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Imagine a scenario where stakeholders are able to examine data on available healthcare-related resources and compare it with data on healthcare needs for a specific county or study area. This could help determine how healthcare resources supply match-up with the demand. Despite the wide-ranging Federal data related to this scenario, it is a very difficult task. This is just one example of the possibilities that could be enabled in the near future through the use of Application Programming Interfaces (APIs) designed to access Federal data resources.

Role and Scope of APIs. APIs are increasingly used to access Federal Webserver-sourced statistical and related data. APIs have the potential to provide solutions to the aforementioned healthcare analyses. Recent developments by the Census Bureau (see http://www.census.gov/developers/) could fundamentally change not only the way large datasets are accessed but also the ways in which the data are used and interfaced into analytical applications. Several Federal agencies are now developing API-based data access tools. Different agencies are using different API designs making it difficult or impossible to knit together data from different agency APIs. In other cases, data from many important Federal statistical programs are not currently accessible at all using APIs.

Without APIs. In absence of APIs to obtain a solution to "the scenario" (above), the steps to the solution are expensive, time consuming, require specialized dataset knowledge and typically provide specific answers rather than having more generalized capabilities. A user/analyst needs to download data from Health and Human Services, combine them with Census-sourced data, then assemble the right data for analysis. As it stands the costs of data access can be prohibitive to perform such tasks, using the "old way" of performing analyses. Consequently analyses may not happen; plans might be developed more based on speculation rather than data-driven, fact-based, knowledge. With APIs such as the Census Bureau has developed would change this situation.

Which Data from Which Programs? Access to and use of many Federal geographic and statistical data resources, located in different programs and agencies, could be markedly enhanced through use of APIs. These data could be more easily knitted together. Below an example is presented that compares "design issues" relating to use of existing APIs that might be responsive to "the scenario" solutions.

We might use other examples, say, in K-12 education, but the U.S. Department of Education has no known statistical data access APIs, though relevant data exists (Common Core of Data, ACS School District Special Tabulations, among others). Analysts might want to add data on employment, establishments and earnings in healthcare industries (NAICS/types of business) but the U.S. Department of Labor/Bureau of Labor Statistics have no known statistical data access APIs, though relevant data exists (Census of Employment and Wages, Current Employment Survey, Local Area Unemployment Statistics, among others).

An Example. To illustrate "where we are," with regard to reaching "the scenario" solution, we briefly compare the API design-related data access issues deployed by the Census Bureau with those being deployed by Health and Human Services (HHS) ... see http://www.healthdata.gov/data-api. The HHS "Data-API" is currently focused on accessing the Hospital Compare data.

Solutions to meeting needs like those in "the scenario" require access to raw data as opposed to cataloging data or metadata. The HHS Data-API program is just getting underway. Assessing healthcare resource supply and demand characteristics would require API data from many other HHS programs (Nursing Home Compare, Clinics, Bureau of Health Professions datasets, National Vital Statistics System, Health Resources Services Administration, among others).

The Census Bureau uses REST (REpresentational State Transfer) APIs; HHS HealthCare APIs uses RPC (Remote Procedure Call) APIs. These are two different types of APIs with different types of deployment and capabilities.

Section 1. Using the HHS HC API -- an Application (scroll section) ...
The following code illustrates use of a "post" API instruction to retrieve certain data passed back. In this example, the provider_id (a hospital id) is passed to the server to retrieve a fixed set of data that is returned. The set of data returned is shown in Section 2.
procedure TfrmMain.get1Click(Sender: TObject);
var
  json: string;
  lHTTP: TIdHTTP;
  lParamList: TStringList;

begin
memo1.Clear;
  json := CRLF +
          '{' + CRLF +
          ' "resource_id": "391792b5-9c0a-48a1-918f-2ee63caa1c54",' + CRLF +
          ' "filters": {' + CRLF +
          '   "provider_id": 393303' + CRLF +
          ' }' + CRLF +
          '}';
  lParamList := TStringList.Create;
  try
    lParamList.Add(json);
    lHTTP := TIdHTTP.Create(nil);
    try
      Result := lHTTP.Post('http://hub.Healthdata.gov/api/action/datastore_search', lParamList);
      memo1.Lines.Add(result);
    finally
      lHTTP.Free;
    end;
  finally
    lParamList.Free;
  end;
end;

Section 2. HHS HC API -- Returned Results (scroll section) ...
The returned results of interest in the following text are basically the name and address of the facility. Other, prospectively important features about the hospital are not returned.
{"help": "Search a datastore table.\n\n The datastore_search action allows a user to search data in a resource.\n\n :param resource_id: id or alias of the resource to be searched against.\n :type resource_id: string\n :param filters: matching conditions to select, e.g {\"key1\": \"a\", \"key2\": \"b\"}\n :type filters: dictionary\n :param q: full text query\n :type q: string\n :param plain: treat as plain text query (default: true)\n :type plain: bool\n :param language: language of the full text query (default: english)\n :type language: string\n :param limit: maximum number of rows to return (default: 100)\n :type limit: int\n :param offset: offset this number of rows\n :type offset: int\n :param fields: fields to return (default: all fields in original order)\n :type fields: list or comma separated string\n :param sort: comma separated field names with ordering\n e.g.: \"fieldname1, fieldname2 desc\"\n :type sort: string\n\n Setting the ``plain`` flag to false enables the entire PostgreSQL `full text search query language`_.\n\n A listing of all available resources can be found at the alias ``_table_metadata``.\n\n .. _full text search query language: http://www.postgresql.org/docs/9.1/static/datatype-textsearch.html#DATATYPE-TSQUERY\n\n **Results:**\n\n The result of this action is a dict with the following keys:\n\n :rtype: A dictionary with the following keys\n :param fields: fields/columns and their extra metadata\n :type fields: list of dictionaries\n :param offset: query offset value\n :type offset: int\n :param limit: query limit value\n :type limit: int\n :param filters: query filters\n :type filters: list of dictionaries\n :param total: number of total matching records\n :type total: int\n :param records: list of matching results\n :type records: list of dictionaries\n\n ", "success": true, "result": {"resource_id": "391792b5-9c0a-48a1-918f-2ee63caa1c54", "fields": [{"type": "int4", "id": "_id"}, {"type": "int8", "id": "seqn"}, {"type": "int8", "id": "provider_id"}, {"type": "text", "id": "hsp_name"}, {"type": "text", "id": "addr_city"}, {"type": "text", "id": "addr_state"}, {"type": "int8", "id": "addr_postalcode"}, {"type": "text", "id": "addr_line_1"}, {"type": "int8", "id": "tel_nbr"}, {"type": "text", "id": "hospital_type"}, {"type": "text", "id": "ownership_type"}, {"type": "text", "id": "hsp_accreditation"}, {"type": "text", "id": "emergency_serv_type"}, {"type": "int8", "id": "county_cd"}], "records": [{"addr_city": "PHILADELPHIA", "provider_id": "393303", "tel_nbr": "2155903745", "seqn": "481", "addr_line_1": "34TH ST & CIVIC CENTER BLVD", "ownership_type": "Voluntary non-profit - Private", "hsp_accreditation": "", "addr_postalcode": "19104", "emergency_serv_type": "Yes", "addr_state": "PA", "_id": 481, "hospital_type": "Childrens", "hsp_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA", "county_cd": "620"}], "_links": {"start": "/api/action/datastore_search", "next": "/api/action/datastore_search?offset=100"}, "filters": {"provider_id": 393303}, "total": 1}}


Section 3. Using the Census API -- an Application (scroll section) ...
The following code illustrates use of a "get" API instruction to retrieve certain data passed back. In this example, the state code (geography ... paralleling the HC provider_id) is passed to the server to retrieve a variable set of data items to be returned. In this example, the request is for two items: P0010001 (total population) and NAME (name of the area/state). The API also specifies the statistical program (Census 2010) and dataset (SF1). The set of data returned is shown in Section 4.
procedure TfrmMain.get2Click(Sender: TObject);
var
  dl: TDownloadURL;
  url:string;

begin
memo1.Clear;
 url:='http://api.census.gov/data/2010/sf1?key=KEY&get=P0010001,NAME&for=state:*';
 dl := TDownloadURL.Create(self);
  try
    dl.URL := url;
    dl.FileName := execpath+'api1.txt'; dl.ExecuteTarget(nil); dl.Free;
  except
    dl.Free;
  end;
  memo1.Lines.LoadFromFile(execpath+'api1.txt');
  end;

Section 4. Census API -- Returned Results (scroll section) ...
The returned results of interest in the following text are organized in a CSV-like structure. The Census 2010 population is provided for each state; the state name and code are also returned.
[["P0010001","NAME","state"],
["4779736","Alabama","01"],
["710231","Alaska","02"],
["6392017","Arizona","04"],
["2915918","Arkansas","05"],
["37253956","California","06"],
["5029196","Colorado","08"],
["3574097","Connecticut","09"],
["897934","Delaware","10"],
["601723","District of Columbia","11"],
["18801310","Florida","12"],
["9687653","Georgia","13"],
["1360301","Hawaii","15"],
["1567582","Idaho","16"],
["12830632","Illinois","17"],
["6483802","Indiana","18"],
["3046355","Iowa","19"],
["2853118","Kansas","20"],
["4339367","Kentucky","21"],
["4533372","Louisiana","22"],
["1328361","Maine","23"],
["5773552","Maryland","24"],
["6547629","Massachusetts","25"],
["9883640","Michigan","26"],
["5303925","Minnesota","27"],
["2967297","Mississippi","28"],
["5988927","Missouri","29"],
["989415","Montana","30"],
["1826341","Nebraska","31"],
["2700551","Nevada","32"],
["1316470","New Hampshire","33"],
["8791894","New Jersey","34"],
["2059179","New Mexico","35"],
["19378102","New York","36"],
["9535483","North Carolina","37"],
["672591","North Dakota","38"],
["11536504","Ohio","39"],
["3751351","Oklahoma","40"],
["3831074","Oregon","41"],
["12702379","Pennsylvania","42"],
["1052567","Rhode Island","44"],
["4625364","South Carolina","45"],
["814180","South Dakota","46"],
["6346105","Tennessee","47"],
["25145561","Texas","48"],
["2763885","Utah","49"],
["625741","Vermont","50"],
["8001024","Virginia","51"],
["6724540","Washington","53"],
["1852994","West Virginia","54"],
["5686986","Wisconsin","55"],
["563626","Wyoming","56"],
["3725789","Puerto Rico","72"]]



Next Steps
In the world of HTTP applications, REST APIs generally have a broader range of capabilities that RPC capabilities. We promote some degree of standardization in the design of Federal statistical data access APIs so that all agencies are using like procedures. The results could be more useful.

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