The SMART Team successfully lobbied for language in the 2016 21st Century Cures Act that requires a universal API for health information technology.
(iv) has published application programming
interfaces and allows health information from such
technology to be accessed, exchanged, and used
without special effort through the use of
application programming interfaces or successor
technology or standards, as provided for under
applicable law, including providing access to all
data elements of a patient’s electronic health
record to the extent permissible under applicable
In 2017 we hosted ITdotHealth 4: SMART Decisions, focused on setting an agenda for the Office of the National Coordinator of Health Information Technology to ensure that EHRs make all elements of a patients record accessible across the SMART API “without special effort” as required by the Cures Act.
We also strongly advocated for provisions in the proposed rule that would specifically define SMART as the universal API and so foster a robust marketplace.
The ONC Proposed Rule defines SMART as the apps launch standard and is currently under review at the Office of Management and Budget.