Figure 1.

The widespread adoption of SMART on FHIR technical standards has enabled EHR systems to serve as a hub for the secure and efficient exchange of digital health information. (A) Researchers can partner directly with patients to participate in clinical research, and patients can chose to grant permission to researchers to access and use their EHR data; (B) patients can view and manage their EHR through an online patient portal using mobile and desktop devices; (C) patients can link their personal digital health products (eg, fitness trackers, wearable health monitors, at-home genomic tests) to their EHR as a way to centralize various elements of their health information; (D) EHR systems allow patients to schedule appointments with their provider, view provider notes, communicate with their provider, complete routine health surveys, and find opportunities to participate in research; (E) providers enter their clinical notes into their patient’s EHR, access external patient-provided digital health information, and work with their patient to ensure critical health information is accurate and current; (F) patients can link their health information from third-party services such as outside providers, imaging centers, laboratories, and pharmacies. EHR: electronic health record; FHIR: Fast Healthcare Interoperability Resources; SMART: Substitutable Medical Apps and Reusable Technology.