Epic
- Uses the Computer Adaptive Test (CAT) algorithm to administer and score Item Response Theory (IRT) based measures
- Measurement administration uses Interconnect web service so all applications that can administer questionnaires can also administer PROMIS measures.
- Administration is through stateless calls following the process used by the Assessment Center API. Learn more>>
Cerner
- Uses the Computer Adaptive Test (CAT) algorithm to administer and score Item Response Theory (IRT) based measures
- Uses stateless calls to the PROMIS Assessment Center for measure administration following the process used by the Assessment Center API. Learn more>>
- Implemented using a stand-alone FHIR Server with integration into Cerner Millennium for both ordering and results viewing
OpenEMR
- Uses the Computer Adaptive Test (CAT) algorithm to administer and score Item Response Theory (IRT) based measures
- Uses stateless calls to the PROMIS Assessment Center for measure ordering and administration following the process provided by the Assessment Center API. Learn more>>
- Ordering and results viewing are implemented independently in OpenEMR
SMART Health IT
SMART Health IT, sometimes called SMART on FHIR, is an application programming interface (API) specification that enables substitutable apps to connect to electronic health records and other forms of health IT. SMART leverages HL7’s FHIR definitions. SMART on FHIR compliant EHR systems or data-warehouses provide an opportunity for patients, doctors and healthcare practitioners to draw on functionality shared in an “app store” to improve clinical care, research and public health.
The SMART on FHIR specification is in widespread use by EHR and cloud vendors and app developers to enable standards-based connections between health apps and information systems. EHR vendors, like Epic, Cerner, and Allscripts have chosen to integrate support for SMART and FHIR into their products to meet the open API requirements for meaningful use. SMART will be the certification standard used to implement the 21st Century Cures Act. This Act contains a requirement that certified health information technology products have an API that allows health information to be accessed, exchanged, and used “without special effort” and which provides “access to all data elements of a patient’s electronic health record to the extent permissible under applicable privacy laws.”