ArticleJournal of the American Medical Informatics Association : JAMIA
The SMART Platform: early experience enabling substitutable applications for electronic health records.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03911687 (Communicating Narrative Concerns Entered by RNs), which is not on this map. Cited by 78 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Communicating Narrative Concerns Entered by RNs (CONCERN) Clinical Decision Support (CDS) System
Who cites it
78 citing papers in PubMed.
- A pilot feasibility study of human-centered design for cirrhosis care: Development and pilot testing of SMARTLiver prototype, a FHIR-based clinical decision support system for hepatology.PLOS digital health · 2026Article
- Integrating Mobile Health App Data Into Electronic Medical or Health Record Systems and Its Impact on Health Care Delivery and Patient Health Outcomes: Scoping Review.JMIR mHealth and uHealth · 2025Article
- Cumulus: a federated electronic health record-based learning system powered by Fast Healthcare Interoperability Resources and artificial intelligence.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Beyond compliance with the 21st Century Cures Act Rule: a patient controlled electronic health information export application programming interface.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- The SMART Text2FHIR Pipeline.medRxiv : the preprint server for health sciences · 2023Article
- The SMART Text2FHIR Pipeline.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Computer clinical decision support that automates personalized clinical care: a challenging but needed healthcare delivery strategy.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- A Platform and Multisided Market for Translational, Software-Defined Medical Procedures in the Operating Room (OP 4.1): Proof-of-Concept Study.JMIR medical informatics · 2022Article
- Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis.NAM perspectives · 2022Review
- SMART on FHIR in spine: integrating clinical prediction models into electronic health records for precision medicine at the point of care.The spine journal : official journal of the North American Spine Society · 2021Article
- New Standards for Clinical Decision Support: A Survey of The State of Implementation.Yearbook of medical informatics · 2021Review
- Contemporary clinical decision support standards using Health Level Seven International Fast Healthcare Interoperability Resources.Journal of the American Medical Informatics Association : JAMIA · 2021Review
- A landscape survey of planned SMART/HL7 bulk FHIR data access API implementations and tools.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Leveraging Artificial Intelligence to Improve Chronic Disease Care: Methods and Application to Pharmacotherapy Decision Support for Type-2 Diabetes Mellitus.Methods of information in medicine · 2021Article
- Emerging use of artificial intelligence in inflammatory bowel disease.World journal of gastroenterology · 2020Review
- Push Button Population Health: The SMART/HL7 FHIR Bulk Data Access Application Programming Interface.NPJ digital medicine · 2020Article
- Design and development of referrals automation, a SMART on FHIR solution to improve patient access to specialty care.JAMIA open · 2020Article
- A Parser to Support the Definition of Access Control Policies and Rules Using Natural Languages.Journal of medical systems · 2019Article
- Putting the "why" in "EHR": capturing and coding clinical cognition.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Morehouse Choice Accountable Care Organization and Education System (MCACO-ES): Integrated Model Delivering Equitable Quality Care.International journal of environmental research and public health · 2019Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectiveThe Substitutable Medical Applications, Reusable Technologies (SMART) Platforms project seeks to develop a health information technology platform with substitutable applications (apps) constructed around core services. The authors believe this is a promising approach to driving down healthcare costs, supporting standards evolution, accommodating differences in care workflow, fostering competition in the market, and accelerating innovation. MATERIALS AND
methodsThe Office of the National Coordinator for Health Information Technology, through the Strategic Health IT Advanced Research Projects (SHARP) Program, funds the project. The SMART team has focused on enabling the property of substitutability through an app programming interface leveraging web standards, presenting predictable data payloads, and abstracting away many details of enterprise health information technology systems. Containers--health information technology systems, such as electronic health records (EHR), personally controlled health records, and health information exchanges that use the SMART app programming interface or a portion of it--marshal data sources and present data simply, reliably, and consistently to apps.
resultsThe SMART team has completed the first phase of the project (a) defining an app programming interface, (b) developing containers, and (c) producing a set of charter apps that showcase the system capabilities. A focal point of this phase was the SMART Apps Challenge, publicized by the White House, using http://www.challenge.gov website, and generating 15 app submissions with diverse functionality.
conclusionKey strategic decisions must be made about the most effective market for further disseminating SMART: existing market-leading EHR vendors, new entrants into the EHR market, or other stakeholders such as health information exchanges.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.