Overview of SMART
summary
Overview of SMART on FHIR as an app platform: standardized Standalone and EHR launches that use OAuth2 with patient and system scopes to get access tokens, plus a client credentials flow for back-end services and bulk data. SMART v2 adds more specific scopes using FHIR search parameters. Tools: Smart App Launcher, Boston Children’s SMART sandbox (≈1,000 synthetic patients), SMART App Gallery, client libraries. Example: a neonatal bilirubin app fetches observations, plots hours‑old curves, and reduces manual nomogram lookups. US certified EHRs must support SMART starting 2023.
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chapters (14)
- 0:00Introduction to SMART
- 3:28Core problem SMART solves
- 8:43SMART as a platform
- 11:13OAuth workflow in SMART
- 15:31App launch types
- 19:19Permissions and Scopes
- 22:05SMART app ecosystem
- 25:17Background services
- 28:03Clinical decision support
- 31:34Developer resources
- 34:03Building a SMART app
- 37:14Testing with sandboxes
- 41:51SMART v2 Scopes
- 44:40Q&A session








