apidays LIVE Australia 2020 - Building Business Ecosystems Adaptable Digital Healthcare is built on well architected APIs Tim Eckersley, Enterprise Architect at NSW Health Pathology

1. Adaptable Digital Healthcare
is built on well architected
Hella Good APIs

2. NSW Health Pathology acknowledges the traditional
custodians of the lands on which we work and pay our
respects to ancestors and Elders, past, present and
emerging.
We are committed to honouring Australian Aboriginal
and Torres Strait Islander peoples’ unique cultural and
spiritual relationships to the land, waters and seas and
their rich contribution to society.
Acknowledgement of Country

3. Introducing
NSW Health Pathology
• 5,000 employees
• > 8M citizens
• 140 medical doctors on staff
• 60+ laboratories
• 200 collection centres
• 70 / 30 Public / Private sector customer
split
• Provides a full Pathology Service:
• Anatomical Pathology
• Chemical Pathology
• Microbiology
• Haematology
• Immunology
• Transfusion
• Genomics
• Point of Care Testing

4. • 5 Laboratory Information Systems
• 9 Electronic Medical Records
• 9 Patient Administration Systems
• 2 Point of Care Testing Middleware solutions
• 430 Existing point to point integrations
• … No platforms or infrastructure team
The integration challenge

5. Start with a roadmap
Photo by Mohit on Unsplash
• Work with established enterprise goals
• Rationalise strategic platforms
• Decompose deliverables
• Gain an appreciation for your environment
• Place some bets on the future
• Everything will change
• Establish like-minded partnerships
• Build capability that can change too
• Deliver… Deliver… Deliver…

6. The evolving cloud architecture

7. • For digital, data is the platform
• Design for internet facing
• aka accessibility
• Design for distributed
• Design for beyond the enterprise
• Design for portability
• Design for proximity
• Design for logarithmic scale
• Design for disruption
Principles
Source: http://foodboozeshoes.blogspot.com/2013/06/so-long-sydney-monorail-farewell-tour.html

8. API Anatomy
Adapter
APIs
Audience
APIs
Infrastructure
Platform
APIs
Audience
APIs
Process
APIs
Enterprise
Application
Data Platform
Analytics
Messaging
Processing
Orchestration
API Gateway
Hyperscale
Database
Caching
Central Events
and Logs
Dashboards and
Alerts
Continuous
Delivery
Exploration
& Insights
Normalisation &
Augmentation
Data Governance &
Process Orchestration
Utility Platforms
DRY
Aggregation &
Authorisation

9. Logical Components
Analytics
Process
APIs
• Choose the right
technology for each
resource operation
• Can be separate physical
repos as a single logical
product
• Keep a single data
governance structure per
resource

10. Adapter APIs Process APIs
• Resource
Platform APIs Audience APIs
Cerner PathNet
Observations
• Diagnostic Report
• Observation
Auditing Pandemic SMS Results
Auslab
Patients
• Patient
• Clinical Encounter
User Profiles Pandemic Agent Portal
OmniLAB
Billing
• Account
• Charge Item
• Financial Encounter
Object Storage
Pandemic Population
Health
Examples

11. Component Type Management Group
Application Adapter APIs Application Support
Process APIs
Integration Competency Centre
Platform APIs
Audience APIs Digital Teams
Analytics Analytics Team
Ideal Capabilities

12. Digital Healthcare APIs
System
APIs
Process
APIs
Audience
(Experience)
APIs
Health System
Web / Mobile
App
Voice / Text Bot
App

13. COVID-19 Pandemic Response
Patient Portal
(Service NSW)
Process
APIs
Audience
(Experience)
APIs
System
APIs
Patient
Portal API
Flat file
Adapter
West &
Rural
District
HL7 MLLP
East
District
HL7
MLLP
North
District
HL7 MLLP
South
District
HL7 MLLP
All Pathology
Observations
Pandemic API
Service Centre
API
North LIS:
AUSLAB
FTPS / Azure
Blob
Results
South LIS:
Cerner Pathnet
East LIS:
OmniLAB
West & Rural LIS:
Cerner Pathnet
Voice and Text
API
Voice and Text bots
(Automation)
Service Desk
Pulls data from statewide
service desk, security
partners and Lab Info
Systems servicing
different geographic
regions
(HL7 MLLP)
Pandemic
Ingestion
Service
Orchestrates data across
the districts and surfaces
up required information for
the Pandemic response
Presents data in format
required by consuming
systems with appropriate
security model
Population Health
and Incident
Response
State Reporting
API
SecurityandAuditing
Childrens
HL7 MLLP
Childrens LIS:
Cerner Pathnet
Jira
Service
Desk
Symantec
VIP
User Profiles API
Jira
Service Desk
Symantec
VIP Strong Auth.

14. Great results…
automated
results sent
adoption rate
> 900,000 > 84%
to launch initial
COVID-19
solution
clinical man
days of effort
saved
2 weeks > 35,000< 24 hours
turnaround for
COVID-19
results

15. taking healthcare
to the edge

16. • Our IoT solution builds on our API backbone
to bring pathology and vital sign information
to clinicians 100s of kilometers away in real
time
• The information is also combined to trigger
continued analysis using clinical risk models
like sepsis detection
And combining edge
diagnostics

17. Thank you to our partners…