B bon fhir_workshop
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This document discusses BlueButton On FHIR, which aims to provide patients access to their health data through the FHIR standard. It describes FHIR and how it can be used to publish and consume healthcare data. It also demonstrates interactions with a FHIR server through examples and provides information on implementing FHIR applications and following the project's progress on GitHub. The overall goal is to empower patients with their health information through an open standard.
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B bon fhir_workshop
- 1. BlueButton On FHIR Mark Scrimshire HHS/CMS Entrepreneur-In-Residence @ekivemark Direct to the Consumer-Powered Health Revolution A"Baptism"of"FHIRConfirmation
- 2. @ekivemark Disclaimer The views expressed in this presentation are my own personal views and should not be construed as an official position of the US Department of Health and Human Services or the Centers for Medicare and Medicaid Services. 2
- 3. 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
- 4. 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
- 5. @ekivemarkhttp://healthca.mp Blue Button Unleashes Personal Data http://healthca.mp 2010 @ekivemark
- 7. There are big opportunities 54,000,000Medicare Beneficiaries (2014 est.) @ekivemark@ekivemark
- 8. An Essential First Step @ekivemark …but it left the patient to do the heavy lifting
- 9. @ekivemark https://leicalady.files.wordpress.com/2010/08/annie@admiring@paintingsmall.jpeg People don’t want their data for it’s own sake… @ekivemark
- 10. Our Health data should be a valuable tool we put to good use http://commons.wikimedia.org/wiki/File:Toolbox_(6788494881).jpg @ekivemark
- 12. A Tipping Point is coming… Consumer Industry Retail PHR Devices Genome EHR @ekivemark EIR PIF USDS
- 14. @ekivemark What"is" • A"Standards"Developing"Organization" • Accredited"by"the"American"National"Standards" Institute"(ANSI)" • Author"of"consensus@based"standards" • Representing"a"broad"view"from"healthcare" system"stakeholders HL7"compiled"a"collection"of"message"formats"and" related"clinical"standards"that"loosely"define"an"ideal" presentation"of"clinical"information • Adoption"of"version"3.0"since"2005" drove"a"“reset”"in"the"HL7"Community" • FHIR"is"the"result"of"that"“reset”" http://www.corepointhealth.com/ whitepapers/evolution4hl7
- 15. @ekivemark ARGONAUT What"is"the"Industry"doing"with"FHIR? athenahealth Beth Israel Deaconess Medical Center Cerner Epic Intermountain Healthcare Mayo Clinic MEDITECH McKesson Partners HealthCare System SMART (Boston Children's Hospital Informatics Program) The Advisory Board Company http://hl7.org/implement/standards/fhir/ 2015Jan/argonauts.html
- 22. @ekivemark Constructing" Resources • Identifier" • HumanName" • Address" • ContactPoint" • CodeableConcept
- 25. @ekivemark Cardinality 0..0 Not$used 0..1 Optional 0..* Optional$multiple 1..1 Required 1..* At$least$one [{"Address}",] “String”" Boolean" Integer {"CodeableConcept"}
- 27. @ekivemark FHIR"Interactions • Read"" – GET"https://example.com/path/{resourceType}/{id}" • Search"" – GET"https://example.com/path/{resourceType}?search"parameters..." • History" – GET"https://example.com/path/{resourceType}/{id}/_history" • Operation" – GET"https://example.com/path/{resourceType}/{id}/${opname}" • Create>" – POST>https://example.com/path/{resourceType}$ • Update> – PUT>https://example.com/path/{resourceType}/{id}" • Delete>" – DELETE>https://example.com/path/{resourceType}/{id}> • Transaction> – POST>https://example.com/path/>> • (POST>a>transaction>bundle>to>the>system)
- 28. @ekivemark Implementing"FHIR • Identify"code"sets" • Publish"codeable"concepts" • Map"fields"to"Profile/Resource"elements" • Define"Legacy@FHIR"Integration" – Real"time"query" – Batch"ETL"
- 30. Explanation of Benefit HealthCare’s Great Oxymoron Proctology Exam for your wallet? @ekivemark
- 31. A New FHIR EOB Resource What is it? @ekivemark
- 32. 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
- 41. You Can Help… @CMSGOV I Support #BlueButton On #FHIR to @GetMyHealthData /cc:@N_Brennan @ekivemark #NOPressure @ekivemark #BBonFHIR #NoPressure Help improve the codebase on GitHub
- 42. Do you want a Sneak Peak?@ekivemark
- 44. Working on OAuth2… Client Facing Application
- 47. Follow our progress, join us and contribute • Structured File Formats: • ( https://github.com/ekivemark/claims ) • BlueButton Text to JSON Converter: • ( https://github.com/ekivemark/python-bluebutton ) • BlueButton On FHIR • ( https://github.com/ekivemark/bbofuser ) • Developer Code of Honor: • ( http://2.healthca.mp/1GjOUsY ) • HL7 - FHIR • ( http://www.hl7.org/implement/standards/fhir/http.html ) @ekivemark