Electronic health information, including from electronic health records, is needed to develop AI tools for health, but the seamless flow of data will require standards and interoperability.
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References
Shah, N. H., Entwistle, D. & Pfeffer, M. A. JAMA 330, 866–869 (2023).
Kawamoto, K. et al. JAMIA Open 4, ooab041 (2021).
Institute of Medicine (US) Roundtable on Evidence-Based Medicine. The Learning Healthcare System: Workshop Summary (eds. Olsen, L. et al.) (National Academies Press, 2007).
Blumenthal, D. N. Engl. J. Med. 362, 382–385 (2010).
Mandl, K. D. & Kohane, I. S. N. Engl. J. Med. 360, 1278–1281 (2009).
Mandl, K. D. et al. npj Digital Med. 3, 1–9 (2020).
Health and Human Services Department. 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program 85, 25642–25961 (2020).
Adler-Milstein, J. & Pfeifer, E. Milbank Q. 95, 117–135 (2017).
Adams, D. Journal of AHIMA https://go.nature.com/3tSmtqS (2023).
Mandl, K. D. & Kohane, I. S. STAT News https://www.statnews.com/2020/01/27/epic-block-proposed-data-rule/ (2020).
Gordon, W. J. & Mandl, K. D. J. Med. Internet Res. 22, e24824 (2020).
Blumenthal, D. N. Engl. J. Med. 387, 2201–2203 (2022).
JASON Report Task Force Final Report; https://go.nature.com/3HkHEFa (15 October 2014).
Twichell, S. A. et al. Congenit. Heart Dis. 12, 484–490 (2017).
Ogan, W. S. & Longhurst, C. A. MCP Digital Health 1, 60–62 (2023).
Acknowledgements
This work was funded by 90AX0022 from ONC and by U01TR002623 from the National Center for Advancing Translational Sciences, US National Institutes of Health. The authors thank J. Jones for drafting the initial version of the figure.
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D.G. is principal, FHIR and Healthcare Data Standards, for Central Square Solutions. J.C.M. is employed by Microsoft Corporation Boston Children’s Hospital receives philanthropic contributions on behalf of K.D.M.’s laboratory from the SMART Advisory Committee with members including Microsoft, Cambia, Humana, and HCA Healthcare. K.D.M. holds equity in SMART Check In.
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Mandl, K.D., Gottlieb, D. & Mandel, J.C. Integration of AI in healthcare requires an interoperable digital data ecosystem. Nat Med 30, 631–634 (2024). https://doi.org/10.1038/s41591-023-02783-w
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DOI: https://doi.org/10.1038/s41591-023-02783-w