Aziz Boxwala, MD, PhD is the President of Elimu Informatics, Inc. a company with expertise in clinical decision-support and healthcare interoperability. Dr. Boxwala has authored and contributed to HL7 standards including FHIR. He will provide an overview of the SMART-on-FHIR specification for creating apps that integrate with electronic health record systems, describe how these apps can be used to meet different workflow needs and provide clinical decision support. He will demonstrate Sapphire, a tool for assembling SMART-on-FHIR apps rapidly using a drag-and-drop interface.

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Aziz Boxwala, MD, PhD
SMART on FHIR apps
FHIR Meetup LA 2019-06-05

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➔ The need for apps in healthcare applications
➔ What is SMART on FHIR
➔ SapphireTM
- a drag-and-drop app assembly tool
Outline
FHIR® is the registered trademark of HL7 and is used with the permission of HL7.” “The Flame Design mark is the registered trademark of HL7 and is used with the permission of HL7.
All product names, trademarks and registered trademarks are property of their respective owners.

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EHRs: one size fits all?
From: https://ihealth.islandhealth.ca

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Innovation
From: https://gallery.smarthealthit.org/

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Visualization
From: https://gallery.smarthealthit.org/

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Workflows
From: https://gallery.smarthealthit.org/

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SMART on FHIR apps
Apps connected to
EHR data
Free standing apps
/
Embedded in EHRs
Patients
/
Professionals

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Specification
Launch Authorization Scopes

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Launch

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Authorization

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Scopes
Clinical Context
patient/Patient.read
user/Appointment.write
patient/*.*
Identity
patient: “94921”
encounter: “39430”
openid
fhirUser

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EHR support for SMART on FHIR
➔ Development sandbox
◆ Open sandboxes for development and testing
◆ Paid memberships for more support
➔ EHR app stores
◆ App distribution channel
◆ Approval process for listing

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Resources
➔ App gallery
◆ https://gallery.smarthealthit.org/
➔ Spec
◆ http://www.hl7.org/fhir/smart-app-launch/index.html
➔ Source code
◆ https://github.com/smart-on-fhir/
➔ Development sandbox
◆ https://sandbox.hspconsortium.org/
➔ Conference
◆ https://www.hl7.org/events/fhir/devdays/2019/

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Sapphire Demo

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