The Fast Healthcare Interoperability Resources (FHIR) mandate, which created an API-based format for exchanging health data, has opened the door to a world of new efficiencies and patient-centric healthcare reform. With APIs as the foundational technology, FHIR enables healthcare IT to drive innovation that’s truly focused on the patient. Join the interactive webcast to learn about: - the current state of FHIR specs and the roadmap ahead - the purpose of the Argonaut Project - the role of an intelligent API platform for creating FHIR APIs - how to sign up for Apigee's sandbox and begin creating FHIR-enabled experiences Watch the video recording here: http://youtu.be/nvipUO71-wQ Listen to the podcast version here: http://bit.ly/1M7Qj9l

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

3. Josh C Mandel
Boston Children's Hospital
@JoshCMandel @SMARTHealthIT
Aashima Gupta
Apigee
@aashima1gupta
Today’s Speakers

4. 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
4

5. What is FHIR and why should we care?
5

6. Motivation: Let people with ideas...
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

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

8. SMART Platforms: Core Focus
Healthcare
Provider
1007 Certified EHRs
(for VDT, 2/10/2014)
{clinical data
authorization
authentication
UX
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

9. Substitutability = choice
Apps
Med
Manager
Cardiac
Risk
BP
Cen1les
SMART-­‐Enabled
EMR
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

10. Substitutability = re-use
Cardiac
Risk
SMART-­‐Enabled
PCHR
SMART-­‐Enabled
EMR
SMART-­‐Enabled
HIE
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

11. 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

12. Data Holder
EHR, Hospital,
Clinic, HIE,
Lab, Insurer, etc.
App
Decision 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

13. Data and UX: What we need!
FHIR Draft standard from HL7
Open CC0 License
Clinical models Resources in JSON
REST API Expressive queries
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

14. FHIR Draft standard from HL7
Open CC0 License
Clinical models Resources in JSON
REST 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

15. What is FHIR? Resources
~100+ "atomic" structures
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

16. What is FHIR? Datatypes
(Common structures for core meaning)
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

17. What is FHIR? Modeling Tools
("Meta" models used to describe resources)
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

18. 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

19. + 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: Community
Slides at bit.ly/sof-apigee-2015@JoshCMandel @SMARTHealthIT

20. Apigee’s Healthcare Vision

21. Harnessing information for Total Health
The 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

22. 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

23. Apigee’s proposed roadmap to value

24. Apigee’s Commitment and Affiliation
24
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

25. 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

26. 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 clients
Accelerate 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

27. Early Access Program next steps
27
Sign up for sandbox
1.
Join Apigee Healthcare Advisory Council
2.
Initiate Discovery
3.

28. 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.
28

29. Josh C Mandel
Boston Children's Hospital
@JoshCMandel @SMARTHealthIT
Aashima Gupta
Apigee
@aashima1gupta
Questions?

30. Thank you