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CMS Blue Button API - Developer Preview from Health 2.0 #h20devday, 2017

This is the CMS Blue Button API Developer Preview presentation from the Health 2.0 Conference in Santa Clara, October 1st, 2017. The presentation was part of the Health 2.0 Dev Day Conference. The Blue Button API uses Internet standards such as OAuth2.0 and HL7 FHIR to make Medicare Claims data available to Beneficiaries so they can share that information with application, services and research programs they trust.

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CMS Blue Button API - Developer Preview from Health 2.0 #h20devday, 2017

  1. 1. Blue Button® API: Creating a Data-Driven Ecosystem to Benefit Medicare Beneficiaries Mark Scrimshire October 1, 2017 The Power of Beneficiary-Directed Data HIMSS 2017
  2. 2. • HealthAPT/CMS Blue Button Innovator • Health Data and Cloud Technologist • Twitter: @ekivemark Demo Support from Alan Viars • HHS EIR Alumni • CEO, Videntity • Founder, TransparentHealth Introduction: Mark Scrimshire 2
  3. 3. Total Users VA, CMS, DoD3 A Brief History of Blue Button Blue Button Unleashes Personal Data ®
  4. 4. ® 4 CMS Blue Button API 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”
  5. 5. 5 Blue Button API Can Play a Critical Role in Value and Quality-Based Care Personal Applications Personal Health Record Care Coordination Putting patients at the center Research
  6. 6. 6 The Blue Button API Enables a New Era and a New Route for Research Data Collection • Medicare beneficiaries will be able to register with research applications via the CMS Blue Button API • Beneficiary consent creates opportunity to share personal health data electronically with research studies • Benefits to researchers: – Avoid a data use agreement – No payment to CMS to collect data – More timely data • Weekly—Part A / B • Monthly—Part D
  7. 7. 7 Blue Button API using FHIR “I control who I share my data with” “I download my data” Bi-directional
  8. 8. 8 • FHIR extension to Chronic Condition Warehouse (CCW) • 38M+ Medicare beneficiaries • Three years of Blue Button claims information (6+ billion records) • Jointly-developed FHIR “ExplanationOfBenefit” STU3 resource • Integration with MyMedicare.gov • Built on CMS Cloud Services Lighting the FHIR at CMS
  9. 9. 9 Building a Tiered Blue Button Platform FHIR API Access Rules FHIR Resource Definitions FHIR Database (HAPI-based) Patient Access Blue Button OAuth Server Developer Access Portal/Customer Authentication PHR AllofUs … </> {API} CMS Efforts: • FHIR OAuth2.0 Permissions • OAuth2.0 Patient Crosswalk • OAuth2.0 Patient Masking • FHIR ExplanationOfBenefit • CCW to FHIR ETL Community of Trust JWT (Future Option)
  10. 10. 10 Where are we? • HHS DevCloud sandbox is loaded with dummy beneficiary claims data for testing purposes • Invites to sign up for the developer preview in the DevCloud sandbox are now available on go.cms.gov/bluebutton • Next step is to load synthetic data in the DevCloud sandbox to enable developers to create mashups Seeking developer feedback on: • Registration process • Oauth2.0 application activation • Oauth2.0 authorization process • Compliance with FHIR specification given Blue Button API patient-directed use case Interested? Visit go.cms.gov/bluebutton to sign up Blue Button API Status
  11. 11. 11 https://dev.bluebutton.cms.fhirservice.net/bluebutton/fhir/v1/ Blue Button Dev Sandbox
  12. 12. https://dev.bluebutton.cms.fhirservice.net/bluebutton/fhir/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":["220 S Almond Court"], "city":"Manchester", "state":"MI", "postalCode":"48158"}] } CMS FHIR Patient Profile 12
  13. 13. ® 13 {"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"} }] }] } CMS Blue Button Claim Profile
  14. 14. 14 Get to Know the FHIR REST API https://{server}/path/Patient https://{server}/path/ExplanationOfBenefit?_format=json ?_format=json|xml &{Search_parameters}
  15. 15. 15 CMS Blue Button API: The Summary • Building on industry and web standards • Providing a blueprint for patient access to their data • Designing solutions with the health care community • Utilizing open source solutions • Using FHIR positions CMS Blue Button API at the center of health information exchange interoperability
  16. 16. 16 • Visit our web page and subscribe for updates: http://go.cms.gov/bluebutton • Join the BBAPI Developer Google Group: • https://groups.google.com/forum/#!forum/ developer-group-for-cms-blue-button-api • Learn more about HL7 FHIR: http://hl7-fhir.github.io Learn More About Blue Button API subscribe
  17. 17. 17 • Mark Scrimshire • HealthAPT/CMS Blue Button Innovator • Mark.Scrimshire@cms.hhs.gov • Alan Viars • HealthAPT Blue Button Developer • Alan.Viars@cms.hhs.gov Contact Info Learn more about Blue Button API using FHIR http://go.cms.gov/bluebutton • Karl Davis • Associate Entrepreneur-in-Residence • Karl.Davis@cms.hhs.gov • Lori Pettebone-Koraganie • Program Manager, Blue Button API • Lori.Maatta@cms.hhs.gov • Carly Medosch • Outreach, Blue Button API • Carly.Medosch@cms.hhs.gov

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