What is SMART on FHIR®?
It is a technology platform consisting of open standards that allows Clinical Systems (eg: EMR) to integrate and run external applications that enhance the realization and visualization of the in-house data in a secure and unified fashion; thus enabling patients, doctors and healthcare providers to improve clinical care and overall public health.
Leveraging SMART, allows Clinical Systems and application vendors to be compatible and re-usable by reducing the cost and complexity of the integration between the app and the Clinical System. Clinical Systems can therefore add new capabilities and functionalities without having the to adhere to rigorous change request process.
Business case
Concept of an EMR
Adding Specialty Capabilities
Collaboration Paradigm
Consider Scalability
A standard approach
The SMART Standard
SMART - Logical Architecture
The SMART open standard consists of 3 basic components that enable a Clinical System and SMART Application to interact with one another.
- The need for a Service Level Agreement (SLA) that establishes a trust relationship between the Clinical System and App Vendor
- A security model that is realized using the OAuth 2.0 specification
- A standard data model realized using FHIR and a common profiled baseline
When the concept of SMART was being ruminated by it's innovators, it was originally called SMART classic and had it's own data model which was described using the Resource Description Framework. As FHIR® was gaining in popularity and traction, the innovators decided to switch to the FHIR data model.