interopiO & HL7 SMART

Why HL7 SMART?

The HL7 SMART Application Launch Framework enables secure application launching over FHIR services such as FHIR-enabled provider and patient portals. The framework includes support for patient and provider apps that launch from within a portal or standalone. The application data access is authorized via an OAuth2 service evaluating the scopes that the application requests and issuing access tokens. The protocol provides launch context to the application that includes user data, patient identifier (if applicable), custom values and more. A SMART application can be implemented in a variety of application development frameworks and can run on a secure server or on a user’s device.

Support for HL7 SMART

interopiO is a powerful platform designed to enable the full potential of the HL7 SMART ecosystem. The makers of interopiO, Interopion, were instrumental in the creation and ultimate success of HL7 SMART beginning in 2012. Interopion created the first SMART apps and have since gone on to build more SMART apps than any other organization. interopiO has been designed to overcome the real world challenges that exist in building, distributing, and supporting SMART Apps based on Interopion's real world experience being on the front lines of this emerging ecosystem. 

interopiO fully implements the latest HL7 FHIR SMART Application Launch Framework (v1.0.0) as defined in http://www.hl7.org/fhir/smart-app-launch/ including the OAuth2 based SMART authorization framework, access scopes, refresh tokens, profile context, custom app context, provider portal app launch, provider standalone app launch, patient portal launch, patient standalone launch.

SMART-based Solutions for Many Use Cases and Domains

The interopiO platform designed to meet the needs of many constituents in digital health.

Developers and Distributors of Clinical Content, Knowledge, and Decision Support Modules

  • Reusable and templated technology any HIPAA compliant SMART App needs for clinical use
  • Distribution and governance tools to scale and manage access to SMART Apps across hundreds of site and many different EHRs
  • Normalized access to data operations using FHIR®
    • Transformation of proprietary APIs to FHIR®
    • Conversion of legacy standards such as HL7® messaging and CCDA to FHIR®
    • Conversion between different versions of FHIR®
  • Realtime Usage Analytics
    • Compare usage of Apps across sites
    • Gain insights into what types of users utilize apps
    • Anticipate EHR usage-based fees by monitoring in realtime transactions by EHR, site, or holistically across all activated health systems 

Health Systems

  • Create a unified development platform for internal development and third-party integrations
  • Enable additional API capabilities beyond the native EHR's capabilities
  • Govern access to APIs by third-parties
    • Use thoughtful consoles designed to easily activate and manage third-party integrations
  • Monitor and analyze in realtime API usage and app launches
    • Gain insights into who uses which apps and at what frequency and at what times of the day, week, month, or year
  • Monitor response times and bottlenecks 
  • Journal and analyze data crossing
  • Increase CMS revenue by taking full advantage of MIPS and MACRA quality based reimbursement with statistics and measures generated by interopiO

Payers

  • Ensure compliance with  CMS’s recently announced regulation in the Interoperability and Patient Access final rule (CMS-9115-F)
    • Enable Patient Access API based on FHIR 4.0.1 including Adjudicated claims, Encounters with providers, Provider remittances, Enrollee cost-sharing, Clinical data (lab results, etc), Formularies
    • Enable Provider Directory API based on FHIR 4.0.1 including Provider names and network status, addresses, Phone numbers, Specialties
    • Enable Data Exchange API based on FHIR 4.0.1 including U.S. Core Data for Interoperability (USCDI) version 1 
  • Take advantage of Da Vinci interoperability framework based on HL7 FHIR
    • Clinical Query Language (CQL) based clinical reasoning support
    • Leverage clinical data exchange (CDex) and patient data exchange (PDex) protocols to efficiently request and receive patient data
    • Leverage Data exchange for quality measures (DEQM) capabilities to collect reimbursement support data such as medication reconciliation attestations, cancer screening results, etc
    • Reduce cost on Prior Authorization data exchange and processing
  • Modernize your electronic health records (EHR) systems integration to reduce costs

Clinical Trials

  • Implement and execute efficient patient cohort identification rules to recruit trial subjects within single healthcare system and across healthcare systems
  • Verify patient eligibility by retrieving patient record via FHIR API (such as NCCN guidelines concordance)
  • Legerage CQL based clinical trial rule sets to automatically run patient filters across large patient data sets available at hospital electronic health records
  • Track in real time clinical trials results acquisition and progress
  • Site specific clinical trials cohorts matching (population and encounter)
  • Mapping EPIC, OncoEMR, etc cancer stage service data to FHIR
  • Assignment of EHR native trial protocols to patient (such as Pathways to Protocols in Epic)
  • Eligibility pre-authorization with payers

Population Health

  • Take advantage of Bulk FHIR large data import and export engine available via interopiO putting at your fingertips scalable large data retrieval from integrated electronic health records systems
  • Store large patient data sets in HIPAA compliant enterprise level Clinical Data Repository for data and statistical analysis
  • Enable data caching mechanism built into interopiO to reduce time and cost for data synchronization with electronic health records systems
  • Support for research, epidemiology, reporting and other population health use cases

Common interopiO SMART on FHIR Use Cases

interopiO Implements and Supports the SMART on FHIR Specification

HL7 has published the first release of the SMART Application Launch Framework Implementation Guide Release 1.0.0. interopiO provides full support for this IG including all published profiles:

  • Public applications
  • Confidential applications
  • Standalone applications
  • Background applications 

interopiO’s implementation of SMART also includes an enterprise grade OAuth server supporting the complete gamma ot SMART authorization profiles including shared secret, refresh tokens, grant revocation, custom context setup. Additionally, we support all available SMART scopes that applications can request including profile and offline scopes.

An interopiO powered SMART enabled FHIR endpoint also includes a faithful implementation of the two SMART conformance statements:

  • FHIR Capability Statement
  • Well-known Uniform Resource Identifiers JSON file

Further, interopiO Provider Portals provides a way for subscribers to create their own SMART on FHIR-based decision support portal to launch any number of registered SMART Apps for testing, demonstration & sales, and/or production use. 

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