New policies, technology advances, and evolving customer expectations are altering the healthcare landscape. At the heart of all this lies the interoperability of patient data. The Apigee Health APIx solution accelerates interoperability, enabling healthcare providers to quickly begin using FHIR (Fast Healthcare Interoperability Resources) API-based digital services to bootstrap internal and external innovation. Learn more about this innovative solution in a wide ranging interview with Aashima Gupta, Apigee’s healthcare industry leader.

2. Aashima Gupta
Apigee
@aashima1gupta
Anurag Wadehra
Apigee
@awadehra

3. Walking in the shoes of a consumer ...

4. Meet Samantha
Persona
Age
47
Marital Status
Married
Occupation
Assistant
Language
Bilingual

5. Actions and challenges: the current state of chronic care
5
Case manager
contacts patient
via telephone to
collect
information
Patient gives
information to
nurse over the
telephone
Case manager
gathers details
about
medication
Actions
Case manager
records
information
Based on
information
transcribed, nurse
recommends
course of action to
patient
Patient
challenges
Patient may not
be available
when called.
Patient is
frustrated in
giving repeated
information
clinician/nurse
Patient does not
remember
medication
prescribed or
may make
mistakes
Manual
process of
entry might
introduce errors
Patient needs to
know about what
is/isn’t covered in
health plan,
needs to write
down care steps,
adherence
Care Interaction

6. MY GOALS
My Medication Plan
Angiotensin On Plan
Aspirin On Plan
Spironolactone WARNING
ALERTS
MY MILES
MY NUTRITION PLAN
MY Weight Monitor
MY CALORIES
MY APPOINTMENTS
‣Refill Prescription
‣Refill Prescription
‣Check Blood Pressure
‣Check Weight
Thurs., Mar 5
Thurs., Jun 5
Daily, Every 4 hours
Daily
MY STEPS
‣MONDAY
‣TUESDAY
‣WEDNESDAY
‣THURSDAY
‣FRIDAY
Spinach Risotto
Grilled Chicken
Tomato Soup
Spaghetti
Steak + Potatoes
POWERED BY
Sam’s Healthy Heart Dashboard
X
X
X
X
X
X
X
Appointment Details
With : Dr. Be Well
Location: 101 Main, Ste101
Notes: Routine Follow Up
Samantha’s Diabetes Dashboard
My Yearly Deductible : $1000
Deductible Remaining : $100

7. Common MU Data Set
1. Patient
9. Immunization
2. Encounter
10. Medication Admin
3. Allergy Intolerance
11. Medication Disp
4. Care Plan
12. Medication Prescrip
5. Care Plan2
13. Medication Stat
6. Condition
14. Observation
7. Diagnostic Order
15. Practitioner
8. Diagnostic Report
16. Doc Reference
Apigee Healthcare: common MU data set
7
Hospitals
Healthcare
Ecosystem
Payers
Pharma
Partners
Employers
Medical
Devices
Based on FHIR:
Fast Healthcare Interoperability Resources
H
$

8. Connecting Samantha’s digital experience is hard
Clinical Alert
readings are abnormal
Reminders
medication reminders
My Readings
daily readings
Schedule
adjust care plan
Payment
get incentives
Eligibility Payment External partnersEMRImaging Hospital PharmacyLabs
Clinical
Payer
Locations
$
H

9. Samantha’s experience: enabled through the digital value chain
Systems
User
Connected experience
Developers
connect apps, data and devices with APIs
API team
builds, runs and manages APIs
$
H

10. Traditional approach to build Samantha’s dashboard
10
©2015 Apigee. All Rights Reserved.
Define Experiences
Learn and understand
the requirements for
new experiences
Connect to Legacy
Define Data
connectors
Connect to EMR
Build, test,
integrate, FHIR
APIs
Secure access
and authentication
for Developer On
boarding
Build developer
portal
0-6 months
0-3 months
0-3 months
0-3 months
12-18 months
across digital value chain

11. Introducing Apigee Health APIx
11
©2015 Apigee. All Rights Reserved.

12. What is Apigee Health APIx?
• Delivers FHIR (Fast Healthcare
Interoperability Resources) API-
based app and data
interoperability
• Can be deployed in days instead
of months
12
©2015 Apigee. All Rights Reserved.

13. • Unified and complete platform for API exposure, discovery,
consumption, and operations management
• Built from the ground up for digital with rock-solid reliability,
internet scalability, and enterprise-grade flexibility
• Accelerates API adoption, simplifies learning, and increases
business value
• Protects systems from internet-based threats through rate
limiting, authentication, and authorization policies
• Provides visibility of digital interactions from backend to app
Apigee offers API management software
that dramatically accelerates the
production of engaging, connected digital
experiences—within the control of IT

14. Trust
• OAuth Framework
• Access Management
• Token Management
FHIR
• FHIR ready APIs
• Resources & Profiles
• Search capability
Components
Developer
• Tailored portal
• Market sandbox
• Sample code
Health APIx: an accelerator built on Apigee Edge
14
Developer Portal
Modeling &
Management
SmartDocs
Monetization
Developer Services
API
Management
BaaS
Security
API "
Programmability
API Services
Ops "
Metrics
App
Performance
Developer
Metrics
Business "
Metrics
Analytics Services

15. Health APIx FHIR APIs: initial 16 set"
(expanding to 99 supported by Argonaut)
15
©2015 Apigee. All Rights Reserved.
Common MU Data Set
1. Patient
9. Immunization
2. Encounter
10. Medication Admin
3. Allergy Intolerance
11. Medication Disp
4. Care Plan
12. Medication Prescrip
5. Care Plan2
13. Medication Stat
6. Condition
14. Observation
7. Diagnostic Order
15. Practitioner
8. Diagnostic Report
16. Doc Reference
Hospitals
Payers
Pharma
Partners
Employers
Pharmacies
Based on FHIR:
Fast Healthcare Interoperability Resources
H
$

16. Healthcare consumer interacts with a number of entities and data silos during the care process. Digital enables
a more seamless interaction and new healthcare journeys across the continuum of care.
Samantha
- Care where I am
- Transitions of Care
- Personalized Health experiences
- Chronic Condition Management
Providers
MY DIGITAL
EXPERIENCES
Remote Monitoring
Hospitals
Wellness
Medical
Devices
Rx
Payers
- Meaningful Use Stage-3
compliance
- Remote Monitoring
- Re-admission rates
- Provide Motivation incentives
- Aggregate/analyze employee pop
- Improve Care outcomes
- Trend early disease indicators
- Contextual: Access to EMR Data
- Make connectivity simple
- Easy and portable access to data
- Clinical Trials
- Manage my prescriptions
- Refill my prescriptions
- Inform me on clinical trials
- Medication Adherence
- Omni channel consumer engagement
- Explanation of benefits
- Claims Services
- eServices, Payments,
- Population Health
Health APIx applicable use cases

17. Apigee Health APIx Solution Assets
17
©2015 Apigee. All Rights Reserved.

18. Developer portal

19. FHIR APIs

20. Patient API methods
Test Request

21. Gallery of your Apps
and available sources

22. MY GOALS
My Medication Plan
Angiotensin On Plan
Aspirin On Plan
Spironolactone WARNING
ALERTS
MY MILES
MY NUTRITION PLAN
MY Weight Monitor
MY CALORIES
MY APPOINTMENTS
‣Refill Prescription
‣Refill Prescription
‣Check Blood Pressure
‣Check Weight
Thurs., Mar 5
Thurs., Jun 5
Daily, Every 4 hours
Daily
MY STEPS
‣MONDAY
‣TUESDAY
‣WEDNESDAY
‣THURSDAY
‣FRIDAY
Spinach Risotto
Grilled Chicken
Tomato Soup
Spaghetti
Steak + Potatoes
POWERED BY
Sam’s Healthy Heart Dashboard
X
X
X
X
X
X
X
Appointment Details
With : Dr. Be Well
Location: 101 Main, Ste101
Notes: Routine Follow Up

23. Recap digital value chain
Challenges of implementing Samantha’s
experience
Accelerator assets
©2015 Apigee. All Rights Reserved.
Lower barriers to interoperability &
innovation
Abstracting complexity of systems of
record
Making the access secure and safe
Enable quick MVP development
Developer Portal with FHIR documentation
and content
Pre-configured proxies for FHIR ready APIs
Pre-integrated OAuth security proxies and
configurations
Reference implementation

24. How to get started
24
©2015 Apigee. All Rights Reserved.
1. Join APIx community through the portal
2. Create your own digital health accelerator (Developer Portal
+ API)
3. Create apps and experiences

25. Q & A
Aashima Gupta,"
@aashima1gupta"
Anurag Wadehra
@awadehra