Unlike the Wizard of OZ, there are no illusions being produced behind the curtain; with the FHIR standard these will be real. FHIR enables these levels of integration because it is based on API’s, making the company in the healthcare food-chain able to seamlessly integrate healthcare information into their business applications. FHIR also documents the necessary infrastructure and authentication standard to make sure that the integration is both seamless and secured.

1. Building the Foundation for Digital Innovation
Taming the FHIR of Healthcare with
IBM's API Connect
iSOA Group Webinar
April 23, 2019
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Bryon Kataoka, CTO, iSOA Group
bkataoka@isoagroup.com
www.isoagroup.com
(707) 773-1198 office (707) 338-2274 mobile
Cheryl Bertini, COO
cbertini@isoagroup.com
Brian Silverman, Sales & Marketing Leader
bsilverman@isoagroup.com

2. Building the Foundation for Digital Innovation
Company Background
• The iSOA Group, a Commerce Solutions, Inc. company, is a professional services consulting
firm in business since 1997. iSOA Group provides IT Foundation solutions that enables digital
innovation, by enabling companies to leverage their key services on premise and cloud
applications through API’s that are secured and integrated for a flexible digital eEnterprise.
• Since our inception in 1997, iSOA Group has been an IBM Business Partner with a team of
certified advisors focused on the technology of IBM® DataPower® Gateway, IBM API
Connect™, and hybrid cloud integration and ESB solutions.
• As a thought leader, we provide unique solutions and services that incorporate IBM solutions and
cloud offerings.
• iSOA Group is a reseller of IBM software, enabling our team to package a complete and cost-
effective solution for your business.
• Our core competencies include:
 IBM DataPower Gateway Appliances
 API Management Strategy and Solutions
 Hybrid Cloud integration supporting on premise and cloud based information.
 ESB and Integration solutions (IIB, App Connect)
 Foundation Solutions for Messaging (IBM MQ), and Applications (WebSphere)
 Training and On Demand Services
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3. Building the Foundation for Digital Innovation
Who is iSOA Group
• Presented more than 10 times at IBM Impact/InterConnect/Think
conferences on DataPower and APIM
• Participated with IBM in the development of IBM DataPower and
API Connect certification tests
• Presenting at IBM Tech Conference Apr 30-May 2, 2019 in TX.
• IBM recognized expert in DataPower/API Management with 100’s
of customers across multiple industries
• Over 14 years experience with DataPower since IBM acquisition
• Multiple / cross industry experience, with expertise in Healthcare
and Finance
• Training
• OnDemand Services for DataPower, API Connect, IIB, MQ and
WebSphere App Server
• Help Customers plan and implement the right toolset to move to
FHIR
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4. Building the Foundation for Digital Innovation
What is FHIR?
• FHIR is:
 About clinical information exchange
 “Resources” to represent clinical ‘things’
 A well defined API supporting all paradigms
 A community effort
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5. Building the Foundation for Digital Innovation
Architectures
• FHIR can be seen from many perspectives/contexts
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FHIR
PHR
App
FHIR
Interface
FHIR
v2 v3
conversion
DB

6. Building the Foundation for Digital Innovation
FHIR Resources
• “Resources” are:
 Basic Building Block. Small, logically discrete sharable units
 Defined behavior and meaning
 Known identity / location (URL)
 Smallest unit of transaction
 Solving wide range of healthcare related problems (clinical & Admin)
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Metadata
Resource
Narrative
Extensions
Elements
Extensions

7. Building the Foundation for Digital Innovation
Paradigms
• FHIR supports 4 interoperability paradigms
 REST interface
 Exchange Documents
 Send/Receive Messages
 Expose/Invoke Services
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REST Documents
Messages Services

8. Building the Foundation for Digital Innovation
IBM and Paradigms
• IBM provides & has enabling software that help integrate the FHIR
Paradigms
 API Connect
 Aspera
 Event Streams
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9. Building the Foundation for Digital Innovation
API Connect 4/23/19
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Built on Open Standards

10. Building the Foundation for Digital Innovation
Key Enablers
• API Connect provides
 REST services
 SMART on FHIR Security implementations
 OAuth2
 Client ID and Secret
 Additional security
• IBM Event Streams
 Supports Messages and Services
• IBM Aspera
 Provides high performance FTP resource exchange
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11. Building the Foundation for Digital Innovation
API Connect and FHIR 4/23/19
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Security
OAuth2
OIDC
SSL
ClientId/Secret
And many more
API
OpenAPI
Create
Model
Extend
Management
Dev Portal
Products
Plans
Analytics
API Documentation
API Testing
FHIR Resources
Transformation
JSON
XML
How API Connect support critical FHIR Integration and Interoperability

12. Building the Foundation for Digital Innovation
Security
• The API Connect security capabilities map up well with the SMART
Application Launch Implementation Guide.
 Supporting
 SSL/TLS
 OAuth2 and scopes
 App protection
 Support for public and confidential apps
 Registering with API Connect
• Ability to apply security to backend services
 Token switching
 Other security models
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Security
OAuth2
OIDC
SSL
ClientId/Secret
And many more

13. Building the Foundation for Digital Innovation
API Definitions
• API Connect utilizes the OpenAPI
specifications and implements OpenAPI
extensions that provide policies within an
Assembly feature that enhance the API
with additional security (eg. JWT) and
logic and transformation constructs to
supplement the FHIR resource requests.
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API
OpenAPI
Create
Model
Extend

14. Building the Foundation for Digital Innovation
Management
• When providing FHIR resource APIs to consumers
it is important that the APIs are managed. Some
of the capabilities you gain when utilizing API
Connect are:
 Analytics (for both Providers and Consumers)
 Versioning
 Rate-limiting
 API documentation and API testing from the
Developer Portal
 Management of clientId/secrets
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Management
Dev Portal
Products
Plans
Analytics
API Documentation
API Testing

15. Building the Foundation for Digital Innovation
FHIR Resources
• While you could use the transformation
capabilities of API Connect to perform
transformations, most likely that will be
accomplished with an ESB.
• What you can use API Connect to do is
manage routing to consumer specific
resources. For instance, not all resources will
contain all information for every consumer.
• Where resources reside you can use API
Connect to route the FHIR requests to the
appropriate server whether its on-premise or
on a cloud provider.
• API Connect supports the REST methods you
will need to create, read, update and delete
FHIR resources.
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FHIR Resources
Transformation
JSON
XML

16. Building the Foundation for Digital Innovation
Putting it Together 4/23/19
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• “The reason that everybody likes planning is that nobody
has to do anything.” ― Jerry Brown, Former Governor
of California
Plans for adopting FHIR implementation?
1. Start with a Workshop to sharpen the vision
1. Understand requirements/capabilities
2. Establish your infrastructure to support FHIR
1. API Management
2. On Premise/Cloud
3. Start small.
4. A simple “spark” to enable FHIR

17. Building the Foundation for Digital Innovation
Summary
• The FHIR standard supports 4 paradigms: REST, Documents,
Messages and Services
• API Connect supports the SMART on FHIR authentication use
cases
• API Connect provides you with additional capabilities to enhance
the routing, transformation and security of your FHIR APIs
• Customers need analytics and governance to ensure quality in their
FHIR endeavors.
• Start planning now.
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18. Building the Foundation for Digital Innovation
Want more?
• Reach out to iSOA to help formulate your strategy on FHIR.
• Visit our website to download the iSOA customer FHIR use case at:
https://www.isoagroup.com/case-studies/
Contact Cheryl Bertini to setup a consultation or to learn more:
(cbertini@isoagroup.com) 707-773-1198
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