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Blue Button® API: Creating a Data-Driven Ecosystem to Benefit Medicare Beneficiaries
Mark ScrimshireOctober 1, 2017
The Power of Beneficiary-Directed Data
HIMSS 2017
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• HealthAPT/CMS Blue Button Innovator
• Health Data and Cloud Technologist
• Twitter: @ekivemark
Demo Support from Alan Viars
• HHS EIR Alumni
• CEO, Videntity
• Founder, TransparentHealth
Introduction: Mark Scrimshire
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Total Users
VA, CMS, DoD3
A Brief History of Blue Button
Blue Button
Unleashes
Personal
Data
®
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®
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CMS Blue Button API Vision
“Build a developer-friendly, standards-based
data API that enables beneficiaries
to connect their data to the
applications, services,
and research programs
they trust”
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Blue Button API Can Play a Critical Role in Value and Quality-Based Care
Personal Applications Personal Health Record
Care Coordination
Putting patientsat the center
Research
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The Blue Button API Enables a New Era and a New Route for Research Data Collection
• Medicare beneficiaries will be able to register with research applications via the CMS Blue Button API
• Beneficiary consent creates opportunity to share personal health data electronically with research studies
• Benefits to researchers:– Avoid a data use agreement
– No payment to CMS to collect data
– More timely data • Weekly—Part A / B
• Monthly—Part D
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Blue Button API using FHIR
“I control who I share my data with”
“I download my data”
Bi-directional
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• FHIR extension to Chronic Condition Warehouse (CCW)
• 38M+ Medicare beneficiaries
• Three years of Blue Button claims information (6+ billion records)
• Jointly-developed FHIR “ExplanationOfBenefit” STU3 resource
• Integration with MyMedicare.gov
• Built on CMS Cloud Services
Lighting the FHIR at CMS
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Building a Tiered Blue Button Platform
FHIR API
Access Rules
FHIR Resource
Definitions
FHIR Database
(HAPI-based)
Patient
Access
Blue Button
OAuth Server
Developer
Access
Portal/Customer
Authentication
PHRAllofUs
…
</> {API}
CMS Efforts:• FHIR OAuth2.0 Permissions• OAuth2.0 Patient Crosswalk• OAuth2.0 Patient Masking• FHIR ExplanationOfBenefit• CCW to FHIR ETL
Community
of Trust
JWT
(Future Option)
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Where are we?• HHS DevCloud sandbox is loaded with dummy beneficiary claims data for testing
purposes
• Invites to sign up for the developer preview in the DevCloud sandbox are now available on go.cms.gov/bluebutton
• Next step is to load synthetic data in the DevCloud sandbox to enable developers to create mashups
Seeking developer feedback on:• Registration process
• Oauth2.0 application activation
• Oauth2.0 authorization process
• Compliance with FHIR specification given Blue Button API patient-directed use case
Interested? Visit go.cms.gov/bluebutton to sign up
Blue Button API Status
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https://dev.bluebutton.cms.fhirservice.net/bluebutton/fhir/v1/
Blue Button Dev Sandbox
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https://dev.bluebutton.cms.fhirservice.net/bluebutton/fhir/v1/Patient?_format=json
{"resourceType":"Patient","id":"421118","meta":{
"versionId":"1","lastUpdated":"2016-03-22T16:38:17.578-04:00"},
"identifier":[{
"system":"CCW_BENE_CRNT_VW.BENE_ID","value":"0"}],
"name":[{"family":["00013D2EFD8E45D1"],"given":["f5"]}
],"birthDate":"1923-05-01",""address":[{
"line":["220 S Almond Court"],"city":"Manchester", "state":"MI",
"postalCode":"48158"}]}
CMS FHIR Patient Profile
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®
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{"resourceType":"ExplanationOfBenefit","id":"421383","meta":{"versionId":"1",
"lastUpdated":"2016-03-22T16:38:17.578-04:00"},"identifier":[{"system":"CCW_PDE_FACT.PDE_ID",
"value":"233324492503674"}],"provider":{"reference":"Practitioner/421386"},"prescription":{"reference":"MedicationOrder/421384"},"patient":{"reference":"Patient/421118"},"coverage":{"coverage":{"reference":"Coverage/421134"}},"item":[{"sequence":1,
"type":{"system":"http://hl7.org/fhir/v3/ActCode","code":"RXDINV"},
"servicedDate":"2008-12-05","adjudication":[{"category":{"system":"CMS Adjudications",
"code":"Patient Pay Amount"},"amount":{"value":10,"system":"USD"}},{"category":{"system":"CMS Adjudications",
"code":"Total Prescription Cost"},"amount":{"value":350,"system":"USD"}
}]}]
}
CMS Blue Button Claim Profile
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Get to Know the FHIR REST API
https://{server}/path/Patient
https://{server}/path/ExplanationOfBenefit?_format=json
?_format=json|xml
&{Search_parameters}
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CMS Blue Button API: The Summary
• Building on industry and web standards
• Providing a blueprint for patient access to their data
• Designing solutions with the health care community
• Utilizing open source solutions
• Using FHIR positions CMS Blue Button API at the center of health information exchange interoperability
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• Visit our web page and subscribe for updates: http://go.cms.gov/bluebutton
• Join the BBAPI Developer Google Group:
• https://groups.google.com/forum/#!forum/developer-group-for-cms-blue-button-api
• Learn more about HL7 FHIR: http://hl7-fhir.github.io
Learn More About Blue Button API
subscribe
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• Mark Scrimshire
• HealthAPT/CMS Blue Button Innovator
• Alan Viars
• HealthAPT Blue Button Developer
Contact Info
Learn more about Blue Button API using FHIRhttp://go.cms.gov/bluebutton
• Karl Davis
• Associate Entrepreneur-in-Residence
• Lori Pettebone-Koraganie
• Program Manager, Blue Button API
• Carly Medosch
• Outreach, Blue Button API