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Substitutable Medical Apps
Reusable Technologies
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1 iHT2 Health IT Summit, March 28 2012
“SHARP 3” Harvard Medical School
Josh Mandel Lead Architect
Healthcare IT
• innovators widely share what they create
• systems innovate faster
• providers and vendors tap developer talent
2
?
Why can’t
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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
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SMART Platform Components
• Data Model
• Application Programming Interface (API)
• User Interface
• Authentication
Pay-Off: App Innovation
5
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18.12 Issue
1 App for 3 SMART Systems
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Assessing hypertension is hard!
Hypertensive!
(5 min later…)
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BP Centiles App
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3 Months
5,000 Dollars
15 SMART Apps
SMART Economy
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An HIT Enhancement = An App Installation
“Experience solutions, not development queues”
Substitutable Apps need
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HTML5
Substitutable Apps need
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everything gets a URL (“Resource oriented”)
Substitutable Apps need
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Authentication Consistent delegation with Web standards
(OAuth)
Substitutable Apps need
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leveraging standard terminology … simplifies our own models
(SNOMED CT, RxNorm, LOINC…)
Pan-SHARP Project: Medication Reconciliation
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EMR Medication
Data CEM
Normalized SMART
Container
SMART Med-Rec
App
Reconciled Med List
SHARPs + SHARPc + SMART + SHARPn + SHARPmd
Device Data (infusion pumps) v1 target: July 2012
SMART data, looking forward: Clinical Information Modeling Initiative
• Goal: open repository of detailed models
• International collaboration
• Free and open specifications
