Journal:Recommendations for achieving interoperable and shareable medical data in the USA

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Full article title Recommendations for achieving interoperable and shareable medical data in the USA
Journal Communications Medicine
Author(s) Szarfman, Ana; Levine, Jonathan G.; Tonning, Joseph M.; Weichold, Frank; Bloom, John C.; Soreth, Janice M.; Geanacopoulos, Mark; Callahan, Lawrence; Spotnitz, Matthew; Ryan, Qin; Pease-Fye, Meg; Brownstein, John S. ; Hammond, W. Ed; Reich, Christian; Altman, Russ B.
Author affiliation(s) U.S. Food and Drug Administration, independent researcher/contractor, Your Health Concierge, Purdue University, Columbia University, Boston Children’s Hospital, Duke Clinical & Translational Science Institute, Stanford University School of Medicine
Primary contact Email: ana dot szarfman at fda dot hhs dot gov
Year published 2022
Volume and issue 2
Article # 86 (2022)
DOI 10.1038/s43856-022-00148-x
ISSN 2730-664X
Distribution license Creative Commons Attribution 4.0 International
Website https://www.nature.com/articles/s43856-022-00148-x
Download https://www.nature.com/articles/s43856-022-00148-x.pdf (PDF)

Abstract

Easy access to large quantities of accurate health data is required to understand medical and scientific information in real time; evaluate public health measures before, during, and after times of crisis; and prevent medical errors. Introducing a system in the United States of America that allows for efficient access to such health data and ensures auditability of data facts, while avoiding data silos, will require fundamental changes in current practices. Here, we recommend the implementation of standardized data collection and transmission systems, universal identifiers for individual patients and end users, a reference standard infrastructure to support calibration and integration of laboratory results from equivalent tests, and modernized working practices. Requiring comprehensive and binding standards, rather than incentivizing voluntary and often piecemeal efforts for data exchange, will allow us to achieve the analytical information environment that patients need.

Keywords: drug development, public health, interoperability, medical informatics

Introduction

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Notes

This presentation is faithful to the original, with only a few minor changes to presentation and grammar to improve readability. In some cases important information was missing from the references, and that information was added.