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Standards like SMART-on-FHIR [1] and CDS Hooks [2] have the potential to allow innovation developed outside of Epic and Cerner inside of those products. Both of
by bm98 8y ago
Standards like SMART-on-FHIR [1] and CDS Hooks [2] have the potential to allow innovation developed outside of Epic and Cerner inside of those products. Both of those vendors even have "App Stores" [3] [4]. So far, though, there aren't a lot of apps in these stores, and none of my doctors (all of whom work for large academic medical centers and use Epic) have access to any third-party apps - so I do wonder whether the vendors (or their customers) may be putting up roadblocks that are slowing adoption.
[1] http://docs.smarthealthit.org/ http://docs.smarthealthit.org/ [2] https://cds-hooks.org/ https://cds-hooks.org/ [3] https://apporchard.epic.com/ https://apporchard.epic.com/ [4] https://code.cerner.com/apps https://code.cerner.com/apps
- nradov 8y agoEpic, Cerner, and their major competitors are actually a lot more open now and no longer putting up major roadblocks. The real roadblocks appear to be in the hospital and clinic IT departments. They have to upgrade to a current version of the EHR which supports SMART on FHIR (many organizations are several versions behind) and then enable the app store feature. Some organizations have concerns about using third-party apps due to training requirements, security, and malpractice liability. I do think that SMART on FHIR makes it easier to turn clinicians into software developers, so hopefully that will spur some innovative apps.
- toymachiner62 8y agoAlthough FHIR is very complete, it's still implemented wayyy too many different ways. There are like a million fields, most of them are optional so it's always a crapshoot what data you actually get from the API responses.