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H7 WGM
BlueButton On FHIR
Mark Scrimshire
Entrepreneur-In-Residence, HHS/CMS
Jan 2016
@ekivemark
Disclaimer
The views expressed in this presentation are my
own and should not be construed as an official
position of the US Department of Health and
Human Services or the Centers for Medicare &
Medicaid Services.
2
@ekivemarkhttps://github.com/ekivemark/poet
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”
@ekivemarkhttps://github.com/ekivemark/poet
BUT… Who does a publisher trust to consume them?
APIs are spreading like wildfire
@ekivemarkhttps://github.com/ekivemark/poet
OAuth is proven at scale@ekivemark
@ekivemarkhttps://github.com/ekivemark/poet
But OAuth still doesn’t
answer: “Who do you trust?”
http://www.hhs.gov/idealab/2015/11/19/trusting-health-apis/
@ekivemarkhttps://github.com/ekivemark/poet
Do we want another Bureaucracy
to determine Trust?
@ekivemarkhttps://github.com/ekivemark/poet
Healthcare already has
established Networks of Trust
@ekivemarkhttps://github.com/ekivemark/poet
POET
Pre Oauth Entity Trust api
A Secure open source Trust Validation API that 

leverages Direct Trust Bundle administration functions

to provide a basis for trusting 3rd Party Applications

requesting access to Health Data APIs, such as FHIR
https://github.com/ekivemark/poet
BlueButton On FHIR
Beneficiary
(Patient)
OAuth2
POET
API
Contract
(Consent)
Explanation
Of Benefit
3rd Party Apps
3rd Party Apps
3rd Party Apps
Patient focused
Self-contained
Include reference Identifiers
Include patient profile subset
EOB = Adjudicated claim
One claim = One EOB
EOB has a GUID
The EOB
@ekivemark
1
2
3
4
5
6
7
A New FHIR EOB
Resource
What is it?
@ekivemark
ExplanationOfBenefit
DSTU2
v1.3.0
Follow our progress, join us and contribute
• BlueButton Text to JSON Converter:
• https://github.com/ekivemark/python-bluebutton
• BlueButton On FHIR
• https://github.com/ekivemark/BlueButtonFHIR_API
• HL7 - FHIR
• http://www.hl7.org/implement/standards/fhir/http.html
• HL7 - WIKI
• http://hl7-fhir.github.io/index.html
• HAPI Server:
• https://github.com/jamesagnew/hapi-fhir
@ekivemark
FHIR Code-a-Thon
• April 1-2, 2016
• US Department of Health and Human Services,
Washington, DC
• Pre-event to #HealthDataPalooza (May 8-11)
• Prototype BlueButtonOnFHIR API
• Patient Profile
• ExplanationOfBenefit Profile

@ekivemark
Mark Scrimshire
HHS Entrepreneur-in-Residence
(CMS)
@ekivemark
http://ekivemark.com
mark.scrimshire@cms.hhs.gov
703.623.2789

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