EMR Logged-in Provider and Current Patient Record

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Keith Welch

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Jan 29, 2019, 5:49:00 PM1/29/19
to Cerner FHIR Developers
If a provider invokes a SMART app from within a patient record from the EMR, how can I determine the identity of the provider and patient? I suspect that this may require development beyond the SMART app. Other EHRs require the firing of an event from their GUI that contain these identities.

Beyond that, I had assumed that an app invoked by a provider would have access to any of his patients. Is that a valid assumption? 

Thank you,

Keith Welch

Michele Mottini

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Jan 29, 2019, 5:54:14 PM1/29/19
to Cerner FHIR Developers

If a provider invokes a SMART app from within a patient record from the EMR, how can I determine the identity of the provider

Use the scopes 'openid profile', the info of the logged-in provider are in the id_token property of the token response (as a JWT)

and patient?

The FHIR ID of the patient is in the 'patient' property of the token response 

See the SMART docs at http://hl7.org/fhir/smart-app-launch/ and the Cerner auth docs at https://fhir.cerner.com/authorization/

  - Michele
  CareEvolution Inc

Jenni Syed (Cerner)

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Jan 30, 2019, 11:01:09 AM1/30/19
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Keith,

Michele is correct on the standard way to get user and patient information from the SMART standard, and these are supported in our implementation.

For the access question: Yes, assuming you're using user/... scopes, you would have access to the patients the physician has access to. However, if using a user/... scope, there is no patient in context - your app would need to write its own search anyway for the practitioner. The workflow used often depends on where your app launches from/if it is launched or standalone.

Regards,
~ Jenni
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