1. Substitutable Medical Apps
Reusable Technologies
“SHARP 3” Harvard Medical School
www.smartplatforms.org
Josh Mandel
Lead Architect
iHT2 Health IT Summit, March 28 2012 1

2. Healthcare IT
Why can’t
• innovators widely share what they create
• systems innovate faster
• providers and vendors tap developer talent
?
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3. 3

4. SMART Platform Objective
• Write apps once – use in many places
• Lower barriers for clinical IT developers
– Create situationally specific medical UX
– Integrate medical knowledge faster
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5. SMART Platform Components
• Data Model
• Application Programming Interface (API)
• User Interface
• Authentication
Pay-Off: App Innovation
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6. 18.12 Issue
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7. 1 App for 3 SMART Systems
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8. Assessing hypertension is hard!
Hypertensive!
(5 min later…)

9. BP Centiles App
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10. 3 Months
5,000 Dollars
15 SMART Apps
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11. SMART Economy
An HIT Enhancement = An App Installation
“Experience solutions, not development queues”
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12. Substitutable Apps need
HTML5
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13. Substitutable Apps need
everything gets a URL
(“Resource oriented”)
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14. Substitutable Apps need
Authentication
Consistent delegation with Web standards
(OAuth)
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15. Substitutable Apps need
leveraging standard terminology
… simplifies our own models
(SNOMED CT, RxNorm, LOINC…)
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16. Pan-SHARP Project:
Medication Reconciliation
EMR
Medication
Data SMART
CEM SMART Reconciled
Med-Rec Med List
Normalized Container
App
Device Data
(infusion
pumps) v1 target: July 2012
SHARPs + SHARPc + SMART + SHARPn + SHARPmd
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17. SMART data, looking forward:
Clinical Information Modeling Initiative
• Goal: open repository of detailed models
• International collaboration
• Free and open specifications

18. Thanks!
Josh C. Mandel, MD
joshua.mandel@childrens.harvard.edu
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