scholarly journals Push Button Population Health: The SMART/HL7 FHIR Bulk Data Access Application Programming Interface

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Kenneth D. Mandl ◽  
Daniel Gottlieb ◽  
Joshua C. Mandel ◽  
Vladimir Ignatov ◽  
Raheel Sayeed ◽  
...  

AbstractThe 21st Century Cures Act requires that certified health information technology have an application programming interface (API) giving access to all data elements of a patient’s electronic health record, “without special effort”. In the spring of 2020, the Office of the National Coordinator of Health Information Technology (ONC) published a rule—21st Century Cures Act Interoperability, Information Blocking, and the ONC Health IT Certification Program—regulating the API requirement along with protections against information blocking. The rule specifies the SMART/HL7 FHIR Bulk Data Access API, which enables access to patient-level data across a patient population, supporting myriad use cases across healthcare, research, and public health ecosystems. The API enables “push button population health” in that core data elements can readily and standardly be extracted from electronic health records, enabling local, regional, and national-scale data-driven innovation.

Author(s):  
Anja Bechmann ◽  
Peter Bjerregaard Vahlstrup

The aim of this article is to discuss methodological implications and challenges in different kinds of deep and big data studies of Facebook and Instagram through methods involving the use of Application Programming Interface (API) data. This article describes and discusses Digital Footprints (www.digitalfootprints.dk), a data extraction and analytics software that allows researchers to extract user data from Facebook and Instagram data sources; public streams as well as private data with user consent. Based on insights from the software design process and data driven studies the article argues for three main challenges: Data quality, data access and analysis, and legal and ethical considerations.


2020 ◽  
Vol 17 ◽  
pp. 326-331
Author(s):  
Kamil Siebyła ◽  
Maria Skublewska-Paszkowska

There are various methods for creating web applications. Each of these methods has different levels of performance. This factor is measurable at every level of the application. The performance of the frontend layer depends on the response time from individual endpoint of the used API (Application Programming Interface). The way the data access will be programmed at a specific endpoint, therefore, determines the performance of the entire application. There are many programming methods that are often time-consuming to implement. This article presents a comparison of the available methods of handling the persistence layer in relation to the efficiency of their implementation.                                                                                    


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