Existing Wording: Some SMART on FHIR applications are browser based, such as those conforming to the public app profile. In this scenario, patient information is communicated from the EHR system to the DTR application through the EHR's FHIR endpoint. In this case, unless the DTR application takes explict actions to send the information back to the payer organization, it will reside only in the provider organization.

Proposed Wording: Some SMART on FHIR applications are browser based, such as those conforming to the public app profile. In this scenario, patient information is communicated from the EHR system to the DTR application through the EHR's FHIR endpoint. In this case, unless the DTR application takes explicit actions to send the information back to the payer organization, it will reside only in the provider organization.

Comment:

EHR systems should be required to support specific SMART on FHIR application profiles or comments on restrictions that should be applied to what payer organizations may do with any received patient information. Also explicit is mispelled and needs correction.

EHR systems should be required to have the ability to share the patient information with the payer and other providers even if they are using a browser based application like the public app profile.

Summary:

EHR systems should be required to have the ability to share the patient information with the payer and other providers