He is talking about user context, known as CCOW in HL7, which is to do with solving the problem of ensuring a user with possibly multiple patients open in applications doesn't mix them up. Especially important if the application is meant to stay open while focussing on different patients (i.e. not continuously opening and closing). Some solutions to this do tricks on the screen such as locking / greying out applications not connected to the 'current patient'.

The data of this kind of context is all in openEHR (probably the one standard that actually has it), but you still have to design applications to use it in a smart way, or else you'll have a screen with 10 windows open and they'll be connected to 3 different patients.

Another way to think about this kind of idea is that you don't just log into a system, but also to a patient (context).

- thomas


On 24/04/2018 09:05, Seref Arikan wrote:
Thanks, would you say then, this definition of context sounds similar to the electronic health record concept openEHR is built on?

As in, providing a core EHR concept <http://www.openehr.org/releases/RM/latest/docs/ehr/ehr.html#_ehr_packageexposed by APIs?

If you have an application without this concept or based on an organic implementation of this concept, then SMART would make sense.

I cannot see the use for it when using openEHR, based on your definition of its real value, since there is no diverging or non-existent context here. I think SMART would help in scenarios where you must mimic a platform on top of a number of black boxes, which is not the case with openEHR. This also sound like the answer to Brian's question, thanks to your kind response.

I'll leave it to others (who know SMART and openEHR) to compare the depth and robustness of context provided by SMART with openEHR's EHR model.

All the best
Seref


On Tue, Apr 24, 2018 at 8:48 AM, <[email protected] <mailto:[email protected]>> wrote:

    Broadly, the context is the current patient being looked at in the
    EMR, or other platform being used to launch the SMART App.

    This allows the app to request authorisation for data specific to
    the 'current patient' and then launch directly into the task.

    Michael

    Sent from my iPhone

    On 24 Apr 2018, at 5:23 pm, Seref Arikan
    <[email protected]
    <mailto:[email protected]>> wrote:

    Could you explain what you mean by context please?

    On Tue, Apr 24, 2018 at 1:23 AM, <[email protected]
    <mailto:[email protected]>> wrote:


        The real value of SMART (whether its "on FHIR" or not) is
        that it sets a mechanism for EMRs to pass context to external
        apps.  This means apps are re-usable across different back ends.


        Note that this is not really about authentication (SSO) but
        rather it is about authorisation.


        michael


        --
        Dr Michael Lawley
        Research Group Leader, Health Informatics
        The Australia e-Health Research Centre http://aehrc.com/
        <http://aehrc.com/>
        work: +61 7 3253 3609; mob: +61 427 456 260
        ------------------------------------------------------------------------
        *From:* openEHR-technical
        <[email protected]
        <mailto:[email protected]>> on
        behalf of Pablo Pazos <[email protected]
        <mailto:[email protected]>>
        *Sent:* Tuesday, 24 April 2018 9:29 AM
        *To:* For openEHR technical discussions
        *Subject:* Re: SMART on FHIR integration
        SSO is a front end feature, that is not on the current scope
        of the openEHR specs.

        I think any openEHR implementer can do SSO at the front-end
        app level to access SMART apps.

        On Mon, Apr 23, 2018 at 6:14 PM, Brian Nantz <[email protected]
        <mailto:[email protected]>> wrote:

            I see you have had discussions on FHIR and SMART on
            FHIR.  Is it on the roadmap for openEHR to support SMART
            on FHIR launch sequence
            (http://docs.smarthealthit.org/authorization/
            <http://docs.smarthealthit.org/authorization/>) for
            single sign on?  I know many customers who would like
            this seemless integration.

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