am Med Inform Assoc 2009;624-30
Weitzman, E. R., Kaci, L., and Mandl, K. D. Acceptability of a personally controlled health record in a community-based setting: implications for policy and design. J Med Internet Res 2009;e14
Substitutability is a property of software applications that allows the users of such systems fine grained choice and control of the way their computing environment works for them without. This is in marked contrast to existing healthcare applications, particularly electronic health records which are typically monolithic and do not allow substitution for functions by other vendors without extensive technical support, it at all possible. I review here early questions that follow from the adoption of a substitutability model in health care information technology.
Leading health care information technology researchers, physicians, and renowned experts in innovation released a set of core principles to guide the creation of a new health information infrastructure to better support the nation’s complex and evolving health system.
Mandl KD, Kohane IS. No small change for the health information economy. N Engl J Med. 2009 Mar 26;360(13):1278-81
Mandl, K. D. and Kohane, I. S. Tectonic shifts in the health information economy. N Engl J Med 2008;1732-7
Halamka, J. D., Mandl, K. D., and Tang, P. C. Early experiences with personal health records. J Am Med Inform Assoc 2008;1-7
Bourgeois, F. T., Simons, W. W., Olson, K., Brownstein, J. S., and Mandl, K. D. Evaluation of influenza prevention in the workplace using a personally controlled health record: randomized controlled trial. J Med Internet Res 2008;e5
Bourgeois, F. C., Taylor, P. L., Emans, S. J., Nigrin, D. J., and Mandl, K. D. Whose personal control? Creating private, personally controlled health records for pediatric and adolescent patients. J Am Med Inform Assoc 2008;737-43
McMurry, A. J., Gilbert, C. A., Reis, B. Y., Chueh, H. C., Kohane, I. S., and Mandl, K. D. A self-scaling, distributed information architecture for public health, research, and clinical care. J Am Med Inform Assoc 2007;527-33
Kohane, I. S., Mandl, K. D., Taylor, P. L., Holm, I. A., Nigrin, D. J., and Kunkel, L. M. Medicine. Reestablishing the researcher-patient compact. Science 2007;836-7
Mandl, K. D., Simons, W. W., Crawford, W. C., and Abbett, J. M. Indivo: a personally controlled health record for health information exchange and communication. BMC Med Inform Decis Mak 2007;25
Adida, B. and Kohane, I. S. GenePING: secure, scalable management of personal genomic data. BMC Genomics 2006;93
Simons, W. W., Mandl, K. D., and Kohane, I. S. The PING personally controlled electronic medical record system: technical architecture. J Am Med Inform Assoc 2005;47-54
Sax, U., Kohane, I., and Mandl, K. D. Wireless technology infrastructures for authentication of patients: PKI that rings. J Am Med Inform Assoc 2005;263-8
Kohane, I. S. and Altman, R. B. Health-information altruists—a potentially critical resource. N Engl J Med 2005;2074-7
Mandl, K. D., Szolovits, P., and Kohane, I. S. Public standards and patients’ control: how to keep electronic medical records accessible but private. Bmj 2001;283-7
Riva, A., Mandl, K. D., Oh, D. H., Nigrin, D. J., Butte, A., Szolovits, P., and Kohane, I. S. The personal internetworked notary and guardian. Int J Med Inform 2001;27-40
Peter Szolovits, Jon Doyle, William J. Long, Isaac Kohane, Stephen G. Pauker. Guardian Angel: Patient-Centered Health Information Systems. Technical Report MIT/LCS/TR-604, Massachusetts Institute of Technology Laboratory for Computer Science, 1994.
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