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Federal IT leaders seek support from developers for EHR adoption

Kenneth Corbin | Sept. 18, 2014
The White House is appealing to developers to join the open source community working to expand adoption of interoperable digital health records through its Blue Button initiative.

The White House is appealing to developers to join the open source community working to expand adoption of interoperable digital health records through its Blue Button initiative.

[ Press the Blue Button for Improved Customer Service ]

Blue Button, administered by the Office of the National Coordinator for Health IT (ONC) within the Department of Health and Human Services, allows consumers to obtain a digital copy of their health records through participating groups that administer patient data.

[ Why Healthcare Providers Aren't Happy With EHR Systems ]

Wanted: Open Source Blue Button Developers

To date, around 500 data holders encompassing care providers, health plans and other entities have signed onto the Blue Button initiative, but continued expansion of the program hinges in large part on the support of the developer community, according to U.S. Deputy Chief Technology Officer Ryan Panchadsaram.

"There are a number of resources for developers to tap into," Panchadsaram said Monday at a health IT conference. "We need your help developing best practices and models to ensure information flows as seamlessly as possible."

He notes the bevy of supporting tools surrounding Blue Button, which include a direct implementation guide, a toolkit and Blue Button trust bundles, among others.

But Panchadsaram is urging developers to step up their efforts to develop APIs that hook into the Blue Button EHR program, citing as a promising example FHIR — Fast Healthcare Interoperability Resource, in longhand — a RESTful interface that he says provides "more granular access to patient data."

"If you're a developer in the room, look it up and start participating in that community, because we really need your help," Panchadsaram says.

The Blue Button initiative is a part of the administration's broader work to encourage what it describes as patient-centric healthcare, an effort that begins with giving consumers more of a sense of ownership of their own health information.

"It's the patient's data," U.S. CTO Todd Park said in a video message aired at the ONC conference. "The principle that actually sits at the heart of the whole Blue Button movement is that patients should be able to get secure access to their own information, to their own data, and that very simple principle, I think, is one that if we follow as a country can help unlock all kinds of good for patients."

When ONC took over Blue Button from the Department of Veterans Affairs two years ago, many skeptics doubted that it would take hold across the healthcare community, Panchadsaram recalls.

[ Veterans Get Mobile Access to Their EHealth Records ]

In addition to the issues around building a developer community, which remain a work in progress, some critics anticipated that putting health data on an open data platform could actually create confusion among patients and add to the workload of care providers.

 

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