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Implementation Registry

Product/Service Name Description Contact Information Reference Links
Consent forms App and Pediatric Blood Pressure Precentiles 2.0 App The consent form app enables standardized electronic procedure consent completion. Blood pressure percentiles 2.0 is the new version of our popular BPC app. Nikolai Schwertner More Info

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HealthCelerate Using FHIR as a Core Component of a National Interoperability Platform. Peter Tippett Presentation

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Iris Chatbot Iris Chatbot enables a patient to schedule a doctor's appointment and order medication refills from within Facebook Messenger or iMessage. Chris Sprague
csprague@lftechnology.com
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BonFHIR Our FHIR implementation framework named BonFHIR helps to build new FHIR API-based digital solutions for healthcare interoperability. Some of our healthcare interoperability use cases include: observation (lab) and diagnostic reporting (radiology); patient engagement solutions; medical device integrations; financial resources for eligibility, enrollments and claims activities; mobile healthcare applications; applications for remote monitoring devices and apps. Saji Jacob
saji@altencalsoftlabs.com
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FHIR-based Death Reporting App Professor May Wang's Lab Developed for the CDC Next-Generation Mortality Reporting System Mark Braunstein, MD Presentation

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CDS Hooks   Josh Mandel Presentation

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Smile CDR Smile CDR is a proven enterprise-class FHIR-based clinical data repository as a service. SMILE is a Clinical Data Repository (CDR) built around the HL7 FHIR standard. It is a proven enterprise-class FHIR-based Clinical Data Repository As A Service. It can power your applications and unlock your data. We are powered by HAPI, a well established platform that has been used to successfully integrate healthcare data for over 15 years. Our platform was developed to help organizations overcome data barriers. We support the entire FHIR specification in order to power the next generation of specialized healthcare apps. We support legacy data too with adaptors to other standards (HL7 V2.x, CDA, XML, etc). SMILE is designed to get you up and running quickly Person
info@simpatico.ai
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Medsreview An app that integrates drug-gene and drug-drug interactions for medication therapy management. Don Rule More Info

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OpenHIE FHIR Various uses of FHIR in low and middle income countries. Luke Duncan
lduncan@intrahealth.org
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Trifolia FHIR profiling and localization application. Rick Geimer
Rick.Geimer@lantanagroup.com
www.lantanagroup.com

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HSPC Sandbox HSPC Sandbox: A personal instance of a SMART on FHIR platform in the cloud, complete with tools and sample data to help developers build and test health apps. Rick Freeman More Info

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Clear Value Plus Oncology Care - Value Based Care. Hank Head More Info

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FHIR Bundles FHIR bundles are one the distinguishing advantages of the FHIR protocol over proprietary web APIs. This talk focuses on the practical application of FHIR bundles to enable fast loading of bulk proprietary data in CSV format with complex inter-relations. The project was a collaboration between iNTERFACEWARE using the Iguana integration engine and Kainos with their Kainos Evolve telemedicine platform that supports FHIR based APIs. The project highlights the present real commercial value of FHIR even when interfacing with older healthcare IT technology. Eliot Muir Presentation

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Health Summary Viewer The Health Summary Viewer provides the ability for a health system to view patient data from patients outside their primary network. Nathan Dryer with Aanchal Falken
nathan.dryer@relayhealth.com
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Summit Exchange Interface Engine that supports all industry standard. We will be demonstrating how our integration engine implements FHIR to help disparate systems connect with each other. We will look to take advantage of the ITI protocols (PIX/PDQ) with the idea of converting an HL7 2 message to a FHIR resource and vice versa. Paul Actis
pactis@summit-healthcare.com
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Aidbox A cloud FHIR platform for modern web and mobile healthcare applications. Pavel Smirnov
hello@health-samurai.io
www.aidbox.io

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MyFHR Family health record. Uses FHIR to get information from multiple sources, consolidate and present them to the user. Michele Mottini More Info

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FHIR Apps for Bioresearch - iSpecimen, MUSC, HSSC FHIR enabled mobile platform connecting bioresearchers to consented patients. Utilizing FHIR for connectivity between our applications, Apple ResearchKit, and REDcap biorsearcher databases. Doug Williams; Christopher Metts, MD; and Leslie Lenert, MD dwilliams@ispecimen.com Presentation

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SyntheticMass and Synthea SyntheticMass is a public FHIR server and tool hosting clinical data for one million synthetic simulated patients within Massachusetts. Jason Walonoski
jwalonoski@mitre.org
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RADaptor Auditing Adaptor connecting EDCs and EHRs via FHIR. Amy Harris Nordo and Chet Corey Presentation

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Applicadia Natural language voice-driven clinical reporting platform for FHIR, with real-time CQL base clinical decision support. Richard Esmond Presentation

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DTS on FHIR! Full-featured, open-source terminology server now includes FHIR resources for code systems, value sets, and more. A Terminology service is a key part of a FHIR ecosystem. John Gresh
jgresh@Apelon.com
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Vibrent Health: S4S – FHIR Application to connect Precision Medicine Initiative (PMI) to EHRs Sync 4 Science (S4S) program will allow individuals to access their health data and send it to researchers. The pilot program will build off existing community standards and specification efforts (e.g., FHIR, SMART Health IT, Argonaut, CMS EHR Incentive Program) to support a key use case, giving patients an easy way to share their health data with researchers. EHR developers-including Allscripts, Athenahealth, Cerner, drchrono, Epic and McKesson-said they will embrace open specs including S4S APIs and FHIR to connect research apps to electronic health records software. Vendors will implement a "consistent, standards-based workflow," building on open specifications such as OAuth and HL7's FHIR protocol.


S4S goals include developing methods to facilitate individually-controlled clinical data donations to research, accelerate and guide the national ecosystem for patient-mediated data access through APIs thus allowing patients to access data via the application of their choice – giving patients more options to view, aggregate, and understand their health data and collecting information on individual participant preferences on alternative approaches for data donation.
Praduman Jain
pj@vibrenthealth.com
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Duke Pillbox The app teaches patients the skills for medication management and patient-provider communication for medication reconciliation and medication adherence. The app teaches patients skills required to identify and organize pills in a daily and weekly med-dosing schedule. The design features appropriate strategies to overcome health literacy barriers and optimize patient opportunities to communicate questions, concerns and misunderstandings regarding medication management with providers. Developed by DUHS in collaboration with MedAppTech, Duke Pillbox improves self-management through patient learning, communication and user-satisfaction outcomes in hospital, clinic and home settings. The Duke Pillbox solution captures and manages data from patient interactions in a continuous, reportable feedback loop to improve 1) communication for medication changes; 2) patient-reported side effects; 3) education for medication misses; 4) health literacy for medication management; 5) data capture for medication management and adherence over time. Caroline Kilemi & Bradi Granger
Bradi.Granger@duke.edu
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Datica Data Hub The Datica Data Hub provides a way for healthcare organizations and vendors to combine data from disparate sources and data types (HL7 V2, X12, CDA) and exposes that data to applications via FHIR APIs. The Data Hub reduces the need to build the backbone of an HIS system or community data model from scratch, speeding the timeline for innovation. Mark Olschesky
mark@datica.com
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Narus Health Compassion Complex Care Service – Here at Narus Health, we have built our care management system and patient mobile application from the ground up using HL7 FHIR for our data model and API. Rob Stokes
info@narushealth.com
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Sapphire Toolkit for rapid and visual development of SMART on FHIR apps. Aziz Boxwala aziz.boxwala@meliorix.com More Info

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Medlio A secure platform where consumers can manage and share their own medical records and information including insurances (with real-time eligibility information) and care team members. Lori Mehen Presentation

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eConnect Connecting EHR and EDC for real depends on having a solid standard like FHIR, APIs to connect the systems, and industry expertise to bring them together. Geoff Low Presentation

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HealthWizz Patient facing mobile app platform that connects with EHR systems (Cerner and Epic) using OAuth 2.0 to access FHIR Resources on these servers. Raj Sharma More Info

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Digital Health Platform Proof-of-concept for a Veterans Affairs Digital Health Platform. Steve Rushing More Info

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Neonatal Bilirubin SMART on FHIR Clinical Decision Support System Starting with a neonatal bilirubin visualization SMART on FHIR application developed by Intermountain Healthcare, University of Utah Health Care enhanced the application to provide clinical decision support based on American Academy of Pediatrics (AAP) guidelines for neonatal bilirubin management. The decision support is integrated using the FHIR Clinical Reasoning module. The application has been recognized by the ONC Provider User Experience Challenge with several awards. Kensaku Kawamoto, MD, PhD, MHS, FACMI
kensaku.kawamoto@utah.edu
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Axway API Management Launching at HIMSS 17: Axway API Management for Healthcare spans FHIR-enabled API creation, control and consumption, giving you the speed and agility you need to tackle interoperability challenges and accelerate digital patient engagement initiatives. Joanna Gorovoy More Info

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A FHIR-based Approach to Chemotherapy Order Templates The National Comprehensive Cancer Network® (NCCN®), a not-for-profit alliance of 27 of the world's leading cancer centers devoted to patient care, research, and education, is dedicated to improving the quality, effectiveness, and efficiency of cancer care so that patients can live better lives. NCCN Chemotherapy Order Templates (NCCN Templates ®) is a compilation of information based on the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines ®) and the NCCN Drugs & Biologics Compendium (NCCN Compendium ®). The NCCN Templates include chemotherapy, immunotherapy, supportive care agents, monitoring parameters, and safety instructions. One of the challenges we have been faced with is making this information shareable, consumable and executable. With the understanding of what FHIR holds for the future, we have worked with our IT partners at IBM to implement FHIR architecture into our NCCN Template software, to help our information to be better integrated into our EHR vendors' systems. Our vision is to lead the oncology effort at HL7/FHIR, and with these first steps would like to share at the conference what we have accomplished, the challenges and the successes of this work. Mary Visceglia More Info

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Role-Based Access Control FHIR Extension to Define and Enforce Security Policies on FHIR Resources for a Concussion Tracking mHealth Application Integrated with OpenEMR via FHIR This project extends HAPI FHIR reference library with role-based access control on the CRUD APIs of FHIR Resources that are integrated with a Concussion Tracking mHealth Application that interacts with a FHIR interface to OpenEMR using resources Patient, Condition, Encounter, EpisodeOfCare, Observation, and CarePlan. Specifically, the InterceptorAdapter of HAPI FHIR is extended with a new interceptor class (AccessControlInterceptor) to support: definition of permissions on user by role to a subset of CRUD methods for each FHIR resource; and, enforcement of permissions that limit the authorized services to be executed by a user/role combination for access to allowed FHIR resources. Mohammed Baihan mohammed.baihan@uconn.edu More Info

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Encounter Inquiry API Member Encounter Inquiry API: Cambia's business partners access this API to retrieve member/patient encounter data. This API is implmented using the public HAPI FHIR 2.2 library based on STU3 1.8.0 version. This API is deployed on the AWS Cloud and uses RDS MySQL as the persistence store for the FHIR repository. HL7 V2.5.1 ADT messages are ingested from several clinical clearinghouses, transformed into FHIR Encounter resources and loaded into the FHIR repository. David Degandi www.cambiahealth.com

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Green Circle Health Platform Recent winner of health data aggregator challenge-allows family to manage life long health data, augment with personal health and activity data and build health and wellness plan to improve outcomes and well-being Dinesh Sheth dinesh@greencirclehealth.com
901-219-3880
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RIMIDI: Predictive Analytics for Diabetes A FHIR integration with Cerner's app gallery and with HealtheLife patient portal. Lucienne Ide, MD, PhD lucie@rimidi.com More Info

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Heart Pathway An evidence-based FHIR app for chest pain care Vinay Tannan, PHD More Info

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Diagnotes: The FHIR Advantage for Development and Implementations Diagnotes is a secure communication platform designed specifically for healthcare. With Diagnotes, care team members collaborate effectively from any locaton on any device, via voice, text, or video, ensuring compliance while improving team effectiveness. With FHIR, we can securely deliver real-time contextual patient information to providers for a fraction of the implementation cost. FHIR removes the heavy custom interface burden from our clients, offering positive patient identification, better informed clinical discussions, and improved continuity of care - all while providing a great low-cost experience for the project, engineering, and implementation teams. Jamie Kurtz jkurtz@diagnotes.com (317) 395-7080x204 https://www.linkedin.com/in.jamieakurtz http://www.diagnotes.com/

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Intermountain Healthcare’s Growth Chart SMART on FHIR App Pediatric Growth Chart SMART on FHIR app Intermountain Healthcare has enhanced the Pediatric Growth Chart SMART on FHIR app developed by Boston Children’s Hospital. The app is live within the Cerner EMR in Intermountain’s NICUs and ambulatory pediatric clinics. The app displays a child’s height, weight, and head circumference, extracted from the EMR using FHIR resources, against pertinent growth curves in order to compare the child’s growth with children of similar characteristics. Notable Intermountain enhancements include moving the standard growth curves to external files that can be updated by organizations, and adding tabular data to curve printouts for parents. Scott Narus, PhD
scott.narus@imail.org
https://gallery.hspconsortium.org/#/app-gallery

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Meducation – Medication Instructions Any Patient Can Understand Meducation® provides patient-specific medication instructions & regimen summaries at 5-8th grade reading level, a choice of 6 font sizes & 22 languages, supported by video demonstrations.   Meducation uses a patient’s SIGs to create personalized medication instructions that can be delivered to patients electronically or printed.  Meducation has proven to improve medication adherence, patient satisfaction & hospital readmissions, particularly with Low Health Literate and Limited English Proficient patients.   One of the first SMART and FHIR-enabled applications, Meducation integrates with any EHR that supports FHIR or SMART on FHIR, enabling seamless provider access from within workflow. Lori McLean, Polyglot CEO lmclean@pgsi.com 919-653-4387 919-308-8739 www.pgsi.com

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H-Outcomes ePRISM Precision medicine app for point of care display of predictive risk models The FHIR-enabled ePRISM app from Health Outcomes Sciences allows clients to automatically activate predictive risk models within the routine flow of care.  ePRISM breaks new ground in providing clinicians the means to risk stratify individual patients in real time using data already recorded in the EHR and other interfaced systems. The ability to personalize care and engage in shared decision-making is heightened, leading to better clinical and financial outcomes.  Plus, using FHIR means the bulk of the IT burden typically associated with implementing a new technology solution is virtually eliminated. Ryan Fox - Vice President Sales & Marketing913.523.4550 rfox@h-outcomes.com https://gallery.smarthealthit.org/health-outcomes-sciences/eprism-health-outcomes-sciences

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Precision Digital Health's SUMMA™ Real-world Evidence Interoperability Platform Precision Digital Health provides an end-to-end solution that enables researchers to ask and validate questions they never could before. Our interoperable SUMMA™ platform enables the convergence of real-world patient data from many sources like electronic health records (EHR), as well as device data from medical devices and wearables, to support real-world and pragmatic clinical trials.    Our platform provides a configurable end-to-end solution that provides value immediately to follow patients in a real-world setting by leveraging interoperability of health systems via HL7 FHIR identify and follow patients in a next generation clinical trial system.  By providing enabling capabilities across genomics, labs, medical devices, wearable and EMR we empower clinical teams for their research. Thomas Wells twells@precisiondigitalhealth.com (714) 865-7577 www.precisiondigitalhealth.com

https://gallery.smarthealthit.org/health-outcomes-sciences/eprism-health-outcomes-sciences

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PCORnet's Patient Powered Research Network Data Sharing app The PCORnet Patient Powered Research Networks (PPRNs) are patient advocacy organizations whose participants have a vested interest in accelerating research, and as such are eager to assist in getting high-quality health data into the hands of relevant and appropriate researchers.  The PPRNs are developing an app that will enable a participant to retrieve FHIR resources from her provider's EHR, and redirect the resources to one or more PPRN URLs, where the data elements will be extracted, transformed into PCORnet Common Data Model (CDM) elements, and integrated with existing data within the PPRN's data registry, from which the data will be made available to authorized researchers.   PCORnet is a distributed network of Clinical Data Research Networks (CDRNs) and PPRNs who support outcomes-based research under the Patient-Centered Outcomes Research Institute (PCORI). Dixie Baker Dixie.Baker@martin-blanck.com http://www.pcornet.org/patient-powered-research-networks/

http://geneticalliance.org/vendor-solicitation

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Leveraging the Aidbox.io FHIR Cloud Platform for Developing Healthcare Solutions Aidbox (aidbox.io) is a cloud platform for web and mobile healthcare applications built on top of a FHIR server and PostgreSQL. Aidbox features:
• Relational storage for FHIR resources
• Data aggregation via HL7 v.2, CCD, FHIR
• RxNorm, SNOMED, LOINC and FHIR terminologies
• OAuth 2.0 authentication provider, policy-based access control and complete audit log
• Automated HIPAA-compliant cloud infrastructure with failover, backups and updates
The presentation demonstrates how aidbox cuts cost of healthcare solutions development, showcases ease of deploy and integration with EHR systems. Demonstrated practices are tested with Narus Health during development of their palliative care coordination solution on top of Aidbox.
Pavel Smirnov, CEO of Health Samurai 818.731.1279 pavel@health-samurai.io https://aidbox.io

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FHIR Server at Duke Health Duke Health pioneered the integration of the SMART on FHIR platform with the Epic EHR, being the first such health system to do so in early 2015. At HIMSS 2015 they demonstrated three apps: SMART Growth Chart, Meducation, and Duke Pillbox, running in their proof of concept provider-facing environment and later that year began using the SMART Growth Chart in their production environment. They’ve since demonstrated integration of the SMART Growth Chart in the Epic patient portal, MyChart, along with write support for FHIR. Felipe Polo-Wood felipe.polowood@duke.edu Presentation

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FHIR Genomics pilots and SMART on FHIR Genomics Server FHIR Genomic Pilots: This talk will give a quick overview of FHIR Genomic pilots announced and their status around the world (over 20 currently) across four continents.  Three use cases will be explored in this talk: Diagnostic Order/Reporter, Precision Cancer Medicine, and FDA's precisionFDA.  We will discuss ongoing investigations/developments as well lessons learned along the way.
SMART on FHIR Genomics Server: The SMART on FHIR Genomics Server builds on FHIR Genomics to enable clinico-genomic apps to run with features such as authentication, patient scoping, and authorization.  Several pilot apps have been built on top of this platform will be demoed. http://genomics-advisor.smartplatforms.org:2048/
Gil Alterovitz ga@alum.mit.edu http://genomics-advisor.smartplatforms.org:2048/

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