Presented at: Open Source 101 - Columbia 2019 Presented by: Tom Wilson, JRS Coding School of TRHC April 17th, 2019 Columbia, SC, USA

1. SMART on FHIR
Open Source HealthCare IT is here!

2. Tom Wilson
Chief Technology Innovation Officer,
EVP Tabula Rasa HealthCare, Inc (TRHC)
@twilson63

3. Problem FHIR SMART
Specs Cloud Resources

4. Problem
The HealthCare
System is not Great!
Has technology
made it better?

5. A key issue is
interoperability

6. Problem FHIR SMART
Specs Cloud Resources

7. FHIR - Fast Healthcare Interoperability Resources
● Standard Resource definitions -
spec 80% - JSON/XML
● REST API
● Capability Discoverability
● Operations and Search features
● Common Workflow guides
● GraphQL Support
FHIR

8. Problem FHIR SMART
Specs Cloud Resources

9. SMART
● OAUTH2 / OpenID Connect
○ Authentication
○ Authorization Code Grant Type
○ Client Credentials Grant Type
● Launch Modes
○ Embedded Provider
○ Standalone Provider
○ Embedded Patient
○ Standalone Patient
○ Machine to Machine
○ CDS Hooks
SMART

10. Problem FHIR SMART
Specs Cloud Resources

11. Open
Specifications
Enable
open source

12. Common Language
OAUTH2, HTTPS REST and JSON are
common standards on the Web
SMART on FHIR embraces these
standards.Specs

13. Problem FHIR SMART
Specs Cloud Resources

14. Cloud Collaboration
With Google and
Azure

15. Cloud Collaboration
● Google Healthcare API - FHIR Store
● Azure API for FHIR
Data stores designed specifically to
store FHIR Resources
Quickly create secure HIPAA compliant
apps
Cloud

16. Problem FHIR SMART
Specs Cloud Resources

17. Resources to get started
- fhir.hl7.org
- docs.smarthealthit.org
- engineering.cerner.com/smart-on-
fhir-tutorial/
- bluebutton.cms.gov
- open.epic.com
- cds-hooks.org
- rxnav.nlm.nih.gov/RxNormAPIREST.
html
Resources

18. Let’s use
Open Source
To make HealthCare
Better.

19. Thank you!
Questions, @twilson63

20. Demo