Health care information is a fundamental source of data for biosurveillance, configuring electronic health records to report relevant data to health departments is technically challenging, labor intensive, and often requires custom solutions for each installation. Public health agencies wishing to deliver alerts to clinicians also must engage in an endless array of one-off systems integrations. SMART provides a common platform supporting an \"app store for biosurveillance\" as an approach to enabling one stop shopping for public health departments to create an app once, and distribute it everywhere.