BlueButton on FHIR - HxRefactored 2016

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BlueButton on FHIR presentation to HxRefactored 2016 in Boston. An update from 2015 with details of HealthCa.mp/onfhir and HealthCa.mp/dev.

Healthcare

Enabling  
Consumer-Directed  
Health Data at CMS

IS HE?
@ekivemark
WH
Mark Scrimshire
CMS BlueButton Innovator
http://ekivemark.com
mark.scrimshire@newwave.io
703.623.2789

@ekivemark
Disclaimer
The views expressed in this presentation
are my own personal views and should
not be construed as an official position of:
• US Department of Health and Human
Services  
or
• The Centers for Medicare & Medicaid
Services.

@ekivemark
20–30k
Downloads/Month
• Hospital
• Physician
• Prescription drugs
Federally Inspired
Blue Button Community
• VA
• DoD (TRICARE)
• CMS
2xtext
downloadsBeneficiaries can download  
up to 3 years of claims data
Private sector
applications already
ingest, optimize, and
visualize data from  
Blue Button text files
@ekivemark

@ekivemark
Unique Medicare Members since 2010

There are big opportunities…
54,000,000Medicare Beneﬁciaries (2014 est.)
@ekivemark
29,000,000MyMedicare Portal Users

An Essential  
First Step
@ekivemark
…but it left the patient to
do the heavy lifting

BlueButton Vision
“Build a Developer-friendly,  
Standards-based data API
that enables beneﬁciaries to  
connect their data to the  
applications, services and  
research programs they trust”

@ekivemark
Why create  
an API when 
the Industry 
has done that?
@ekivemark

@ekivemark
CMS Blue Button on FHIR
+
@ekivemark

@ekivemark
Fast Health Interoperability Resources

@ekivemark
Making a contribution to  
the FHIR Community
CMS Synthetic 
Public Use Files  
(SYN-PUF)
FHIR 
Patient
ExplanationOfBeneﬁt
11K Patient Proﬁles
1.1M EOB Proﬁles

@ekivemark Un-conference
Code-a-thon
Health
Tech Policy

$@ekivemark CMS FHIR Patient Proﬁle https://api.bbonfhir.com/api/v1/Patient?_format=json {"resourceType":"Patient", "id":"421118", "meta":{ "versionId":"1", "lastUpdated":"2016-03-22T16:38:17.578-04:00"}, "identifier":[ { "system":"CCW_BENE_CRNT_VW.BENE_ID", "value":"0"}], "name":[{ "family":["00013D2EFD8E45D1"], "given":["f5"]} ], "birthDate":"1923-05-01", "address":[{ "line":["1625 N GEORGE MASON DR, 344, ARLINGTON, VA", “222053683”] } ] }$

$@ekivemark CMS Blue Button Claim Proﬁle https://api.bbonfhir.com/api/v1/ExplanationOfBeneﬁt?_format=json {"resourceType":"ExplanationOfBenefit", "id":"421383", "meta":{"versionId":"1", "lastUpdated":"2016-03-22T16:38:17.578-04:00"}, "identifier":[{"system":"CCW_PDE_FACT.PDE_ID", "value":"233324492503674"}], "provider":{"reference":"Practitioner/421386"}, "prescription":{"reference":"MedicationOrder/421384"}, "patient":{"reference":"Patient/421118"}, "coverage":{"coverage":{"reference":"Coverage/421134"}}, "item":[{"sequence":1, "type":{"system":"http://hl7.org/fhir/v3/ActCode", "code":"RXDINV"}, "servicedDate":"2008-12-05", "adjudication":[{"category":{"system":"CMS Adjudications", "code":"Patient Pay Amount"}, "amount":{"value":10,"system":"USD"}}, {"category":{"system":"CMS Adjudications", "code":"Total Prescription Cost"}, "amount":{"value":350,"system":"USD"} }] }] }$

$@ekivemark Get to know the FHIR Rest API https://api.bbonfhir.com/api/v1/Patient https://api.bbonfhir.com/api/v1/ExplanationOfBeneﬁt ?_format=json|xml &{Search_parameters}$

@ekivemark
Patients take  
ownership of their data
I Authorize

@ekivemark
Join in
https://github.com/HHSIDEAlab/BlueButtonFHIR_API
https://github.com/HHSIDEAlab/bluebutton-text-to-fhir

@ekivemark
Keep Up To Date
http://go.cms.gov/bluebutton

Mark Scrimshire
CMS BlueButton Innovator
@ekivemark
http://ekivemark.com
mark.scrimshire@newwave.io
703.623.2789

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