Substitutable Medical Apps Reusable Technologies

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Substitutable Medical Apps Reusable Technologies

  1. 1. Substitutable Medical Apps Reusable Technologies “SHARP 3” Harvard Medical Schoolwww.smartplatforms.org Josh Mandel Lead Architect iHT2 Health IT Summit, March 28 2012 1
  2. 2. Healthcare ITWhy can’t• innovators widely share what they create• systems innovate faster• providers and vendors tap developer talent ? 2
  3. 3. 3
  4. 4. SMART Platform Objective• Write apps once – use in many places• Lower barriers for clinical IT developers – Create situationally specific medical UX – Integrate medical knowledge faster 4
  5. 5. SMART Platform Components• Data Model• Application Programming Interface (API)• User Interface• Authentication Pay-Off: App Innovation 5
  6. 6. 18.12 Issue 6
  7. 7. 1 App for 3 SMART Systems 7
  8. 8. Assessing hypertension is hard! Hypertensive! (5 min later…)
  9. 9. BP Centiles App 9
  10. 10. 3 Months5,000 Dollars15 SMART Apps 10
  11. 11. SMART Economy An HIT Enhancement = An App Installation“Experience solutions, not development queues” 11
  12. 12. Substitutable Apps need HTML5 12
  13. 13. Substitutable Apps need everything gets a URL (“Resource oriented”) 13
  14. 14. Substitutable Apps need AuthenticationConsistent delegation with Web standards (OAuth) 14
  15. 15. Substitutable Apps need leveraging standard terminology … simplifies our own models (SNOMED CT, RxNorm, LOINC…) 15
  16. 16. Pan-SHARP Project: Medication Reconciliation EMRMedication Data SMART CEM SMART Reconciled Med-Rec Med List Normalized Container AppDevice Data (infusion pumps) v1 target: July 2012 SHARPs + SHARPc + SMART + SHARPn + SHARPmd 16
  17. 17. SMART data, looking forward:Clinical Information Modeling Initiative• Goal: open repository of detailed models• International collaboration• Free and open specifications
  18. 18. Thanks! Josh C. Mandel, MDjoshua.mandel@childrens.harvard.edu 18

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