create fhir-enabled experiences: api-first approach for healthcare apps

Create FHIR-Enabled Experiences: �API-First Approach for Healthcare App Ecosystem

Josh C Mandel

Boston Children's Hospital

@JoshCMandel @SMARTHealthIT

Aashima Gupta

Apigee

@aashima1gupta

Today’s Speakers

Agenda•  What is the problem we are trying to solve?

•  How is SMART on FHIR platform pushing the envelope?

•  Apigee’s perspective - How APIs built on a secure platform will enable this journey?

•  How does the Proposed Roadmap to value look like?

•  Q and A

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��What is FHIR and why should we care?

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Motivation: Let people with ideas...

Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT

… do better than publishing PDFs!Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT

SMART Platforms: Core Focus

HealthcareProvider

1007 Certified EHRs(for VDT, 2/10/2014)

{clinical dataauthorizationauthenticationUX


Substitutability = choice

Apps Med Manager

Cardiac Risk

BP Cen1les

SMART-‐Enabled EMR


Substitutability = re-use

Cardiac Risk

SMART-‐Enabled PCHR SMART-‐Enabled

EMR SMART-‐Enabled HIE


Clinical Element Models & FHIR Data Profiles

REST API

OAuth2

Underlying Health IT Systems

Web Apps

+authz

+authn

+data

+launch +embed

Mobile Apps +launch

Your system here.

SMART on FHIR®© – Open PlaJorm Architecture

Data HolderEHR, Hospital,

Clinic, HIE,Lab, Insurer, etc.

AppDecision support,

visualization, eRx, pop health, etc.

User*Authorize

GET /ehr/data (etc.)

OAuth 2 shines at "access delegation"


Data and UX: What we need!FHIR Draft standard from HL7

Open CC0 LicenseClinical models Resources in JSONREST API Expressive queries


FHIR Draft standard from HL7

Open CC0 LicenseClinical models Resources in JSONREST API Expressive queries

SMART got involved in 2013 (FMG, Core)Combines FHIR + Profiles + OAuth2 + OIDC

Data and UX: What we need!


What is FHIR? Resources~100+ "atomic" structures


What is FHIR? Datatypes(Common structures for core meaning)


What is FHIR? Modeling Tools("Meta" models used to describe resources)


Quick demo of FHIR and SMART

FHIR REST API/Patient/1032702 /Patient?name=amy�/Observation?name=55284-4

�

SMART on FHIR


+ vendors (Argonaut) + care providers (HCA, HSPC, Intermountain) + data networks (SureScripts) + content & app dev (Polyglot, British Medical Journal) + pharma (Eli Lilly)

Growing list of partners:http://smartplatforms.org/advisory-committee/

SMART on FHIR: CommunitySlides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT

Apigee’s Healthcare Vision

Harnessing information for Total HealthThe foundation of personalized, consumer-driven health includes collecting, collating and curating information, moving from episodic to continuous engagement.

consumer interactions

BEHAVIORAL DATA (life style choices, preferences,

activities, quality of life)

PERSONAL“-OMICS” (Genomics, proteomics, transcriptomes,

metabolomics)

SOCIAL DATA (friends, family, affiliations, communication, activities)

MEDICAL RECORDS (encounter, labs, Rx, medical devices, etc)

CONTEXTUAL Environment (temperature, pollen count, etc) Geographic (closest hospital, pharmacy, etc)

DEMOGRAPHICS (age, employer, address, industry)

Powered by APIgee

Digital health ecosystem

Digital Health Platform and Analytics

Payers/Health Plans EMR, Legacy Systems Eco System Partners Data/Analytics Engine

Remote Monitoring Devices

Wellness and Fitness Devices

Patient Mobile & Tablet Apps External Data

Apigee’s proposed roadmap to value

Apigee’s Commitment and Affiliation

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Edge : Core API Management�Security�

OAuth2 Authentication

Apigee Core Product

FHIR Specific Extensions

Customized Assets

FHIR Proxy�FHIR Ready APIs

Non-FHIR to FHIR Mappings�FHIR Object Management

Apigee Healthcare Leadership�Argonaut, Sandbox, Early Adopter Program, Content

Apigee - FHIR Enablement Roadmap

2015 Q3 (incl. now) Q4 Q1 Q2

FHIR Technology Assets

Apigee FHIR Connectors and Transforma1on

Sandbox

FHIR APIs DSTUI1

Read only

FHIR APIs DSTUI1, DSTU2

Read only

FHIR APIs DSTUI1

Read/Write

FHIR APIs DSTUI2

Read/Write

Consent Management &

Access Restrictions Framework

Full featured Smart Docs Dev

Portal –DSTU1

EMR FHIR Server

Connectivity over https

SQL Direct Connectivity

Connector Framework (Declarative Mapping)

FHIR Data Store HBase

Connector

Enhanced Connector Framework

(Declarative Mapping)

Basic Reference Implementation

All 16 DSTU1 On Reference

DSTU2 On Reference

FHIR JSON To XML Xform

Full featured Smart Docs Dev

Portal –DSTU1

Sandbox Opportunities

Apigee FHIR Sandbox FHIR Connectors Commercial grade

Risk free pathway to producNon Expert Resources

Community forum/blog

Internal Teams Partners External Developers

Early Adopters Ecosystem Partners

Commercial Grade Sandbox Access

Broader and expanded developer outreach

Industrial strength sandbox affords the opportunity for healthcare stakeholders to participate and collaborate on FHIR enabled applications and experiences

Active recruitment and on-boarding of Apigee’s existing Healthcare clientsAccelerate new FHIR apps & integrations that enable data exchange across care settings and partners.

Reduce learning curve through commercial grade sandbox access.Time to market for internal deployment would be significantly reduced

Over 100,000 developers registered with Apigee.Leadership in bringing developer experiences through Smart Docs and Developer Portal.Network of networks impact: Recruit Talent from other sectors including Retail, Telco and Financial

Early Access Program next steps

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Sign up for sandbox 1.

Join Apigee Healthcare Advisory Council 2.

Initiate Discovery 3.

Summary•  Learned about FHIR and why is it important.

•  Learned about SMART on FHIR initiative

•  Apigee’s commitment in accelerating FHIR implementation for our clients.

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Josh C Mandel

Boston Children's Hospital

@JoshCMandel @SMARTHealthIT

Aashima Gupta

Apigee

@aashima1gupta

Questions?

Thank you