Abstract

The Office of National Coordinator for Health Information Technology final rule implementing the interoperability and information blocking provisions of the 21st Century Cures Act requires support for two SMART (Substitutable Medical Applications, Reusable Technologies) application programming interfaces (APIs) and instantiates Health Level Seven International (HL7) Fast Healthcare Interoperability Resources (FHIR) as a lingua franca for health data. We sought to assess the current state and near-term plans for the SMART/HL7 Bulk FHIR Access API implementation across organizations including electronic health record vendors, cloud vendors, public health contractors, research institutions, payors, FHIR tooling developers, and other purveyors of health information technology platforms. We learned that many organizations not required through regulation to use standardized bulk data are rapidly implementing the API for a wide array of use cases. This may portend an unprecedented level of standardized population-level health data exchange that will support an apps and analytics ecosystem. Feedback from early adopters on the API’s limitations and unsolved problems in the space of population health are highlighted.

中文翻译：

---

计划中的 SMART/HL7 批量 FHIR 数据访问 API 实施和工具的景观调查

摘要

实施 21 世纪治愈法案的互操作性和信息阻止规定的国家卫生信息技术协调员办公室最终规则要求支持两个 SMART（可替代医疗应用程序、可重用技术）应用程序编程接口 (API) 并实例化健康七级国际（ HL7) 快速医疗保健互操作性资源 (FHIR) 作为健康数据的通用语。我们试图评估跨组织实施 SMART/HL7 批量 FHIR 访问 API 的当前状态和近期计划，包括电子健康记录供应商、云供应商、公共卫生承包商、研究机构、付款人、FHIR 工具开发商和其他供应商健康信息技术平台。我们了解到，许多没有通过法规要求使用标准化批量数据的组织正在为各种用例快速实施 API。这可能预示着前所未有的标准化人口健康数据交换水平，将支持应用程序和分析生态系统。重点介绍了早期采用者对 API 在人口健康领域的局限性和未解决问题的反馈。