Cerner’s Open Platforms - HL7

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Cerner’s Open PlatformsAccelerating a Community of Innovationwith SMART on FHIRTate GilchristSr. Business Developer, Open Platform ServicesTate.Gilchrist@cerner.com

Open Platforms VisionCerner is accelerating health careinnovation by enabling a broadcommunity to amplify the power of itsopen platforms1 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

APIs enable apps for providers and consumersProvider-facing apps can bedeveloped that leverage theMillennium Platform using APIsGovernment regulation requiresmore choices for consumer-facingapps via APIsPlan to attest for Meaningful Use Stage 3?The Ignite API for Millennium addresses Objective 5, Measure 12 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Emerging standards are making “apps” a reality FHIR “Fast Health InteroperabilityResources” A standard for accessing health caredata (“Resources”) ReSTful API design leveragesInternet standards (HTTP, etc.) Created by Health Level 7International (HL7) Emerging support by most major HITproviders (e.g., Argonaut Project) Meets EHR Certification for MU3 SMART “Substitutable MedicalApplications and Reusable Technology” A SMART App is a Web App HTML5 JavaScript Typically embedded in EHR EHR Data Access is via FHIR OAuth2 for security and contextpassing Also supports smart-phone and patientcontrolled apps3 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Cerner’s Ignite APIs fulfills MU3 and beyond Why a cloud-based API? Industry compliant security architecture for internet facing applications Centrally Managed Security (connection to internet, authentication and authorization)Data management Agile deployment of updates and enhancements of FHIR standard Centralized ontology mapping Flexibility – scale capacity to meet application demand (predictable costs)Why FHIR? Standards-based API accelerates development community adoption Common, web-based technology (REST, JSON, XML, OAuth)Standardized data models (common, human readable set of data elements, “resources”)Built in authentication and authorization modelONC has suggested that FHIR may eventually be required4 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

George Lassos the Moon .5 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Resource Availability (as of 03/15/17)CurrentPlanned6 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Cerner Open Developer Experience (code ): http://code.cerner.com7 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Cerner Open PlatformsInstallConnectIgnite APIsfor MillenniumConsumerPublishcodeDeveloperProgramOpen CollaborationDeveloper AppGalleryCerner OpenDeveloperExperienceUseOpen CollaborationClientApps registered on code.cerner.com: 1094 (139 patient-facing 955 provider-facing)Free and open documentation of 18 FHIR API Resources.Starter app and tutorialsSandbox on actual Cerner EHR back-end for patient and provider-facing apps (over 300 registered apps)Active Google Group (Over 600 posts year-to-date). Cerner Engineers are highest contributors. Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.8

Open Business ApproachThe culture that drives a friendlybusiness approach, allows extensibility of ourplatforms and enables a collaborative environment that hastens innovation to advancehealth care.AccessTrustThe image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again.Opportunity9 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Developer Program GrowthHEART PATHWAY APP10 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

AdvancedSurgical CareCoordination Optimize PreOpResources Decrease CaseDelays andCancellations11 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Visual Clinical Decision Support App Developed byVisualDx Provides imagedriven differentialdiagnosis Uses SMART forlaunching withinPowerChart Uses FHIR tocurate a tailoredsub-set ofimages based onpatient age, sex,and medicationperscriptions12 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Monitor Ignite APIs for Millennium Monitor application usage Identify highly used andadopted applications Transparency to Ignite APIperformance13 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Analyze Individual Application Understand applicationadoption and usage Discover top users Identify application usage andaudience patterns Track application performance14 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

IgniteAPIsfor Millennium15 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.

Data management . scale capacity to meet application demand (predictable costs) . This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means wi thou