Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

B bon fhir_workshop

513 views

Published on

  • Be the first to comment

B bon fhir_workshop

  1. 1. BlueButton On FHIR Mark Scrimshire HHS/CMS 
 Entrepreneur-In-Residence @ekivemark Direct to the Consumer-Powered Health Revolution A"Baptism"of"FHIRConfirmation
  2. 2. @ekivemark Disclaimer The views expressed in this presentation are my own personal views and should not be construed as an official position of the US Department of Health and Human Services or the Centers for Medicare and Medicaid Services. 2
  3. 3. R LES HHS Entrepreneur
 -in-Residence Medyear CTO &
 Co-Founder HealthCa.mp Chief Instigator Ski Instructor Big Data & Cloud
 Technologist Health & Social Data Ninja @ekivemark
  4. 4. R LES HHS Entrepreneur
 -in-Residence Medyear CTO &
 Co-Founder HealthCa.mp Chief Instigator Ski Instructor Big Data & Cloud
 Technologist Health & Social Data Ninja @ekivemark
  5. 5. @ekivemarkhttp://healthca.mp Blue Button Unleashes Personal Data http://healthca.mp 2010 @ekivemark
  6. 6. 1.2M Unique Medicare Members @ekivemark
  7. 7. There are big opportunities 54,000,000Medicare Beneficiaries (2014 est.) @ekivemark@ekivemark
  8. 8. An Essential First Step @ekivemark …but it left the patient to do the heavy lifting
  9. 9. @ekivemark https://leicalady.files.wordpress.com/2010/08/annie@admiring@paintingsmall.jpeg People don’t want their data 
 for it’s own sake… @ekivemark
  10. 10. Our Health data 
 should be 
 a valuable tool
 we put to good use http://commons.wikimedia.org/wiki/File:Toolbox_(6788494881).jpg @ekivemark
  11. 11. A decision without Information… @ekivemark
  12. 12. A Tipping Point
 is coming… Consumer Industry Retail PHR Devices Genome EHR @ekivemark EIR PIF USDS
  13. 13. Fast Health Interoperability Resources @ekivemark
  14. 14. @ekivemark What"is" • A"Standards"Developing"Organization" • Accredited"by"the"American"National"Standards" Institute"(ANSI)" • Author"of"consensus@based"standards" • Representing"a"broad"view"from"healthcare" system"stakeholders HL7"compiled"a"collection"of"message"formats"and" related"clinical"standards"that"loosely"define"an"ideal" presentation"of"clinical"information • Adoption"of"version"3.0"since"2005"
 drove"a"“reset”"in"the"HL7"Community" • FHIR"is"the"result"of"that"“reset”" http://www.corepointhealth.com/ whitepapers/evolution4hl7
  15. 15. @ekivemark ARGONAUT What"is"the"Industry"doing"with"FHIR? athenahealth Beth Israel Deaconess Medical Center Cerner Epic Intermountain Healthcare Mayo Clinic MEDITECH McKesson Partners HealthCare System SMART 
 (Boston Children's Hospital 
 Informatics Program) The Advisory Board Company http://hl7.org/implement/standards/fhir/ 2015Jan/argonauts.html
  16. 16. @ekivemark What"is"FHIR? Secure" Transport Developer" Friendly Structured" Data
  17. 17. @ekivemark FHIR
 Think"of"it"as"an"International"
 common"Language"for"Health"
  18. 18. @ekivemark FHIR"Can"Publish"and"Consume"Data PROFILE
  19. 19. @ekivemark What"can"a"FHIR"Server"Do? • Its"all"in"the"Conformance"Statement http://fhir.bbonfhir.com:8080/ fhir@p/
 baseDstu2/metadata/
 $everything
 ?_format=json"
  20. 20. @ekivemark " " {" """""resourceType":"Conformance"," """""publisher":"Not"provided"," """""date":"2015@09@02T15:19:48@04:00"," """""software":{" """""""""name":"HAPI"FHIR"Server"," """""""""version":"1.0@SNAPSHOT"" """"}," """""implementation":{" """""""""description":"UHN"Test"Server"(DSTU2"Resources)"" """"}," """""fhirVersion":"0.5.0"," """""acceptUnknown":false," """""format":[" """""""""application/xml+fhir"," """""""""application/json+fhir"" """"]," Conformance:""What"and"How • JSON"or"XML"Description"of"the"Data"Profiles"and" the"Actions"each"profile"supports interaction":[" """"""""""""""""""""""""{"code":"vread”}," """"""""""""""""""""""""{"code":"update”}," """"""""""""""""""""""""{"code":"delete”}," """"""""""""""""""""""""{"code":"history@instance”}," """"""""""""""""""""""""{"code":"validate”}," """"""""""""""""""""""""{"code":"history@type”}," """"""""""""""""""""""""{"code":"create”}," """"""""""""""""""""""""{"code":"search@type”"}] GET"http://localhost:8080/fhir@p/baseDstu2/ Practitioner/32768"
  21. 21. @ekivemark Building"Blocks
 Primitives
  22. 22. @ekivemark Constructing" Resources • Identifier" • HumanName" • Address" • ContactPoint" • CodeableConcept
  23. 23. @ekivemark Resources:"Define"what"you"use P" A" T" I"
  24. 24. @ekivemark Codes"within"Codes
  25. 25. @ekivemark Cardinality 0..0 Not$used 0..1 Optional 0..* Optional$multiple 1..1 Required 1..* At$least$one [{"Address}",] “String”" Boolean" Integer {"CodeableConcept"}
  26. 26. @ekivemark Building"a"FHIR"Request https://fhir.bbonfhir.com:8080/" fhir@p/" Patient/" {123456}" ?parameters" [_id=123456]&" [date=>2015@02@14&date=<2015@06@30]&" [name:exact=Eve]&" [_format=json|xml] Base@url resourceType id https://www.hl7.org/fhir/ search.html
  27. 27. @ekivemark FHIR"Interactions • Read"" – GET"https://example.com/path/{resourceType}/{id}" • Search"" – GET"https://example.com/path/{resourceType}?search"parameters..." • History" – GET"https://example.com/path/{resourceType}/{id}/_history" • Operation" – GET"https://example.com/path/{resourceType}/{id}/${opname}" • Create>" – POST>https://example.com/path/{resourceType}$ • Update> – PUT>https://example.com/path/{resourceType}/{id}" • Delete>" – DELETE>https://example.com/path/{resourceType}/{id}> • Transaction> – POST>https://example.com/path/>> • (POST>a>transaction>bundle>to>the>system)
  28. 28. @ekivemark Implementing"FHIR • Identify"code"sets" • Publish"codeable"concepts" • Map"fields"to"Profile/Resource"elements" • Define"Legacy@FHIR"Integration" – Real"time"query" – Batch"ETL"
  29. 29. @ekivemark Links"to"know… • http://hl7@fhir.github.io/index.html" • https://github.com/jamesagnew/hapi@fhir
  30. 30. Explanation of Benefit HealthCare’s Great Oxymoron Proctology Exam for your wallet? @ekivemark
  31. 31. A New FHIR EOB Resource What is it? @ekivemark
  32. 32. Patient focused Self-contained Include reference Identifiers Include patient profile subset EOB = Adjudicated claim One claim = One EOB EOB has a GUID The EOB @ekivemark 1 2 3 4 5 6 7
  33. 33. @ekivemark DEMO/TOUR
  34. 34. BlueButtonOn FHIR #BBonFHIR@ekivemark
  35. 35. BlueButtonOn FHIR #BBonFHIR@ekivemark
  36. 36. BlueButtonMore than Claims #BBonFHIR@ekivemark
  37. 37. BlueButtonMore than Claims #BBonFHIR@ekivemark
  38. 38. BlueButtonMore than Claims #BBonFHIR@ekivemark
  39. 39. BlueButtonMore than Claims #BBonFHIR@ekivemark
  40. 40. BlueButtonMore than Claims #BBonFHIR@ekivemark
  41. 41. You Can Help… @CMSGOV I Support #BlueButton On #FHIR to @GetMyHealthData 
 /cc:@N_Brennan @ekivemark #NOPressure @ekivemark #BBonFHIR #NoPressure Help 
 improve 
 the codebase 
 on 
 GitHub
  42. 42. Do you want a Sneak Peak?@ekivemark
  43. 43. dev.bbonfhir.com@ekivemark
  44. 44. Working on OAuth2… Client Facing Application
  45. 45. dev.bbonfhir.com@ekivemark
  46. 46. dev.bbonfhir.com@ekivemark
  47. 47. Follow our progress, join us and contribute • Structured File Formats: • ( https://github.com/ekivemark/claims ) • BlueButton Text to JSON Converter: • ( https://github.com/ekivemark/python-bluebutton ) • BlueButton On FHIR • ( https://github.com/ekivemark/bbofuser ) • Developer Code of Honor: • ( http://2.healthca.mp/1GjOUsY ) • HL7 - FHIR • ( http://www.hl7.org/implement/standards/fhir/http.html ) @ekivemark
  48. 48. @ekivemark Mark Scrimshire HHS Entrepreneur-in-Residence (CMS) @ekivemark http://ekivemark.com mark.scrimshire@cms.hhs.gov 703.623.2789

×