ArticleJournal of medical Internet research2020
The 21st Century Cures Act: A Competitive Apps Market and the Risk of Innovation Blocking.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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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.
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Who cites it
12 citing papers in PubMed.
- Exploring Innovative Strategies to Enhance Electronic Health Record Interoperability in U.S. Healthcare Settings.Healthcare (Basel, Switzerland) · 2026Review
- From Internet to Artificial Intelligence (Al) Bots: Symbiotic Evolutions of Digital Technologies and e-Patients.Journal of participatory medicine · 2025Article
- Addressing Note Bloat: Solutions for Effective Clinical Documentation.Journal of the American College of Emergency Physicians open · 2025Article
- Integration of AI in healthcare requires an interoperable digital data ecosystem.Nature medicine · 2024Article
- DEPLOYR: a technical framework for deploying custom real-time machine learning models into the electronic medical record.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Precision Oncology Core Data Model to Support Clinical Genomics Decision Making.JCO clinical cancer informatics · 2023Article
- Six Digital Health Technologies That Will Transform Diabetes.Journal of diabetes science and technology · 2023Article
- Where Is Research in the Era of Electronic Health Records?The Permanente journal · 2022Article
- Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts.Applied clinical informatics · 2022Review
- Investigating the Interoperable Health App Ecosystem at the Start of the 21st Century Cures Act.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Review
- Towards an effective framework for integrating patient-reported outcomes in electronic health records.Digital healthArticle
- Digital Twins in Translational Research and Health Care: An Anthropological Perspective.Ethics & human researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The 21st Century Cures Act and the recently published "final rule" define standardized methods for obtaining electronic copies of electronic health record (EHR) data through application programming interfaces. The rule is meant to create an ecosystem of reusable, substitutable apps that can be built once but run at any hospital system "without special effort." Yet, despite numerous provisions around information blocking in the final rule, there is concern that the business practices that govern EHR vendors and health care organizations in the United States could still stifle innovation. We describe potential app ecosystems that may form. We caution that misaligned incentives may result in anticompetitive behavior and purposefully limited functionality. Closed proprietary ecosystems may result, limiting the value derived from interoperability. The 21st Century Cures Act and final rule are an exciting step in the direction of improved interoperability. However, realizing the vision of a truly interoperable app ecosystem is not predetermined.
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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.