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

1. Enabling
Consumer-Directed
Health Data at CMS

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

4. @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.

5. @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

6. @ekivemark
Unique Medicare Members since 2010

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

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

9. 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”

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

11. @ekivemark@ekivemark

12. @ekivemark
CMS Blue Button on FHIR
+
@ekivemark

13. @ekivemark
Fast Health Interoperability Resources

14. @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

15. @ekivemark
80 Participants
12 Teams

16. @ekivemark
A busy 2 days

17. @ekivemark
And the Winners were: @POC

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

19. @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”]
}
]
}

20. @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"}
}]
}]
}

21. @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}

22. @ekivemark
Patients take
ownership of their data
I Authorize

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

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

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