2017 HL7® FHIR® Applications Roundtable

Health Level Seven^® International

HL7® FHIR® Applications Roundtable

New Orleans, Louisiana	December 6-7, 2017

Presentations

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Day 1: December 6

	Time	Description	Link
A-1	1:30-1:45	MyLinks.com First Place winner of the ONC Consumer Health Data Aggregator Challenge - Phase II allows patients to import and aggregate their full common clinical data set via FHIR Debi Willis, PatientLink Enterprises, Inc.	Presentation Video
A-2	1:45-2:00	1) Patient Portal App Using FHIR 2) Model iOS and Android FHIR Apps 1) Enable patient to download CCDA using FHIR services and push to Apple Health or email to outside provider (using Direct Messaging) 2) Model FHIR-based apps for Android and iOS to serve as foundations of other custom apps Ray Duncan, Cedars-Sinai Health System	Presentation Video
A-3	2:00-2:15	Protocol First (P1) Protocol First offers Next Gen Clinical Trial Execution Software, with an end-to-end EDC Platform purpose-built for complex trials, especially Pharmacogenomics and Immuno-Oncology. P1 addresses trial complexity using a proprietary eProtocol format to model the most complex protocols whether single trial or combination trials (basket/master or umbrella/platform protocols). P1 offers a multimodal eCRF tool that can collect all 5 eSource modalities, including EHR/EMR data acquisition, upload of certified copies, direct data entry and third-party data such as central labs, wearables/devices or ePRO/eCOA. P1 leverages industry standards for import (EHR FHIR / CDISC LAB and ODM) and export (CDISC SDTM). Hugh Levaux, Protocol First, Inc	Presentation Video
A-4	2:15-2:30	TIBCO Connected Intelligence Platform for FHIR FHIR-based solution for payers to obtain electronic health records in support of Claims Attachments, Prior Authorizations, Risk Adjustment and more. While HIPAA mandates the protocol to use for exchanging eligibility, claim, prior authorization and payment data between providers and payers, there currently is no mandate around how providers and payers should exchange electronic health records. These records are necessary to further determine whether or not a procedure or service is authorized, a claim should be paid, a risk score is accurate, in addition to other uses. This application demonstrates two scenarios for obtaining electronic health records via FHIR: 1) A manual process in which someone from the payer side initiates the request, for example, in the case of risk adjustment. Insurance companies that offer Medicare Advantage (MA) plans can receive more accurate payments from CMS (Center for Medicare and Medicaid Services) for the healthcare expenditures of its members. Payments are adjusted based on the health status of the plan’s members. When the health status of a patient is different than originally predicted, the insurance company will receive an adjusted payment from CMS. After a patient’s file is reviewed and is determined that additional information is needed to substantiate a higher-risk diagnosis, the payer can utilize the TIBCO solution for requesting the patient records. 2) An automatic request that is triggered based on data in an EDI file, such as the need for additional information to pay a claim. In such a scenario, a particular diagnosis code which is identified as always needing additional is detected in the HIPAA 837 claim data by the TIBCO solution and activates a FHIR API to retrieve the necessary medical records which are stored and viewed in a dashboard to identify patients that are considered high risk. More broadly, the application shows how: TIBCO’s Connected Intelligence Platform has the ability to digitize the way Payers operate by letting them incorporate multiple digital channels. A clear benefit of this capability to seamlessly & securely connect to any external FHIR API is how it can change the way Payers obtain electronic health records and utilize the data to improve their business processes and enrich their product offering. Payers will now have the ability to empower its employees with the tools and the information to easily make informed and decisive decisions on risk profiling, claim approvals, fraud detections, and many other factors. Beth Spears, TIBCO Software Inc	Presentation Video
A-5	2:30-2:45	Pharmacist Care Plan CDA FHIR Transforms The bidirectional CDA FHIR transforms were created under an ONC high impact pilot grant. They take CDA Care Plan documents and convert them to FHIR Care Plan documents and related resources. The reverse transform allows implementers to author FHIR documents and can convert them to CDA for compliance with existing standards and regulations. Kanwarpreet Sethi & Eric Parapini, Lantana Consulting Group	Presentation Video
A-6	2:45-3:00	MyLegacy MyLegacy is a FHIR app designed for use by patients and their primary care doctors to capture a standardized family health history and determine genetic risk. This app was developed by the Genomics Institute of the Cleveland Clinic and (currently) incorporates proprietary algorithms to risk stratify for 12 manageable familial and hereditary genetic conditions, representing the total sum of genetic and genomic factors combined with environmental factors. This web based app provides the physician with a family pedigree and detailed risk analysis within the EMR, enabling a systematic method for interpreting genetic information. Additional algorithms are scheduled to be added. Tim Morris & Mike Speck, Family Care Path	Presentation Video
B-7	3:30-3:45	FHIR Adaptor Clarity’s FHIR adaptor enables healthcare practices, providers and payers to quickly ingest and parse vast amounts of clinical data. We provide these businesses with the necessary toolkit to quickly make sense of the clinical data received, and become FHIR compliant data providers. Our framework validates clinical components against HL7 standards, ingests them into a data lake, transforms them into FHIR compatible resources and integrates them into a relational database. The platform is built on top of Hadoop, complete with the components of modern data architecture. This cuts down on storage and maintenance costs and sets up the organization for the meaningful use and analysis of clinical data. Omar Shaker, Clarity Insights	Presentation Video
B-8	3:45-4:00	Medical Risk Calculators / Pediatric Forms Medical Risk Calculators is a new generation patient engagement tool which provides an interactive environment for exploring risk scores and motivating patients. Pediatric Forms enables patients to complete and submit their responses to common medical questionnaires while waiting at the office or from home using common touch devices. Nikolai Schwertner, Interopion (formerly MedAppTech)	Presentation Video
B-9	4:00-4:15	My Care Guide iOS App My Care Guide is a mobile app for iPhone and iPad that puts you at the center of defining and participating in a person-centered care plan with a long-term view for wellness guided by your personal team of doctors, therapists, and other caregivers. My Care Guide is based on three complementary technologies that are uniquely suited for putting the person at the center of wellness and care planning: HL7 FHIR®© standard for EHR interoperability, CDS Hooks for providing real-time guidance on your progress, and the Apple CareKit™ framework. Person-centered care for women, with initial focus on maternity care, is the first clinical application for My Care Guide app pilot testing. Dave Carlson, Clinical Cloud Solutions, LLC	Presentation Video
B-10	4:15-4:30	HVBP Real-Time Auditing Data-driven clinical governance framework based on HL7/FHIR. The purpose of which is to better monitor real-time quality and safety performance allowing healthcare organizations to better enable their care teams to consistently deliver superior patient outcomes, resulting in better overall population health. Nadav Lankin, Efficacy Care R&D Ltd	Did Not Appear
B-11	4:30-4:45	iSpecimen Marketplace We accelerate bioresearch by linking to patient and biospecimen data via FHIR to our hospitals, labs, and biorepository partners. Doug Williams, iSpecimen	Presentation Video
B-12	4:45-5:00	Clinical Data Repository for South Carolina Hospitals HSSC and Smile CDR have developed a FHIR based Clinical Data Repository infrastructure which spans several facilities. In this architecture, each facility is able to have a dedicated repository of clinical data which is populated in realtime based on feeds from various hospital EHR systems. Hospital data is normalized into FHIR Patient, Encounter, Condition, Observation, and other resources. This data infrastructure is then combined with an EMPI to provide standardized research data reporting, and to enable SMART on FHIR based apps with a longitudinal view of data across institutions. Dr Leslie Lenert & James Agnew, Health Sciences South Carolina & Smile CDR	Presentation Video

Day 2: December 7

	Time	Description	Link
C-13	9:00-9:15	Centricity Healthcare Connections Centricity Healthcare Connections - Our FHIR Story Kedar Ganta, GE	Presentation Video
C-14	9:15-9:30	MyMipsScore MyMipsScore empowers healthcare organization of all sizes to excel under value based reimbursement models with tools to understand, analyze and maximize their MIPS score. Although MyMipsScore supports all current reporting formats to meet CMS requirements, we are piloting a FHIR based quality reporting framework. As outlined in the overview article below, this approach would align healthcare data exchange initiatives with mandatory quality reporting and help in better understanding and support for FHIR standard. We are eager to share this with the FHIR community to accelerate the FHIR standard adoption. Pawan Jindal, MD, MyMipsScore LLC	Presentation Video
C-15	9:30-9:45	RexRegistry RexRegistry is a clinical data registry platform that leverages FHIR for data interchange, data storage, and dynamic data transformation. Philip Langthorne, Prometheus Research, LLC	Presentation Video
C-16	9:45-10:00	FHIRBot FHIRBot is a conversational chatbot to interact with any FHIR compliant server to obtain or update medical record data using natural conversations and commands. The BOT architecture is comprised of a network of services and mirco services, including: An STU3 FHIR Server hosted and backed by Microsoft Azure CosmosDB, Microsoft Azure BOT Framework service, a secure skype channel, a secure web channel and Azure AI/Cognitive services (Language Understanding Intelligence Service) to ascertain user intent. A sample data monitor application looking for changes to the FHIR server is also presented. Steven Ordahl, Microsoft	Presentation Video
C-17	10:00-10:15	SMART on FHIR Medication Reconciliation Medication reconciliation using SMART on FHIR app, CDS Hooks service, and FHIR terminology services. Aziz A Boxwala, Elimu Informatics Inc.	Presentation Video
C-18	10:15-10:30	Evolve Integrated Care Evolve Integrated Care is our new cloud-only, multi-tenant platform designed from the ground up around FHIR, enabling healthcare organisations to automate clinical care pathways and seamlessly integrate with the system of record. We use FHIR as main data repository for all applications we build on the Evolve platform and in addition we use FHIR as the mechanism for us to exchange information with the relevant system of record. We are currently live and using this FHIR based platform in both the UK and the NHS across 100 hospitals helping to automate a range of clinical care pathways including stroke, behavioural health and urgent care. Alastair Allen, Kainos Evolve	Presentation Video
D-19	11:00-11:15	Knartwork Integrated knowledge environment for HL7 KX and FHIR Clinical Reasoning Preston Lee, Arizona State University	Presentation Video
D-20	11:15-11:30	Patient Education Genius Patient Education Genius is a paperless patient education service that synchronizes healthcare providers’ daily patient engagement and education efforts with their payer requirements for patient-centered care. Tom Hartle, CoherentRx	Presentation Video
D-21	11:30-11:45	HealthShare Information Exchange Bringing new lift to legacy data with a FHIR-Enabled Health Information Exchange Jessica Jowdy, InterSystems Corp.	Presentation Video
D-22	11:45-12:00	DoseMe DoseMeRx is the world’s first easy-to-use, real-time precision dosing software designed for clinicians to predict the optimal dose of medications that require therapeutic drug monitoring. DoseMe is on FHIR and very SMART, however is equally comfortable being used as a stand-alone solution clinicians can access via the web or as an app on their mobile device. Charles Cornish, DoseMe, CEO	Presentation Video
D-23	12:00-12:15	MINA Health Creation of a standard Personal Health Record smartphone application for international use will improve communication, ease of transfer of information leading to improved quality of care and cost savings. MINA is currently focusing on standardization and interoperability. We have standardized the health history and revolutionized the PHR as a means for communication. We have also unlocked a patent pending method for translation. Our API, is using the standard of FHIR release 3 (STU) for data field directory and integration. Since MINA is untethered, we can work cohesively with all EMR systems with the FHIR standard being our foundation for integration. Kenneth Hill, MD, FAANS, WonderHealth, LLC	Presentation Video
D-24	12:15-12:30	Meducation Patient-specific (Sig-based) medication instructions at 5-8th grade reading level & 20+ languages. Lori McLean, First Databank	Presentation Video
E-25	1:30-1:45	Juxly Timeline With straightforward chronological ordering, natural filters, and readily accessible details, Juxly Timeline shows providers the patient information they need in a way that supports their workflow. Providers can expand details, filter results, and easily find all the data you need to easily make fully informed health care decisions. Office visits, procedure notes, lab results, X-Ray reports, and more are all viewable at the click of a button, helping providers to focus their time on patient care instead of searching for information across multiple screens. Juxly Timeline gives providers more time to spend caring for their patients. Howard Follis, Juxly	Presentation Video
E-26	1:45-2:00	Iguana Integration Engine / Caredove iNTERFACEWARE partnered with Caredove, a patient referral management platform provider, to create a FHIR-based interface between the Caredove application and an eReferral portal. For this project, the Iguana integration engine was used to automatically retrieve referrals and translate the custom API resources into valid FHIR resource bundles for consumption by the Cardove application. Once patients book their appointments, outbound FHIR bundles containing appointment information is translated to be sent by to the eReferral portal. The project highlights the real-world usage of FHIR within the area of Care Coordination and demonstrates the translation to and from arbitrary data models into FHIR. Mike St. Jacques, iNTERFACEWARE Inc.	Presentation Video
E-27	2:00-2:15	Patient Data Validation Using an Open Source FHIR Terminology Service (TS) To achieve meaningful interoperability, data must not only be transmitted safely and purposefully, but it also must be useful. Validation of the data by a FHIR TS can help ensure that the data is usable by confirming that the coded data is valid in the receiving system. Apelon's web-based validation application, powered by our open source Distributed Terminology Service (DTS) using FHIR Terminology Services, aims to provide the means to improve interoperability through validating coded data within FHIR resources and providing additional functionality for determining semantic equivalency. John Gresh, MS, Apelon, Inc.	Presentation Video
E-28	2:15-2:30	Helping Manage Chest Pain in the Emergency Department Using EHR/HIE Integration We are working on a project to help clinicians manage chest pain in the emergency department (ED) by integrating electronic health record (EHR) and health information exchange (HIE) information. At present, we are working on integrating several high-value information items from the HIE directly into the clinical workflow in Cerner using a FHIR-based interface. Titus Schleyer, DMD, PhD, Indiana University/Regenstrief Institute	Presentation Video
E-29	2:30-2:45	Advanced Wound Documentation Tissue Analytics' flagship product is a telehealth system (smartphone application and web application) that uses cutting edge machine learning algorithms to perform automated and objective analysis of chronic wounds and other skin conditions. The product uses FHIR to integrate with hospital EMR's from end-to-end, streamlining data collection and drastically improving the care continuum for wound patients. Joshua Budman, Tissue Analytics, inc.	Presentation Video
E-30	2:45-3:00	VisualDx Diagnostic clinical decision support integrated into the EHR using SMART on FHIR. In production at many Cerner user sites. Will present a new interface for visualizing medication reactions. Art Papier MD, CEO, VisualDx	Presentation Video