apidays New York 2023 - Leveraging APIs to Drive Interoperability and Innovation in Healthcare, Ion-Alexandru Secara, PostureHealth

apidays New York 2023
APIs for Embedded Business Models: Finance, Healthcare, Retail, and Media
May 16 & 17, 2023

Leveraging APIs to Drive Interoperability and Innovation in Healthcare
Ion-Alexandru Secara, CTO at PostureHealth Inc.

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Transcript

1. Leveraging APIs to Drive In te ro p e ra b ility a n d In n o va tio n in He a lth c a re Io n -Ale xa n d ru Se c a ra
3. About Me Io n -Ale xa n d ru Se c a ra (iro n -m a n ) • Un ive rsity o f St. An d re ws Gra d u a te • e x SWE a t Ad o b e , In tu it, Lo o p Up • Co -Fo u n d e r a t Ze n (p re vio u sly Po stu re He a lth )
4. Current API & Healthcare Environment Be fo re • Ph o n e c a lls a n d fa x m a c h in e s • Ph ysic a l p ra c tic e s wo u ld fa x th e p a tie n t’s file o ve r to th e lo c a l h o sp ita l • Da ys o r we e ks le a d in g u p to th e p ro c e d u re s, th e su rg e o n wo u ld h a ve a p h ysic a l c o p y o f th e p a tie n t’s file No w • Ele c tro n ic He a lth Re c o rd s (EHR) • Fa st He a lth c a re In te ro p e ra b ility Re so u rc e s (FHIR) • He a lth c a re o rg a n iza tio n s m a y b e u sin g o n e EHR in th e o ffic e , a se p a ra te EHR in th e h o sp ita l, a n d a sp e c ia list m a y e ve n b e u sin g a th ird .
5. Huge data variety, lack of interoperability, less innovation A sin g le m e d ic a l re c o rd c a n c o n ta in m o re th a n 100,000 d a ta fie ld s, in c lu d in g n u m e ric d a ta , stru c tu re d te xt, sc a n n e d file s e tc .
6. The Ideal World In fo rm a tio n Researchers • Be tte r e xp e rie n c e fo r in d ivid u a ls willin g to d o n a te th e ir d a ta fo r s c ie n c e • Ea s ie r a c c e s s to d e ta ile d m e d ic a l in fo rm a tio n to g e n e ra te h yp o th e s is , id e n tify tre n d s e tc . Providers • Mo re a c c u ra te c lin ic a l d e c is io n - m a kin g , th ro u g h a n a lytic a l p la tfo rm s • In n o va tive a n d in te rc o n n e c te d p a tie n t m a n a g e m e n t p la tfo rm s Patients • Ea s ie r a c c e s s to th e ir o wn h e a lth d a ta • Be tte r in fo rm e d h e a lth - re la te d d e c is io n s • 50 to 100 th o u s a n d d e a th s o c c u r in th e US a s a re s u lt o f m e d ic a l m is ju d g e m e n ts
7. Healthcare APIs and COVID -19 HCA He a lth c a re a n d Go o g le Clo u d , b a c ke d b y Go ve rn m e n t in stitu tio n s a n d th e Wo rld He a lth O rg a n iza tio n , h a ve c re a te d th e CO VID-19 Na tio n a l Re sp o n se Po rta l th a t wa s u se d b y h e a lth c a re p ro vid e rs to sh a re a n o n ym o u s d a ta re la te d to th e o n g o in g p a n d e m ic . We a ll re a d n e ws a b o u t th e e xtre m e situ a tio n th a t wa s o n g o in g in Ne w Yo rk City. We ll, th ro u g h th e u se o f APIs, p a tie n ts we re se n t a n d tra n sfe rre d to va rio u s h o sp ita ls b a se d o n a va ila b ility o f m e d ic a l sta ff, ICU b e d s a n d to ta l n u m b e r o f c o ro n a viru s c a se s. Re so u rc e Allo c a tio n API
8. How can we leverage APIs to drive interoperability a n d in n o va tio n ?
9. Constant need for developed standards 1960s First kn o wn h e a lth IT syste m s d e p lo ye d 1989 HL7 v2 wa s re le a se d fo r e n te rp rise -wid e re lia b ility 2003 HL7 v3 c re a te d to su p p o rt d a ta wo rkflo ws b e twe e n p ro vid e rs 2005 CDA re le a se d (In itia lly p u b lish e d in 2001) 2014 HL7 FHIR la u n c h e d , u sin g we b sta n d a rd s 2023 (March) HL7 FHIR R5 Released
10. HL7 FHIR R5 Im p ro ve d In te ro p e ra b ility Stre a m lin e d Wo rkflo w Exte rn a l Su p p o rt • Ca p a b ilitie s fo r to p ic-b a s e d s u b s crip tio n s a re n o w p a rt o f th e co re s p e cifica tio n , e n a b lin g p ro a ctive e ve n t n o tifica tio n s b a s e d o n d a ta ch a n g e s in th e s o u rce s ys te m • Sig n ifica n t re vis io n s to th e Me d ica tio n De fin itio n re s o u rce s to b e tte r s u p p o rt th e n e e d s o f m a n u fa ctu re rs a n d re g u la to rs a n d u s e in d ru g ca ta lo g s a n d p h a rm a co p o e ia s • Mo re th a n a d o ze n n e w re s o u rce s d e fin in g s tru ctu re s fo r d iffe re n t typ e s o f h e a lth -re la te d in fo rm a tio n • FHIR n o w d e fin e s 157 d iffe re n t re s o u rce typ e s • Su p p o rt fo r in n o va tive a p p lica tio n s : FHIR R5 p ro vid e s a fle xib le a n d e xte n s ib le d a ta m o d e l, e n a b lin g th e d e ve lo p m e n t o f in n o va tive h e a lth ca re a p p lica tio n s th a t ca n im p ro ve p a tie n t ca re a n d o u tco m e s • Se ve ra l ch a n g e s to th e s p e cifica tio n 's in fra s tru ctu re fu rth e r e n a b le m a n a g e m e n t o f co d e d te rm in o lo g ie s a s we ll a s e xte n s io n s to b e m a n a g e d m o re a p p ro p ria te ly a lo n g s id e th e co re FHIR s p e cifica tio n
11. Prevalent types of APIs healthcare
12. Prescription Fulfillment APIs • Use d fo r fu lfillin g a n d re fillin g p re sc rip tio n s • Allo ws u se rs to q u ic kly re q u e st p re sc rip tio n re n e wa ls a n d c h e c k fo r th e a va ila b ility o f th e ite m s o n th e ir p re sc rip tio n Insights • O n ly 49% o f c o u n trie s h a ve re g u la to ry p o lic ie s in p la c e fo r o n lin e p re sc rip tio n s. • Th e Wa lg re e n s p h a rm a c y p re sc rip tio n API a llo ws u se rs o f th ird -p a rty a p p lic a tio n s to in sta n tly b u y p re sc rip tio n re fills th a t we re in itia lly fille d a t o n e o f th e 8,200+ Wa lg re e n s p h a rm a c ie s.
13. Diagnostic APIs • Use d to p ro vid e p o ssib le d ia g n o se s b a se d o n p a tie n t sym p to m s • Re q u ire la rg e kn o wle d g e b a se s a n d a d ia g n o stic e n g in e (o fte n p o we re d b y AI) to p ro vid e a c c u ra te d ia g n o sis p re d ic tio n s Insights • Eve ry m in u te Go o g le re c e ive s o ve r 70,000 h e a lth -re la te d se a rc h e s (a ro u n d 7% o f Go o g le ’s d a ily q u e rie s). Mo st o f th o se a re re la te d to d ia g n o stic in fo rm a tio n . • A g ro u p o f re se a rc h e rs fro m Dre xe l Un ive rsity’s Sc h o o l o f Bio m e d ic a l En g in e e rin g h a ve u se d O p e n AI’s GPT-3 API to p re d ic t e a rly sta g e s o f d e m e n tia (Alzh e im e r’s) with 80% a c c u ra c y.
14. Healthcare Data Storage APIs • Use d fo r th e tim e ly tra n sm issio n o f d a ta ; th e d e live ry tim e p e rio d c a n su b sta n tia lly a ffe c t th e tre a tm e n t o f th e p a tie n t • Pa tie n t d a ta is h ig h ly se n sitive so c o m p lia n c e with la ws a n d re g u la tio n s is im p o rta n t. Insights • Ac c o rd in g to RBC Ca p ita l Ma rke ts, in 2022, th e h e a lth c a re in d u stry g e n e ra te d a b o u t 30% o f th e wo rld 's to ta l d a ta vo lu m e . • He a lth c a re d a ta sto ra g e is se g m e n te d in to : ◦ Typ e s: Ma g n e tic Sto ra g e , Fla sh Sto ra g e , So lid -Sta te Sto ra g e ◦ Arch ite ctu re s: Blo ck Sto ra g e , File Sto ra g e , O b je ct Sto ra g e ◦ De p lo ym e n t: O n -Pre m ise So lu tio n s, Re m o te So lu tio n s, Hyb rid ◦ Use r m a rke t: Ph a rm a ce u tica l, Ho sp ita ls
15. Health Tracking APIs • Use d fo r tra c kin g u se rs’ e xe rc ise s, h e a lth in fo rm a tio n a n d ro u tin e tra c kin g • Allo w in te g ra tio n s with we a ra b le d e vic e s, su c h a s sm a rtwa tc h e s Insights • Th e O u ra Rin g API a lo n e o ffe rs 32 d iffe re n t h e a lth -re la te d d a ta p o in ts • Ma yo Clin ic o ffe rs in te rco n n e cte d ta ke -h o m e d e vice s, th a t m o n ito r h e a lth d ig ita lly a n d co m m u n ica te th e ir d a ta via APIs
16. Health Research APIs • Pro vid e a c c e ss to re se a rc h in fo rm a tio n a n d d a ta b a se s o n d iffe re n t fie ld s su c h a s: ◦ Pro te in se q u e n c in g ◦ Ne u ro sc ie n c e ◦ To xic o lo g y • En a b le s o rg a n iza tio n s to p ro vid e s a c c e ss to th e ir d a ta o r se g m e n ts o f it Insights • Ru n e La b s, a p re c isio n n e u ro lo g y c o m p a n y in Sa n Fra n c isc o , wa s c le a re d b y th e FDA to u se th e Ap p le Wa tc h to c o lle c t a n d m e a su re d a ta fro m Pa rkin so n ’s p a tie n ts • Un iPro t o ffe rs a fre e ly a c c e ssib le d a ta b a se o f p ro te in se q u e n c e a n d fu n c tio n a l in fo rm a tio n , th a t a llo ws d o ze n s o f c o m p a n ie s to c a rry o u t re se a rc h o n
17. Health Information APIs • Pro vid e a c c e ss to g e n e ra l a n d sp e c ific h e a lth in fo rm a tio n o n d iffe re n t to p ic s, su c h a s: ◦ Sym p to m s in fo rm a tio n ◦ Life style tip s ◦ Me d ic in e in fo rm a tio n , su c h a s sid e e ffe c ts a n d h o w to ta ke th e m ◦ Re vie w o f h e a lth c a re o rg a n iza tio n s Insights • NHS (th e UK n a tio n a l h e a lth syste m ) p ro vid e s APIs th a t a llo w d e ve lo p e rs to g e t a c c e ss to h e a lth c a re -re la te d in fo rm a tio n . Th e APIs p ro vid e d a re re la te d to : ◦ Pre g n a n c y ◦ Me n ta l h e a lth
18. Aggregator APIs • Use d fo r d a ta c o lle c tio n a n d a n a lysis, u sin g m a c h in e le a rn in g , sta tistic a l a n a lysis a n d m u c h m o re • En a b le s d a ta sta n d a rd iza tio n a n d in te rc h a n g e b e twe e n m u ltip le p la tfo rm s a n d se rvic e s Insights • By 2025, th e h e a lth c a re c lo u d c o m p u tin g m a rke t is p re d ic te d to re a c h $64.7B • Go o g le ’s c lo u d h e a lth c a re API a llo ws o rg a n iza tio n s to sto re th e ir h e a lth c a re d a ta a n d ru n va rio u s d a ta a n a lysis a n d m a c h in e le a rn in g a lg o rith m s in th e c lo u d
19. Can organizations leverage APIs to drive in n o va tio n a n d in te ro p e ra b ility in h e a lth c a re ?
20. Thank you very much! @ th e s e ca ra