Healthcare interoperability is becoming a mandate and key differentiator as healthcare records become increasingly digitized. Patients’ electronic health records must be available, discoverable, understandable, and structured and secured to support interoperability, automated clinical decision making, and other machine-based processing actions. In the U.S, the Centers for Medicare and Medicaid Services (CMS) has published the “Interoperability and Patient Access final rule (CMS-9115-F)” that mandates patient information availability in HL7 Fast Healthcare Interoperability Resources (FHIR®) interoperability format by January and July of 2021. Whilst FHIR® based interoperability is a mandate for U.S based healthcare insurance, healthcare providers and their stakeholders, these healthcare interoperability standards are applicable for all healthcare organizations globally. WSO2 Open Healthcare is WSO2’s offering in the healthcare space which connects healthcare source systems in many formats including FHIR®, HL7, X12 and custom formats and translates, validates, and exposes them as US Core, Da Vinci, CARIN and FHIR international compliant FHIR APIs. The platform can be deployed on-premises or on the cloud/SaaS in VMs or containers. Our purpose built healthcare platform is built on our market leading API management, integration, and CIAM platforms to solve the most complex healthcare integration challenges. We’re now focusing on a partner driven go-to-market plan and strategic implementation partners for our healthcare solution. As such, we’d like to partner with qualified system integrators and value added resellers in the healthcare space. We’ve organized a webinar on the basics of the requirement, details of the solution, and how partners can engage with us. We’re calling all partners and system integrators with a healthcare practice to come join us on this exciting journey. Watch the on-demand webinar: https://wso2.com/library/webinars/wso2-open-healthcare-platform-targeting-the-u.s-cms-rule/

1. WSO2 Open Healthcare
API-driven Healthcare Integration Platform
Partner Briefing
https://wso2.com/solutions/healthcare/

2. Hello!
Mifan Careem
mifan@wso2.com
Nirmal Fernando
nirmal@wso2.com

3. WSO2 Company Portfolio

4. 4
600+ Employees
50% Engineering
500+ Customers
Around the world
(129 New in 2019)
Open Source
Flexible Deployment,
Faster Time To
Market
Since 2005
Founded in 2005,
Backed by Cisco and
Toba Capital
Global Presence
Colombo, New York,
London, Mountain
View, São Paulo,
Sydney, Berlin,
Mexico, Italy
Growth
20% YoY
WSO2 Company Portfolio

5. Start with API
management...
IDENTITY
SERVER
Secure and federated identity
for APIs and integration
100M identities managed
ENTERPRISE
INTEGRATOR
Quick, iterative integration of
apps, data, systems
6 trillion transactions/year
API
MANAGER
API design, creation, reuse,
governance, and analytics
20K APIs for 200K orgs
WSO2’s API-led Integration Platform
● Identity management
● Identity federation/SSO
● Identity bridging
● API and microservices
security
● Strong and adaptive auth
● Access control
● Privacy control
● IAM and security analytics
● API analytics
● API designer
● API gateway
● API micro gateway
● API publisher
● API storefront/marketplace
● API repository/registry
● ESB
● Integration designer
● Message broker
● Workflows
● Business rules
● Streaming engine
● Stream processing
● Integration analytics
SOLUTION: OPEN
BANKING
SOLUTION: OPEN
HEALTHCARE
Complement APIs with integration, security
and analytics to connect apps and data.

6. 6https://wso2.com/solutions/healthcare/

7. 7
Open Healthcare Platform

8. Compliance Regulatory Dates
8
The Interoperability and Patient Access
final rule (CMS-9115-F) was introduced by
the Centers for Medicare & Medicaid
Services (CMS) to enable better access to
health information for patients, improve
interoperability, and unleash innovation.
The finalized new policies will be enforced
on July 1, 2021.
Data to be exposed via FHIR APIs;
- Claims & Encounter data
- Clinical data
- Provider directory
- Drug formulary
CMS Rule

9. FHIR® API Integration for your Health Plan
WSO2 Open Healthcare provides a one stop solution for Healthcare Insurers to build a
CMS compliant API strategy in 3-6 months.
9

10. Stakeholder Map
10
Provider
Supplier
Patient
Payer Vendor
Govt.

11. 11

12. Partnership Opportunities
● Technology
⦿ Reselling the Solution, VAR
⦿ Integration Partners
⦿ Technology Partnership, OEM
● Services
⦿ Implementation Services
⦿ Consultancy Services
12https://wso2.com/partners/become-a-partner/

13. Solution Architecture

14. FHIR API Facade
(Real-time transformations)
FHIR repository based FHIR server
(can be slightly outdated)
14
The two main architectural patterns

15. FHIR API Facade
(Real-time transformations)
15
How WSO2 Open Healthcare can be used..

16. 16
How WSO2 Open Healthcare can be used..
FHIR repository based FHIR server
(can be slightly outdated)

17. Healthcare Accelerators

18. 18
Autogenerative FHIR data transformation connectors

19. 19
HL7v2 to FHIR automated data mapping
○

20. 20
Custom XML/JSON to HL7v2 visual data mapping

21. 21
Low code integrations

22. 22
Autogenerative FHIR API Definitions

23. 23
Expose APIs to third party application developers

24. 24
Data TransformationAPI Management
Accelerators - Snapshot
Connect Systems
FHIR Resource
Connectors
Cerner
Connector
Epic
Connector
FHIR Swagger 2.0
Definitions
FHIR OpenAPI 3.0
Definitions
FHIR Resource
Validation
Auto-generative FHIR
CapabilityStatement
OpenID Connect/
OAuth 2.0
Data
Services
HL7
Transport
more .. more .. more ..
X12 to FHIR
Mapping
HL7v2 to FHIR
Mapping

25. Use-case: Consumers Access their
Claims Data

26. 26
Demo Setup

27. © WSO2 2020 - All rights reserved
Demo

28. 28
Use Case - Sequence Diagram

29. Resources
29
● WSO2 Healthcare vertical page: https://wso2.com/solutions/healthcare/
● Open Healthcare - Demo and Tryout: https://wso2.com/solutions/healthcare/
● Introductory session on WSO2 Open Healthcare:
https://wso2.com/library/summit-2020/americas/towards-greater-interoperabil
ity-with-a-proven-integration-platform-and-FHIR.

30. Thanks!
Mifan: mifan@wso2.com; https://www.linkedin.com/in/mifan/
Team: healthcare-bizdev@wso2.com
Nirmal: nirmal@wso2.com; https://www.linkedin.com/in/nirmalfdo/