ArticleApplied clinical informatics2020
Application Programming Interfaces in Health Care: Findings from a Current-State Sociotechnical Assessment.
Article in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Challenges and strategies in building a foundational digital health data integration ecosystem: a systematic review and thematic synthesis.Frontiers in health services · 2025Pooled it
- Electronic Health Record and Semantic Issues Using Fast Healthcare Interoperability Resources: Systematic Mapping Review.Journal of medical Internet research · 2024Pooled it
- From Pilot to Practice: A Sociotechnical Perspective for Sustainable Adoption of Patient Engagement Technologies.Applied clinical informatics · 2026Article
- Heart Rate Variability in Congenital Heart Disease and Controls Using Wearable Technology and a Health Application Programming Interface-A Cross-sectional Study.CJC pediatric and congenital heart disease · 2026Article
- Integration of electronic health records with automated compounding for parenteral nutrition: A narrative review.JPEN. Journal of parenteral and enteral nutrition · 2026Review
- Connecting biospecimens and data: a scoping review-informed conceptual framework for digital infrastructure in biobanking and genomic research in low- and middle-income countries.Frontiers in public health · 2026Article
- Using calculations from the Lives Saved Tool in other global health modelling tools.Journal of global health · 2025Article
- Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology.BMC health services research · 2025Article
- Assessing Telemedicine Demand and Viability in Indonesian Geriatric Clinics: A Comprehensive HOT FIT and Sociotechnical AnalysisCurrent aging science · 2025Article
- New Horizons for Consumer-Mediated Health Information Exchange.Yearbook of medical informatics · 2024Review
- Patient-centered clinical decision support challenges and opportunities identified from workflow execution models.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Evaluation of Wrist-Worn Photoplethysmography Trackers with an Electrocardiogram in Patients with Ischemic Heart Disease: A Validation Study.Cardiovascular engineering and technology · 2024Article
- The Case Manager: An Agent Controlling the Activation of Knowledge Sources in a FHIR-Based Distributed Reasoning Environment.Applied clinical informatics · 2023Article
- Integrating a Patient Engagement App into an Electronic Health Record-Enabled Workflow Using Interoperability Standards.Applied clinical informatics · 2022Article
- Design, Implementation, Utilization, and Sustainability of a Fast Healthcare Interoperability Resources-Based Inpatient Rounding List.Applied clinical informatics · 2022Article
- The ecosystem of apps and software integrated with certified health information technology.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- A Mobile, Electronic Health Record-Connected Application for Managing Team Workflows in Inpatient Care.Applied clinical informatics · 2021Article
- Human Factors and Organizational Issues Section Synopsis IMIA Yearbook 2021.Yearbook of medical informatics · 2021Article
- Human Factors and Organizational Issues in Health Informatics: Innovations and Opportunities.Yearbook of medical informatics · 2021Review
- Augmenting the Clinical Data Sources for Enigmatic Diseases: A Cross-Sectional Study of Self-Tracking Data and Clinical Documentation in Endometriosis.Applied clinical informatics · 2020Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveInterest in application programming interfaces (APIs) is increasing as key stakeholders look for technical solutions to interoperability challenges. We explored three thematic areas to assess the current state of API use for data access and exchange in health care: (1) API use cases and standards; (2) challenges and facilitators for read and write capabilities; and (3) outlook for development of write capabilities.
methodsWe employed four methods: (1) literature review; (2) expert interviews with 13 API stakeholders; (3) review of electronic health record (EHR) app galleries; and (4) a technical expert panel. We used an eight-dimension sociotechnical model to organize our findings.
resultsThe API ecosystem is complicated and cuts across five of the eight sociotechnical model dimensions: (1) app marketplaces support a range of use cases, the majority of which target providers' needs, with far fewer supporting patient access to data; (2) current focus on read APIs with limited use of write APIs; (3) where standards are used, they are largely Fast Healthcare Interoperability Resources (FHIR); (4) FHIR-based APIs support exchange of electronic health information within the common clinical data set; and (5) validating external data and data sources for clinical decision making creates challenges to provider workflows.
conclusionWhile the use of APIs in health care is increasing rapidly, it is still in the pilot stages. We identified five key issues with implications for the continued advancement of API use: (1) a robust normative FHIR standard; (2) expansion of the common clinical data set to other data elements; (3) enhanced support for write implementation; (4) data provenance rules; and (5) data governance rules. Thus, while APIs are being touted as a solution to interoperability challenges, they remain an emerging technology that is only one piece of a multipronged approach to data access and use.
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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.