SMART Health Information Exchanges

The SMART team is happy to announce that it’s working with Mirth Corporation, a global leader in commercial open source healthcare information technology, to SMART-enable the HealthBridge and Redwood MedNet Health Information Exchanges. The SMART API and the growing selection of SMART applications offer a great way to enhance the utility of the health data shared within these two networks. Stay tuned to for updates on this and other exciting projects.

About Mirth Corporation

Mirth is a global leader in commercial open source products and services powering healthcare interoperability and community-based care management. Mirth delivers information technology consulting, and hosts high availability secure applications. Mirth solutions are used daily by thousands of health professionals and institutions worldwide to streamline care management processes and to securely exchange health information across enterprises, communities and broad geographies. For more information visit

OpenMRS releases SMART Module

SMART and OpenMRS are proud to announce the initial release of a SMART module for OpenMRS.

This module expands the reach of the SMART API by allowing apps to run (unmodified!) on the open-source Open Medical Record System. It also provides a lightweight interface for developers who want to extend the functionality of OpenMRS.

Work on this module began as a Google Summer of Code project and continued through the fall with support from the OpenMRS team.

The initial release provides developers access to the SMART Connect API in OpenMRS. SMART REST API support is planned for a future release.

Challenge Winners Applaud SMART

“Polyglot Systems has developed a number of products that can improve health outcomes and decrease costs.  Despite these benefits, achieving widespread adoption is extremely difficult if the products cause any interruption in provider workflow.  This makes EMR/EHR integration essential.  The SMART Platform offers Polyglot a way to quickly and affordably integrate its products across multiple EMR and EHR systems.  By doing so, the SMART Platform lets Polyglot and other innovators deploy their solutions much more broadly and quickly than would otherwise be the case.”

SMART App Challenge Winner Announced

On June 16th and 17th, 2011, our judges convened and deliberated to score the apps for the SMART Apps for Health $5,000 Challenge, which opened back in March.

Meducation is the winner.
Meducation sample pages

The Meducation SMART app, created by Polyglot Systems, Inc. – a health IT company with a focus on improving care and access for underserved patient populations – provides multilingual, patient-friendly instructions for medications listed in a physician’s electronic medical record or the personally controlled health record of a patient. The app uses the SMART programming interface to obtain the medication list and then links out to a drug information database, which facilitates the generation of simplified medication instructions for patients, available in a dozen languages.

In addition to the winner, several selected as honorable mentions:

  • Clinical Research facilitates interoperability between an EMR system and a clinical electronic data capture system
  • MyNote provides an intuitive, interactive timeline of patient history with disease-specific schemes, and allows patients to annotate the timeline
  • Priority Contact enhances the work process of a clinician by managing contact with patients after they have left the clinic and new information relevant to their treatment plan has been obtained
  • DxSocial matches patients with doctors based on their experience treating patients similar to them matches patients with doctors based on their experience treating patients similar to them
  • Medications Risk Maps for SMArt helps identify and compare medication side effects and risk of adverse events across drugs
  • rxInfo is a suite of SMART apps to help identify patients for clinical trials, provide drug interaction information, FDA Label information about marketed drugs, and a listing of nearby federally funded health centers

You can view all the submitted apps at

Current-stage EMRs decide if, when, and how you will view the data trapped in their systems. The SMART Platform Apps Challenge was designed to demonstrate what can happen when electronic health information becomes liberated and can be readily consumed by computer applications. iPhone and Android app developers have been very successful because the address book and GPS data in those platforms is clearly and consistently presented by the platform. Our goal is to present health data in as useful and consistent format. Based on the submissions we received, we think we have demonstrated that this approach can be successful.

That we had so many excellent applicants reflects the hunger and need felt in the community to deliver innovative healthcare applications directly to doctors and patients without having to learn the details of a large, monolithic EMR

Congratulations to our winner and honorable mentions!

SMART app receives clinician praise

The SMART team is working on creating a blood pressure centiles SMART app for initial deployment at Children’s Hospital, Boston.  There aren’t standard cutoffs for normal pediatric blood pressures.  For kids, the normal blood pressure depends upon height and gender.  Unfortunately, looking up these normal blood pressures is pretty time consuming.  Thus, we’re working with a great, transdisciplinary group of docs at Children’s to create an app that will do the calculating for them and give them more time with their patients.  One of those docs is cardiologist Justin Zachariah, M.D., M.P.H.  He said, “What you have already created is definitely a quantum leap forward compared to where we are now.”  Through SMART, we’ll be able to make this app available to other SMART-enabled systems.

15 SMART Apps for Health Submitted

We’re happy to announce that the SMART Apps for Health Challenge resulted in 15 apps being submitted.  These apps range from PriorityContact(TM), an app that manages contact with patients, to rxClinicalTrials, which helps to identify trials that a patient might be eligible for through  Our entrants each got their app working in the SMART Reference EMR in under 3 months, demonstrating the power of lowering the barriers to developer engagement in health IT.  The judging period is now underway, and we’ll announce the winner of the $5,000 on June 22nd. Stay tuned!

SMART Health App $5000 Challenge

The SMART $5K Apps Challenge is now closed to entries, but you can still learn about it at our page!

Our panel of judges are currently reviewing the entries, and winners will be announced on June 22nd.

SMART wishes to thank our eminent panel of judges:

Susannah Fox
Director of Health Research at the Pew Internet & American Life Project

Regina Herzlinger
Nancy R. McPherson Professor of Business Administration, Harvard Business School

David Kibbe
Director, Center for Health Information Technology, American Academy of Family Physicians
The Kibbe Group LLC

Ben Shneiderman
Professor of Computer Science at the Human-Computer Interaction Laboratory at the University of Maryland, College Park

Doug Solomon
Chief Technology Officer at IDEO

Edward Tufte
Professor Emeritus of Political Science, Statistics, and Computer Science at Yale University

Jim Walker
Chief Health Information Officer, Geisinger Health Systems

The SMART Apps Challenge is Live!

The Office of the National Coordinator of Health Information Technology has posted the SMART Apps Challenge on

BOSTON, March 8, 2011 /PRNewswire-USNewswire/ — Through a grant from the Office of the National Coordinator for Health Information Technology (ONC), researchers at Children’s Hospital Boston and Harvard Medical School have developed a first-of-its kind platform architecture to support a flexible health information technology (IT) environment and promote innovation. The SMArt (Substitutable Medical Applications, reusable technologies) platform and interface are being made publicly available today to kick off the start of a $5,000 competition challenging developers to create web applications that provide specific functionality for patients, physicians, or for public health.

First described in a March 2009 New England Journal of Medicine Perspectives article, the SMArt architecture is an “iPhone-like” health IT platform model that aims to transform the way health IT supports health care by facilitating the development of medical applications that are scalable and substitutable; that will drive competition, innovation, and increased efficiency in the functionality of technology for improved health care.

ONC awarded $15 million to the project in April 2010 through the Strategic Health IT Advanced Research Projects (SHARP) program. The SMArt project will enable the equivalent of an iTunes App Store for health and support an ecosystem of applications ranging from medication managers for patients at home to e-prescribing applications and decision support for physicians in the office.

“The goal of this model is to enable a substantial shift towards technologies that are flexible and able to quickly adapt to meet the various needs of their users on a variety of devices,” said Kenneth Mandl, M.D., MPH, of the Children’s Hospital Informatics Program and Harvard Medical School, and co-lead on the SMArt project. “As developers begin to compete on quality, value and usability, we expect to see the introduction of an array of innovative functions and a drop in the cost of healthcare technology. Just as staple applications of the iPad, Android, and Blackberry platforms constantly evolve and compete to meet user demands, the SMArt platform will enable health IT to do the same.”

In August, Mandl and Isaac Kohane, M.D., Ph.D., also of CHIP, Harvard Medical School and co-lead on the SMArt project, held a SMArt Developer Meeting which included more than 60 representatives from academia, government and business. Multiple prototypes of the SMArt platform were presented and feedback was collected from software developers and the health IT community. Following that meeting, the team built the SMArt platform architecture and interface that is being made publicly available today.

“There is an enormous talent pool available in our country’s developers and entrepreneurs to help drive new web and mobile health IT solutions that support health care functions,” said Kohane. “Through this competition we hope to excite this pool; to spark their imaginations and partner with them to move new ideas forward.”

“Future developments in health IT should always be driven by empowering physicians and improving patient care,” said Wil Yu, director of the SHARP program at the Office of the National Coordinator for Health IT.

Developers interested in learning more about the SMArt project and/or participating in the SMArt health app challenge may visit for complete details and an environment for development. Entrants are eligible to receive an award – $5,000 and release in an “App Store” – for best application.

A panel of industry leaders has been assembled to judge the challenge and will review submitted apps and announce winners in June 2011. Judges will include Susanna Fox, director of Health Research at the Pew Internet & American Life Project; Regina Herzlinger, the Nancy R. McPherson Professor of Business Administration at the Harvard Business School; David Kibbe, senior advisor to the American Academy of Family Physicians and principal at The Kibbe Group LLC; Ben Shneiderman, professor of Computer Science at the Human-Computer Interaction Laboratory at the University of Maryland, College Park; Doug Solomon, chief technology officer at IDEO; Edward Tufte, professor emeritus of Political Science, Statistics, and Computer Science at Yale University; and Jim Walker, chief health information officer at Geisenger Health Systems.

Children’s Hospital Boston is home to the world’s largest research enterprise based at a pediatric medical center, where its discoveries have benefited both children and adults since 1869. More than 1,100 scientists, including nine members of the National Academy of Sciences, 12 members of the Institute of Medicine and 13 members of the Howard Hughes Medical Institute comprise Children’s research community. Founded as a 20-bed hospital for children, Children’s Hospital Boston today is a 392-bed comprehensive center for pediatric and adolescent health care grounded in the values of excellence in patient care and sensitivity to the complex needs and diversity of children and families. Children’s also is the primary pediatric teaching affiliate of Harvard Medical School. For more information about the hospital and its research visit:

Harvard Medical School has more than 7,500 full-time faculty working in 11 academic departments located at the School’s Boston campus or in one of 47 hospital-based clinical departments at 17 Harvard-affiliated teaching hospitals and research institutes. Those affiliates include Beth Israel Deaconess Medical Center, Brigham and Women’s Hospital, Cambridge Health Alliance, Children’s Hospital Boston, Dana-Farber Cancer Institute, Forsyth Institute, Harvard Pilgrim Health Care, Hebrew SeniorLife, Joslin Diabetes Center, Judge Baker Children’s Center, Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, McLean Hospital, Mount Auburn Hospital, Schepens Eye Research Institute, Spaulding Rehabilitation Hospital, and VA Boston Healthcare System.


Keri Stedman
Children’s Hospital Boston

David Cameron
Harvard Medical School

US CTO Aneesh Chopra announces the SMART Health App $5000 Challenge

On Tuesday, November 9, U.S. Chief Technology Officer Aneesh Chopra delivered a keynote address with Bill Gates at the 2010 mHealth Summit in Washington, D.C., featuring the efforts of Kenneth Mandl, MD, MPH, and Isaac Kohane, MD, PhD, of the Children’s Hospital Boston Informatics Program and Harvard Medical School, and the “SMART” (Substitutable Medical Applications, reusable technologies) project.

Mr. Chopra gave an overview of the project and announced a competition that will begin in March, challenging developers to create a health IT application that provides specific functionality for patients, physicians, or for public health, based on the Boston team’s SMART platform architecture and a common electronic medical record interface.

SMART seeks to recruit and support a new generation of innovators by providing a common interface to multiple HIT platforms. The SMART Health App $5,000 Challenge is to develop web apps that use the SMART API to provide value to patients, providers, researchers, and public health. Examples of such applications are medication management tools, health risk detectors, and e-prescribing applications.

A panel of acclaimed judges is being assembled to review submitted apps and will include Regina Herzlinger, the Nancy R. McPherson Professor of Business Administration at the Harvard Business School; David Kibbe of the The Kibbe Group LLC and Director of the Center for Health Information Technology at the American Academy of Family Physicians; Doug Solomon, Chief Technology Officer at IDEO; Edward Tufte, Professor Emeritus of Political Science, Statistics, and Computer Science at Yale University, and Jim Walker, Chief Health Information Officer at Geisenger Health Systems.

The challenge will open in March 2011.

Interested applicants can learn more and register their interest at