Opening the Duke electronic health record to apps: Implementing SMART on FHIR

The integration of patient/person generated health data into clinical applications is a widespread aspiration internationally. However, there is still a range of challenges that inhibit progress in this area. These include technology-related factors (such as interoperability), use-related factors (such as data overload) and characteristics of the strategic environment (such as existing standards). Building on important policy deliberations from the United States that aim to navigate these challenges, we here apply emerging policy frameworks to the United Kingdom and outline five key priority areas that are intended to help policymakers make important strategic decisions in attempting to integrate patient/person generated data into electronic health records.

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“…apps) and conditions, where PGHD has been tested in small-scale pilots ( e.g. asthma, diabetes) 8 , 9 , 31…”

Section: Methodsmentioning

confidence: 99%

Five key strategic priorities of integrating patient generated health data into United Kingdom electronic health records

Cresswell¹,

McKinstry

Wolters

et al. 2018

BMJ Health Care Inform

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“…42 The SMART-on-FHIR API standard allows health data to flow between applications, which would enable a clinician to move directly from the patient's EHR into the patient's record in the diabetes application without an additional log-on, pull data from the EHR into the diabetes application and potentially export data and reports back to the EHR as well. 43…”

Section: Smart-on-fhir Was First Developed By the Boston Children's Hmentioning

confidence: 99%

Top 10 Tips for Successfully Implementing a Diabetes Telehealth Program

Crossen

Raymond

Neinstein

2020

Diabetes Technology & Therapeutics

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Diabetes management is well suited to use of telehealth, and recent improvements in both diabetes technology and telehealth policy make this an ideal time for diabetes providers to begin integrating telehealth into their practices. This article provides background information, specific recommendations for effective implementation, and a vision for the future landscape of telehealth within diabetes care to guide interested providers and practices on this topic.Note: This article was written prior to the COVID19 pandemic, and does not include information about recent telehealth policy changes that occurred during or as a result of this public health crisis.

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“…The creation of ecologically-valid tools when using ambulatory assessment can then lend support to the understanding of bio-psychosocial processes as they unfold naturally in time and in context. Emerging mobile health data and research platforms such as Apple HealthKit and ResearchKit have also added support to the interchangeability of PGHD for future clinical integration needs [50,51].…”

Section: Discussionmentioning

confidence: 99%

Present and Future Trends in Consumer Health Informatics and Patient-Generated Health Data

Lai¹,

Hsueh²,

Choi³

et al. 2017

Yearb Med Inform

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SummaryObjectives: Consumer Health Informatics (CHI) and the use of Patient-Generated Health Data (PGHD) are rapidly growing focus areas in healthcare. The objective of this paper is to briefly review the literature that has been published over the past few years and to provide a sense of where the field is going. Methods: We searched PubMed and the ACM Digital Library for articles published between 2014 and 2016 on the topics of CHI and PGHD. The results of the search were screened for relevance and categorized into a set of common themes. We discuss the major topics covered in these articles. Results: We retrieved 65 articles from our PubMed query and 32 articles from our ACM Digital Library query. After a review of titles, we were left with 47 articles to conduct our full article survey of the activities in CHI and PGHD. We have summarized these articles and placed them into major categories of activity. Within the domain of consumer health informatics, articles focused on mobile health and patient-generated health data comprise the majority of the articles published in recent years. Conclusions: Current evidence indicates that technological advancements and the widespread availability of affordable consumer-grade devices are fueling research into using PGHD for better care. As we observe a growing number of (pilot) developments using various mobile health technologies to collect PGHD, major gaps still exist in how to use the data by both patients and providers. Further research is needed to understand the impact of PGHD on clinical outcomes. KeywordsConsumer health information/methods; patient-generated health data; mHealth; user-computer interface; consumer participation in delivery of health careYearb Med Inform 2017:152-9 http://dx

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Opening the Duke electronic health record to apps: Implementing SMART on FHIR

Cited by 82 publications

References 5 publications

Five key strategic priorities of integrating patient generated health data into United Kingdom electronic health records

Five key strategic priorities of integrating patient generated health data into United Kingdom electronic health records

Top 10 Tips for Successfully Implementing a Diabetes Telehealth Program

Present and Future Trends in Consumer Health Informatics and Patient-Generated Health Data

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