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Fueling Clinical Apps with Meaningful Use Standards

Josh Mandel (Harvard Medical School), David Kreda (SMART Platforms)
Platforms Salon H-K
Average rating: *****
(5.00, 1 rating)

Integrating third-party clinical apps with today’s Electronic Health Record systems is a serious challenge, with APIs that are closed, vendor-specific, or absent altogether.

In this session, we present the SMART C-CDA Receiver, an open-source tool that exposes a developer-friendly RESTful API on top of Meaningful Use Stage 2 standards-based Consolidated Clinical Document Architecture (C-CDA) data exports. We’ll outline the role of C-CDA in Meaningful Use Stage 2 certification and incentive programs, highlighting key real-world challenges of working with today’s standards.

This session provides a concrete, practical introduction to standards-based app development and EHR integration. We’ll provide an introduction to common clinical data models and focus discussion with a case study (and live demo) of SMART’s standout Pediatric Growth Chart app.

Josh Mandel

Harvard Medical School

Josh Mandel is a physician and software engineer with a special interest in building tools that support app developers new to the health domain. After earning an S.B. in computer science at the Massachusetts Institute of Technology and an M.D. at the Tufts University School of Medicine, he joined the faculty of the Children’s Hospital Informatics Program and Harvard Medical School, where he serves as lead architect for the SMART Platforms team ( With SMART, he’s helping to foster an ecosystem of “substitutable” medical applications that can run in multiple EMRs, PHRs, and data mining platforms.

Photo of David Kreda

David Kreda

SMART Platforms

David Kreda has been consulting in medical informatics since 2007 in design, analysis and evaluation of healthcare information technology in different projects. He has been the translation advisor to the SMART Platforms Project at the Harvard Medical School, one of four SHARP grants awarded by the Office of the National Coordinator for Health IT. His earlier work in on-line trading and quantitative finance modeling systems and re-design of customer relationship management (CRM) workflow inform his work in HIT. Some of his HIT evaluation work focuses on applying lessons from those industries’ information designs, security systems, and user interfaces to medical informatics.
BA Economics, Yale University

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