Health System Integration

Healthcare Interoperability Solution – Case Study: Smart on FHIR Apps

Customer: A leading global healthcare product company.

Solution Overview:

SMART stands for Substitutable Medical Apps and Reusable Technology.

SFO’s SMART app solutions enable patients and doctors with instant access to health status evaluation and consultation using their own mobile or laptop devices. The applications provide evaluation of health condition using CHF analysis algorithms for heart failure / diabetes prediction algorithms.


SFO published the following Medical analytics applications* in SMART app Gallery, based on SMART- ON-FHIR architecture; implementing state of the art algorithms.

About SMART – An App Platform for Healthcare

SMART is an open, standards-based technology platform that enables innovators to create apps that seamlessly and securely run across the healthcare system. Using an electronic health record (EHR) system or data warehouse that supports the SMART standard; patients, doctors, and healthcare practitioners can draw on this library of apps to improve clinical care, research, and public health. The SMART platform is composed of open standards, open source tools for developers building apps and publicly accessible app gallery

Open Standards

The SMART platform defines a health data layer that builds on the emerging FHIR (Fast Healthcare Interoperability Resource) API and resource definitions.

Tools and Infrastructure

To make it easy for developers to get started building apps based on the SMART standards, the SMART Health IT project created, maintained and supported a set of open source libraries that simplified and streamlined the use of these standards in real-world apps. Currently, libraries are available for HTML5/JavaScript, iOS and Python. SMART is run out of the Boston Children’s Hospital Computational Health Informatics Program and the Harvard Medical School Department of Biomedical Informatics.


* SFO’s Healthcare is the first partner to publish an app from Asia pacific region.

Healthcare Providers and Patients

Apps empower users, rather than only technology vendors or government committees; to decide which health IT products are beneficial and valuable. They add new capabilities to existing systems, for example, to visualize risks, trends, and trajectories, integrate new data into systems, mashing up clinical records with external data sources and incorporating new flows of data from sensors, devices, and patient reports.

Healthcare Institutions

SMART apps simplify the integration of best of breed components into existing systems.  The SMART platform provides the ability to easily draw on a library of innovative apps and encourages market competition on quality, cost, and usability.

Public Health

SMART apps can transfer ideas, functionality, and workflow all in one package – a good app, distributed widely, could reshape practice overnight.

Decision support can be updated without the need to customize for each EHR, thus supporting rapid response during outbreaks and as guidelines change.

  • Cerner Millennium EMR
  • HTML, JavaScript, CSS
  • Cloud Interface
  • Native Mobile Application on Android
  • PubNub
  • WebRTC
  • FHIR/HL7
  • Firebase

Technology Skills

Case Studies: