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Summary

The SMART Platforms project created a patient-controlled health record system using Indivo. This enables substitutable health apps to run on personal health records, enhancing patient access to their data.

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Area of Science:

Health Information Technology
Personalized Medicine
Software Engineering

Background:

The Substitutable Medical Applications, Reusable Technologies (SMART) Platforms project aims to create a health IT platform with substitutable applications.
Existing electronic health records (EHRs) and health IT platforms can be enhanced to run substitutable apps.
Substitutability allows for the seamless replacement of applications with similar functionalities.

Purpose of the Study:

To develop a patient-facing SMART instance using the open-source Indivo personally controlled health record (PCHR).
To update the Indivo PCHR to support the SMART API, enabling it to function as a patient-facing app platform.
To demonstrate the deployment of the SMART 'read-only' API on multiple systems, including EHRs.

Main Methods:

Created a patient-facing SMART instance leveraging the open-source Indivo PCHR.
Updated the Indivo PCHR to incorporate and support the SMART API.
Deployed the SMART 'read-only' API on existing EHR systems like Cerner and World Vista EHR.

Main Results:

Successfully updated the open-source Indivo PCHR to support the SMART API.
Enabled Indivo to function as a patient-facing app platform.
Demonstrated the deployment of the SMART API on multiple EHR systems, facilitating app substitutability.

Conclusions:

The SMART Platforms project successfully adapted the Indivo PCHR to support the SMART API, creating a patient-facing app platform.
This advancement allows for the execution of substitutable applications on personal health records, enhancing patient engagement.
The deployment on various EHR systems highlights the potential for broader adoption of SMART-enabled PCHRs.