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SMArt Substitutable Medical Apps Reusable Technologies

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SMArt Substitutable Medical Apps Reusable Technologies

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    1. SMArt Substitutable Medical Apps Reusable Technologies SHARP Area 3

    2. Or: Creating the App Store for Health SHARP Area 3

    4. March 1, 2009

    6. Use case 1 Med-tastic is a well-funded NewCo which has developed an elegant medication list application that has physician and consumer facing functionality To work, Med-tastic needs Prescribing history Dispensed medication history Allergies Problem list diagnoses

    7. Use case 2

    8. Domestic Abuse

    9. Use case 2 (cont) The application would require Comprehensive diagnostic data from primary site of care for each patient (to work well) Comprehensive diagnostic data from all sites of care (to work very well)

    10. MedTastic may be able to develop apps adapted to several APIs (Cerner’s Mpages etc) Academic group cannot. THEREFORE, focus is on an API that enables a single apps store for Cerner Install Hospital with homegrown system Physician practice Open source EMR

    11. “We cannot overstate how important PHRs are to the efficient functioning of a low-cost, high quality health-care system . . . . We think that the INDIVO system, or something like it is a good place to start.” --Clayton Christensen Harvard Business School

    13. Ecosystem

    14. EHR as an “iPhone-like” Platform There is a common application programming interface that enables Software developers to build SUSTITUTABLE applications Push innovation to the edges Nimbly evolve functionality Avoid vendor lock Shrink switching costs Enable disruption

    15. Create Disruption in the EMR Space Two key elements of our approach Demonstrate substitutability as a core concept in building HIT Capacitate third party innovation

    16. Executive Committee Zak Kohane PI, CoDirector Ken Mandl CoDirector, Chair Exec Committee Rachel Ramoni Executive Director Ben Adida CHIP, SMArt lead architect, Indivo Elmer Bernstam UT, I2B2 Shannon Manzi Pharmacist Mike McCoy Regenstreif, Careweb, Networked data Shawn Murphy Partners, I2B2 Griffin Weber HMS IT, I2B2

    21. SMArt APIs based on REST* Representational State Transfer (REST) The fundamental API for the Web Each resource (object) has a unique ID (URI). For example: https://inpc/patients/1234567/meds/active (pt’s active med list) Four fundamental operators can be applied: GET - return a representation of the referenced resource POST - Create the resource PUT - Update a resource DELETE - Remove a resource HTTP enables content negotiation, e.g. HTML, XML, RSS/Atom Powerful semantics that leverages web scalability and performance

    22. 3 Open Source Systems to build on I2b2 Analytic Platform (NLM Funded) Indivo PCHR Platform (NLM and CDC Funded) CareWeb EMR

    23. Indivo

    24. I2B2

    25. CareWeb: An EMR viewer into INPC Web-based, modular UI Components

    26. TimeLine August 2010: Present Prototypes to early adopters December 2010: Release SMArt API specs April 2011: Apps developed

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