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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SMART Platforms: Core Focus
HealthcareProvider
1007 Certified EHRs(for VDT, 2/10/2014)
{clinical dataauthorizationauthenticationUX
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
Substitutability = choice
Apps Med Manager
Cardiac Risk
BP Cen1les
SMART-‐Enabled EMR
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
Substitutability = re-use
Cardiac Risk
SMART-‐Enabled PCHR SMART-‐Enabled
EMR SMART-‐Enabled HIE
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
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"
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
Data and UX: What we need!FHIR Draft standard from HL7
Open CC0 LicenseClinical models Resources in JSONREST API Expressive queries
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
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!
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
What is FHIR? Resources~100+ "atomic" structures
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
What is FHIR? Datatypes(Common structures for core meaning)
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
What is FHIR? Modeling Tools("Meta" models used to describe resources)
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
Quick demo of FHIR and SMART
FHIR REST API/Patient/1032702 /Patient?name=amy�/Observation?name=55284-4
�
SMART on FHIR
Slides at bit.ly/sof-apigee-2015 @JoshCMandel @SMARTHealthIT
+ 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
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)
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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 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?