按钮式人群健康：SMART/HL7 FHIR批量数据访问应用程序编程接口

Push Button Population Health: The SMART/HL7 FHIR Bulk Data Access Application Programming Interface.

作者信息

Mandl Kenneth D, Gottlieb Daniel, Mandel Joshua C, Ignatov Vladimir, Sayeed Raheel, Grieve Grahame, Jones James, Ellis Alyssa, Culbertson Adam

机构信息

Computational Health Informatics Program, Boston Children's Hospital, Boston, MA, USA.

Departments of Pediatrics, Harvard Medical School, Boston, MA, USA.

出版信息

NPJ Digit Med. 2020 Nov 19;3(1):151. doi: 10.1038/s41746-020-00358-4.

The 21st Century Cures Act requires that certified health information technology have an application programming interface (API) giving access to all data elements of a patient's electronic health record, "without special effort". In the spring of 2020, the Office of the National Coordinator of Health Information Technology (ONC) published a rule-21st Century Cures Act Interoperability, Information Blocking, and the ONC Health IT Certification Program-regulating the API requirement along with protections against information blocking. The rule specifies the SMART/HL7 FHIR Bulk Data Access API, which enables access to patient-level data across a patient population, supporting myriad use cases across healthcare, research, and public health ecosystems. The API enables "push button population health" in that core data elements can readily and standardly be extracted from electronic health records, enabling local, regional, and national-scale data-driven innovation.

《21世纪治愈法案》要求，经过认证的健康信息技术必须具备应用程序编程接口（API），以便“无需特别费力”就能访问患者电子健康记录的所有数据元素。2020年春季，卫生信息技术国家协调办公室（ONC）发布了一项规则——《21世纪治愈法案互操作性、信息阻塞与ONC健康信息技术认证计划》——对API要求以及防止信息阻塞的保护措施进行规范。该规则指定了SMART/HL7 FHIR批量数据访问API，它能够跨患者群体访问患者级数据，支持医疗保健、研究和公共卫生生态系统中的无数用例。该API实现了“一键式人群健康”，因为核心数据元素可以轻松、标准地从电子健康记录中提取出来，从而推动地方、区域和国家层面的数据驱动型创新。