US Healthcare Data: Establishing a National Digital and Data Architecture is Urgent
Toward a National Health Digital and Data Architecture: Laying the
The National Academy of Medicine is promoting the development of a national health digital and data architecture.
Summary
The Commission on Investment Imperatives for a Healthy Nation proposes establishing a comprehensive digital and data architecture, moving beyond mere data exchange to resolve fragmentation in the healthcare sector. This aims to transform the medical system through deregulation and patient-centric approaches.
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Details
This discussion paper points out that even with the widespread adoption of Electronic Health Records (EHRs), the healthcare sector has not fully realized its data potential. The authors argue that mere progress in data exchange is insufficient, necessitating a comprehensive digital and data architecture that establishes common languages and protocols. Specifically, they urge regulators to focus on standards-based capabilities like SMART on FHIR and Bulk FHIR while sunsetting excessive certification requirements. Furthermore, they recommend that federal agencies such as CMS, ONC, and FDA coordinate efforts to create consistent rules regarding privacy protection and patient access rights. The paper also emphasizes that for advanced applications like AI-driven predictive analytics and remote patient monitoring, it is crucial to build mechanisms allowing patients themselves to acquire, use, and share their data.
Technology Note
FHIR（Fast Healthcare Interoperability Resources）は医療データ交換の国際標準。このエントリの関連技術: FHIR
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