Mark Scrimshire
HHS/CMS 

Entrepreneur-In-Residence
@ekivemark
An Update for Payers
October 2015
BlueButton	-	Next	Generation
@ekivemark
Disclaimer
The views expressed in 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
• Centers for Medicare & Medicaid Services.
2
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
@ekivemarkhttp://healthca.mp
Blue Button
Unleashes Personal Data
http://healthca.mp
2010
@ekivemark
1.2M
Unique Medicare Members
@ekivemark
There are big opportunities
54,000,000Medicare Beneficiaries (2014 est.)
@ekivemark@ekivemark
An Essential First Step
@ekivemark
…but it left the patient to
do the heavy lifting
@ekivemark
https://leicalady.files.wordpress.com/2010/08/annie-admiring-paintingsmall.jpeg
People don’t want
their data 

for it’s own sake…
@ekivemark
Our Health data 

should be 

a valuable tool

we put to good use
http://commons.wikimedia.org/wiki/File:Toolbox_(6788494881).jpg
@ekivemark
BlueButton Vision
“Build a Developer-friendly, Standards-based data API
that enables beneficiaries to connect their data to the
applications, services and research programs they trust”
Fast Health
Interoperability
Resources
@ekivemark
@ekivemark
What	is	FHIR?
Secure	
Transport
Developer	
Friendly
Structured	
Data
Trust & Familiarity@ekivemark
BlueButtonCan be More than
Claims #BBonFHIR@ekivemark
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
A New FHIR EOB
Resource
What is it?
@ekivemark
dev.bbonfhir.com@ekivemark
dev.bbonfhir.com@ekivemark
Follow our progress, join us and contribute
• BlueButton Text to JSON Converter:
• https://github.com/ekivemark/python-bluebutton
• BlueButton On FHIR
• https://github.com/ekivemark/bbofuser
• HL7 - FHIR
• http://www.hl7.org/implement/standards/fhir/http.html
• HL7 - WIKI
• http://hl7-fhir.github.io/index.html
• HAPI Server:
• https://github.com/jamesagnew/hapi-fhir
@ekivemark
@ekivemark
Mark Scrimshire
HHS Entrepreneur-in-Residence
(CMS)
@ekivemark
http://ekivemark.com
mark.scrimshire@cms.hhs.gov
703.623.2789

BlueButtonOnFHIR - Payer Briefing