Action Plan for Integrated PC CDS Ecosystem: Advancing Interoperability Between Patient Apps and EHRs
[Table, An Action Plan for the Integrated PC CDS Ecosystem].
Summary
A Standards and Regulatory Frameworks Workgroup has developed an action plan to enhance interoperability between patient applications (apps) and Electronic Health Records (EHRs). The plan recommends utilizing FHIR APIs, aiming for standardized data exchange that includes write access for observation data and questionnaires.
Details
This document outlines a strategic approach to improving the interoperability of patient apps within the broader health IT ecosystem. Key technical recommendations include using FHIR standards—specifically FHIR Observation, QuestionnaireResponse, and Task—to view app data in EHRs, and utilizing USCDI FHIR APIs to pull EHR data into apps. The core focus is on moving beyond simple data viewing toward enabling write access to EHRs via FHIR APIs. These APIs must accept data coded with standard terminologies and include provenance metadata. Furthermore, the workgroup emphasizes developing an implementation guide that defines the minimal set of interoperable data elements shared between apps and EHRs. The goal is to create integrated views of app and EHR data using standards-based EHR extenders like SMART on FHIR. This represents a policy-level effort aimed at standardizing how patient-generated data interacts with clinical records in the US healthcare setting.
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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