Download as PDF, PPTX
![@ekivemark
CMS FHIR Patient Profile
https://api.bbonfhir.com/api/v1/Patient?_format=json
{"resourceType":"Patient",
"id":"421118",
"meta":{
"versionId":"1",
"lastUpdated":"2016-03-22T16:38:17.578-04:00"},
"identifier":[
{
"system":"CCW_BENE_CRNT_VW.BENE_ID",
"value":"0"}],
"name":[{
"family":["00013D2EFD8E45D1"],
"given":["f5"]}
],
"birthDate":"1923-05-01",
"address":[{
"line":["1625 N GEORGE MASON DR, 344, ARLINGTON, VA",
“222053683”]
}
]
}](https://image.slidesharecdn.com/bbonfhir-hxrefactored-2016-160520150625/85/BlueButton-on-FHIR-HxRefactored-2016-19-320.jpg)
![@ekivemark
CMS Blue Button Claim Profile
https://api.bbonfhir.com/api/v1/ExplanationOfBenefit?_format=json
{"resourceType":"ExplanationOfBenefit",
"id":"421383",
"meta":{"versionId":"1",
"lastUpdated":"2016-03-22T16:38:17.578-04:00"},
"identifier":[{"system":"CCW_PDE_FACT.PDE_ID",
"value":"233324492503674"}],
"provider":{"reference":"Practitioner/421386"},
"prescription":{"reference":"MedicationOrder/421384"},
"patient":{"reference":"Patient/421118"},
"coverage":{"coverage":{"reference":"Coverage/421134"}},
"item":[{"sequence":1,
"type":{"system":"http://hl7.org/fhir/v3/ActCode",
"code":"RXDINV"},
"servicedDate":"2008-12-05",
"adjudication":[{"category":{"system":"CMS Adjudications",
"code":"Patient Pay Amount"},
"amount":{"value":10,"system":"USD"}},
{"category":{"system":"CMS Adjudications",
"code":"Total Prescription Cost"},
"amount":{"value":350,"system":"USD"}
}]
}]
}](https://image.slidesharecdn.com/bbonfhir-hxrefactored-2016-160520150625/85/BlueButton-on-FHIR-HxRefactored-2016-20-320.jpg)
Uploaded byMark Scrimshire
BlueButton on FHIR - HxRefactored 2016
The document discusses the CMS Blue Button initiative, which allows Medicare beneficiaries to access and download up to three years of claims data, enabling consumer-directed health data management. It emphasizes the creation of a developer-friendly API to connect beneficiaries' data with trusted applications and services, promoting health data interoperability. The document also highlights the use of FHIR standards for developing APIs and mentions various resources and tools related to the Blue Button initiative.
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BlueButton on FHIR - HxRefactored 2016
- 1. Enabling Consumer-Directed HealthData at CMS
- 2. IS HE? @ekivemark WH Mark Scrimshire CMSBlueButton Innovator http://ekivemark.com mark.scrimshire@newwave.io 703.623.2789
- 4. @ekivemark Disclaimer The views expressedin this presentation are my own personal views and should not be construed as an official position of: • US Department of Health and Human Services or • The Centers for Medicare & Medicaid Services.
- 5. @ekivemark 20–30k Downloads/Month • Hospital • Physician •Prescription drugs Federally Inspired Blue Button Community • VA • DoD (TRICARE) • CMS 2xtext downloadsBeneficiaries can download up to 3 years of claims data Private sector applications already ingest, optimize, and visualize data from Blue Button text files @ekivemark
- 6. @ekivemark Unique Medicare Memberssince 2010
- 7. There are bigopportunities… 54,000,000Medicare Beneficiaries (2014 est.) @ekivemark 29,000,000MyMedicare Portal Users
- 8. An Essential FirstStep @ekivemark …but it left the patient to do the heavy lifting
- 9. BlueButton Vision “Build aDeveloper-friendly, Standards-based data API that enables beneficiaries to connect their data to the applications, services and research programs they trust”
- 10. @ekivemark Why create anAPI when the Industry has done that? @ekivemark
- 11.
- 12. @ekivemark CMS Blue Buttonon FHIR + @ekivemark
- 13.
- 14. @ekivemark Making a contributionto the FHIR Community CMS Synthetic Public Use Files (SYN-PUF) FHIR Patient ExplanationOfBenefit 11K Patient Profiles 1.1M EOB Profiles
- 15.
- 16.
- 17. @ekivemark And the Winnerswere: @POC
- 18.
- 19. @ekivemark CMS FHIR PatientProfile https://api.bbonfhir.com/api/v1/Patient?_format=json {"resourceType":"Patient", "id":"421118", "meta":{ "versionId":"1", "lastUpdated":"2016-03-22T16:38:17.578-04:00"}, "identifier":[ { "system":"CCW_BENE_CRNT_VW.BENE_ID", "value":"0"}], "name":[{ "family":["00013D2EFD8E45D1"], "given":["f5"]} ], "birthDate":"1923-05-01", "address":[{ "line":["1625 N GEORGE MASON DR, 344, ARLINGTON, VA", “222053683”] } ] }
- 20. @ekivemark CMS Blue ButtonClaim Profile https://api.bbonfhir.com/api/v1/ExplanationOfBenefit?_format=json {"resourceType":"ExplanationOfBenefit", "id":"421383", "meta":{"versionId":"1", "lastUpdated":"2016-03-22T16:38:17.578-04:00"}, "identifier":[{"system":"CCW_PDE_FACT.PDE_ID", "value":"233324492503674"}], "provider":{"reference":"Practitioner/421386"}, "prescription":{"reference":"MedicationOrder/421384"}, "patient":{"reference":"Patient/421118"}, "coverage":{"coverage":{"reference":"Coverage/421134"}}, "item":[{"sequence":1, "type":{"system":"http://hl7.org/fhir/v3/ActCode", "code":"RXDINV"}, "servicedDate":"2008-12-05", "adjudication":[{"category":{"system":"CMS Adjudications", "code":"Patient Pay Amount"}, "amount":{"value":10,"system":"USD"}}, {"category":{"system":"CMS Adjudications", "code":"Total Prescription Cost"}, "amount":{"value":350,"system":"USD"} }] }] }
- 21. @ekivemark Get to knowthe FHIR Rest API https://api.bbonfhir.com/api/v1/Patient https://api.bbonfhir.com/api/v1/ExplanationOfBenefit ?_format=json|xml &{Search_parameters}
- 22. @ekivemark Patients take ownershipof their data I Authorize
- 23.
- 24. @ekivemark Keep Up ToDate http://go.cms.gov/bluebutton
- 25. Mark Scrimshire CMS BlueButtonInnovator @ekivemark http://ekivemark.com mark.scrimshire@newwave.io 703.623.2789