Health Level Seven® International

HL7® FHIR® Applications Roundtable
Duke University School of Medicine, Durham, NC March 7-8, 2017



Sponsorship Opportunities

Special thanks to our sponsors

Presentation Schedule

Day 1: March 7

Session Time Description





HEART Pathway: An evidence-based FHIR app for chest pain care

Vinay Tannan, PhD



RIMIDI: Predictive Analytics for Diabetes
A FHIR integration with Cerner's app gallery and with HealtheLife patient portal.

Lucie Ide, MD, PhD



Green Circle Health Platform
Recent winner of health data aggregator challenge-allows family to manage life long health data, augment with personal health and activity data and build health and wellness plan to improve outcomes and well-being. Learn More

Dinesh Sheth



Encounter Inquiry API
Member Encounter Inquiry API: Cambia's business partners access this API to retrieve member/patient encounter data. This API is implmented using the public HAPI FHIR 2.2 library based on STU3 1.8.0 version. This API is deployed on the AWS Cloud and uses RDS MySQL as the persistence store for the FHIR repository. HL7 V2.5.1 ADT messages are ingested from several clinical clearinghouses, transformed into FHIR Encounter resources and loaded into the FHIR repository.

Amol Vyas and David Degandi



Role-Based Access Control FHIR Extension to Define and Enforce Security Policies on FHIR Resources for a Concussion Tracking mHealth Application Integrated with OpenEMR via FHIR
This project extends HAPI FHIR reference library with role-based access control on the CRUD APIs of FHIR Resources that are integrated with a Concussion Tracking mHealth Application that interacts with a FHIR interface to OpenEMR using resources Patient, Condition, Encounter, EpisodeOfCare, Observation, and CarePlan. Specifically, the InterceptorAdapter of HAPI FHIR is extended with a new interceptor class (AccessControlInterceptor) to support: definition of permissions on user by role to a subset of CRUD methods for each FHIR resource; and, enforcement of permissions that limit the authorized services to be executed by a user/role combination for access to allowed FHIR resources. Learn More

Mohammed Baihan

  10:00-10:30 BREAK



A FHIR-based Approach to Chemotherapy Order Templates
The National Comprehensive Cancer Network® (NCCN®), a not-for-profit alliance of 27 of the world's leading cancer centers devoted to patient care, research, and education, is dedicated to improving the quality, effectiveness, and efficiency of cancer care so that patients can live better lives. NCCN Chemotherapy Order Templates (NCCN Templates ®) is a compilation of information based on the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines ®) and the NCCN Drugs & Biologics Compendium (NCCN Compendium ®). The NCCN Templates include chemotherapy, immunotherapy, supportive care agents, monitoring parameters, and safety instructions. One of the challenges we have been faced with is making this information shareable, consumable and executable. With the understanding of what FHIR holds for the future, we have worked with our IT partners at IBM to implement FHIR architecture (using the PlanDefinition resource: into our NCCN Template software, to help our information to be better integrated into our EHR vendors' systems. Our vision is to lead the oncology effort at HL7/FHIR, and with these first steps would like to share at the conference what we have accomplished, the challenges and the successes of this work. Learn More

Mary Visceglia



Axway API Management
Launching at HIMSS 17: Axway API Management for Healthcare spans FHIR-enabled API creation, control and consumption, giving you the speed and agility you need to tackle interoperability challenges and accelerate digital patient engagement initiatives. Learn More

Joanna Gorovoy



Neonatal Bilirubin SMART on FHIR Clinical Decision Support System
Starting with a neonatal bilirubin visualization SMART on FHIR application developed by Intermountain Healthcare, University of Utah Health Care enhanced the application to provide clinical decision support based on American Academy of Pediatrics (AAP) guidelines for neonatal bilirubin management. The decision support is integrated using the FHIR Clinical Reasoning module. The application has been recognized by the ONC Provider User Experience Challenge with several awards. Learn More

Kensaku Kawamoto, MD, PhD



Digital Health Platform
Proof-of-concept for a Veterans Affairs Digital Health Platform. Learn More

Steve Rushing



Patient facing mobile app platform that connects with EHR systems (Cerner and Epic) using OAuth 2.0 to access FHIR Resources on these servers. Learn More

Raj Sharma



Connecting EHR and EDC for real depends on having a solid standard like FHIR, APIs to connect the systems, and industry expertise to bring them together.

Geoff Low

  12:00-1:30 Lunch with the  morning presenters at tables around the atrium for informal Q&A



A secure platform where consumers can manage and share their own medical records and information including insurances (with real-time eligibility information) and care team members. Learn More

Lori Mehen



Toolkit for rapid and visual development of SMART on FHIR apps. Learn More

Aziz Boxwala



Narus Health Compassion
Complex Care Service – Here at Narus Health, we have built our care management system and patient mobile application from the ground up using HL7 FHIR for our data model and API. Learn More

Rob Stokes



Datica Data Hub
The Datica Data Hub provides a way for healthcare organizations and vendors to combine data from disparate sources and data types (HL7 V2, X12, CDA) and exposes that data to applications via FHIR APIs. The Data Hub reduces the need to build the backbone of an HIS system or community data model from scratch, speeding the timeline for innovation.

Mark Olschesky



Duke Pillbox
The app teaches patients the skills for medication management and patient-provider communication for medication reconciliation and medication adherence. The app teaches patients skills required to identify and organize pills in a daily and weekly med-dosing schedule. The design features appropriate strategies to overcome health literacy barriers and optimize patient opportunities to communicate questions, concerns and misunderstandings regarding medication management with providers. Developed by DUHS in collaboration with MedAppTech, Duke Pillbox improves self-management through patient learning, communication and user-satisfaction outcomes in hospital, clinic and home settings. The Duke Pillbox solution captures and manages data from patient interactions in a continuous, reportable feedback loop to improve 1) communication for medication changes; 2) patient-reported side effects; 3) education for medication misses; 4) health literacy for medication management; 5) data capture for medication management and adherence over time. Learn More | Demo

Caroline Kilemi & Bradi Granger



FHIR profiling and localization application. Learn More

Rick Geimer

  3:00-3:30 BREAK



Full-featured, open-source terminology server now includes FHIR resources for code systems, value sets, and more. A Terminology service is a key part of a FHIR ecosystem. Learn More

John Gresh



Natural language voice-driven clinical reporting platform for FHIR, with real-time CQL base clinical decision support. Learn More

Richard Esmond



Auditing Adaptor connecting EDCs and EHRs via FHIR.

Amy Harris Nordo and Chet Corey



SyntheticMass and Synthea
SyntheticMass is a public FHIR server and tool hosting clinical data for one million synthetic simulated patients within Massachusetts. Learn More | Demo

Jason Walonoski



FHIR Apps for Bioresearch - iSpecimen, MUSC, HSSC
FHIR enabled mobile platform connecting bioresearchers to consented patients. Utilizing FHIR for connectivity between our applications, Apple ResearchKit, and REDcap biorsearcher databases.

Doug Williams; Christopher Metts, MD; and Leslie Lenert, MD



Directed Exchange -- CareEvolution myFHR - my Family Health Record, a FHIR enabled fully functional PHR. Learn More

Michele Mottini

  5:00-5:15 Awards: participants will be asked to vote for their favorite presentation via Poll Everywhere. 

Day 2: March 8

Session Time Description



a cloud FHIR platform for modern web and mobile healthcare applications. Learn More

Pavel Smirnov



Summit Exchange
Interface Engine that supports all industry standard. We will be demonstrating how our integration engine implements FHIR to help disparate systems connect with each other. We will look to take advantage of the ITI protocols (PIX/PDQ) with the idea of converting an HL7 2 message to a FHIR resource and vice versa. Learn More

Paul Actis



Health Summary Viewer
The Health Summary Viewer provides the ability for a health system to view patient data from patients outside their primary network.

Nathan Dryer and Aanchal Falken



FHIR Bundles
FHIR bundles are one the distinguishing advantages of the FHIR protocol over proprietary web APIs. This talk focuses on the practical application of FHIR bundles to enable fast loading of bulk proprietary data in CSV format with complex inter-relations. The project was a collaboration between iNTERFACEWARE using the Iguana integration engine and Kainos with their Kainos Evolve telemedicine platform that supports FHIR based APIs. The project highlights the present real commercial value of FHIR even when interfacing with older healthcare IT technology.

Eliot Muir



Clear Value Plus
Oncology Care - Value Based Care. Learn More

Hank Head



HSPC Sandbox
HSPC Sandbox: A personal instance of a SMART on FHIR platform in the cloud, complete with tools and sample data to help developers build and test health apps.

  • Create your own cloud-based sandbox, with a default data set, in a few clicks.
  • Invite a team to work inside your sandbox with you.
  • Run against your own FHIR server.
  • Create or import clinical data to test your apps.
  • Test apps by creating personas and launch scenarios.

The sandbox links to both the HSPC Developers site (for SDKs, guides, tutorials, samples, and forums) and the HSPC Gallery where you can show your app to the world using its live demo feature. Learn More

Rick Freeman

  10:00-10:30 Break



Vibrent Health: S4S – FHIR Application to connect Precision Medicine Initiative (PMI) to EHRs
Sync 4 Science (S4S) program will allow individuals to access their health data and send it to researchers. The pilot program will build off existing community standards and specification efforts (e.g., FHIR, SMART Health IT, Argonaut, CMS EHR Incentive Program) to support a key use case, giving patients an easy way to share their health data with researchers. EHR developers-including Allscripts, Athenahealth, Cerner, drchrono, Epic and McKesson-said they will embrace open specs including S4S APIs and FHIR to connect research apps to electronic health records software. Vendors will implement a "consistent, standards-based workflow," building on open specifications such as OAuth and HL7's FHIR protocol.

S4S goals include developing methods to facilitate individually-controlled clinical data donations to research, accelerate and guide the national ecosystem for patient-mediated data access through APIs thus allowing patients to access data via the application of their choice – giving patients more options to view, aggregate, and understand their health data and collecting information on individual participant preferences on alternative approaches for data donation.

Praduman Jain



Various uses of FHIR in low and middle income countries. Learn More

Luke Duncan



An app that integrates drug-gene and drug-drug interactions for medication therapy management. Learn More

Don Rule



Smile CDR
Smile CDR is a proven enterprise-class FHIR-based clinical data repository as a service. SMILE is a Clinical Data Repository (CDR) built around the HL7 FHIR standard. It is a proven enterprise-class FHIR-based Clinical Data Repository As A Service. It can power your applications and unlock your data. We are powered by HAPI, a well established platform that has been used to successfully integrate healthcare data for over 15 years. Our platform was developed to help organizations overcome data barriers. We support the entire FHIR specification in order to power the next generation of specialized healthcare apps. We support legacy data too with adaptors to other standards (HL7 V2.x, CDA, XML, etc). SMILE is designed to get you up and running quickly. Learn More

Duncan Weatherston



Sync for Science: Helping Patients Share their EHR Data with Researchers

Josh Mandel, MD



FHIR-based Death Reporting App Professor May Wang's Lab Developed for the CDC

Mark Braunstein, MD

  12:00-12:30 Lunch with the Wednesday presenters at tables around the atrium for informal Q&A



Our FHIR implementation framework named BonFHIR helps to build new FHIR API-based digital solutions for healthcare interoperability. Some of our healthcare interoperability use cases include: observation (lab) and diagnostic reporting (radiology); patient engagement solutions; medical device integrations; financial resources for eligibility, enrollments and claims activities; mobile healthcare applications; applications for remote monitoring devices and apps.

Sandeep Vyas



Iris Chatbot
Iris Chatbot enables a patient to schedule a doctor's appointment and order medication refills from within Facebook Messenger or iMessage. Learn More

Chris Sprague



Using FHIR as a Core Component of a National Interoperability Platform. Learn More

Peter Tippett



Consent forms App and Pediatric Blood Pressure Percentiles 2.0 App
The consent form app enables standardized electronic procedure consent completion. Blood pressure percentiles 2.0 is the new version of our popular BPC app. BP Centiles | Demo

Nikolai Schwertner