Care Pathway Automation on FHIR

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1 Care Pathway Automation on FHIR Alastair Allen 7 th #EvolveIntegratedCare Issued commercial in confidence Kainos Evolve Limited 2016 no reproduction without prior consent.

2 Evolve enables healthcare delivery organizations to transform how they deliver patient care through Care Pathway Automation a division Kainos Group PLC 35 NHS trusts with 150+ hospitals depend on Evolve 700+ care pathways implemented Apple MPP, one of only 12 in healthcare and one of only 3 which are considered to have global potential new platform live or being deployed at 4 major U.S. hospital networks - expect 100+ hospitals live by March 2018

3 Why Care Pathway Automation? AGING POPULATION AND CHRONIC DIDEASES AFFORDABILITY OF HEALTHCARE INCREASING SHORTAGE OF CLINICAL EXPERTS GLOBAL HEALTHCARE CHALLENGES

4 How do we address these challenges? BI-MODAL HEALTHCARE RAPID RE-ENGINEERING OF CLINICAL PROCESSES ACCESS TO COMPREHENSIVE PATIENT DATA EASY COLLABORATION

5 Examples of Care Pathway Automation? Enabling our customers to deliver high-quality, patient-centric care through better visibility of patient information and management of care pathways across teams and organizations Enabling our partners to accelerate their innovation, bringing healthcare technology solutions to care providers, whilst reducing time and cost-to-market

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8 Typical FHIR Use Cases MODEL A REPOSITORY + API MODEL B - EXCHANGE MODEL C EHR FHI R FHI R Application API Integration Engine EHR FHI R Database v2 v3

9 Model A Repository + API

10 Model A Repository (for Care Pathway Data) Care Pathway Data All data collected within an Evolve Care Pathway is exported to the Evolve FHIR Repository and then exchanged with the System of Record Documents Documents can be stored natively within the Evolve Content Repository or referenced from other content repositories Implemented using the FHIR DocumentReferene Repository Audit All audit data across all Evolve micros-services stored in an audit log implemented using the FHIR AuditEvent Resource

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14 Model A Repository (for Medical Calculators) >20 Medical Calculators (e.g. NIHSS, Alteplase etc.) built using the FHIR Questionnaire Resource Calculators stored using FHIR Observation Resource Open Source Opportunity?

15 Model B Exchange

16 Model B - Exchange Regional Shared Care Record in the NHS for 650,00 Patients Information integrated across systems from primary, secondary and tertiary care All data exchanged and normalized to FHIR STU3 100 s of data-items exchanged over 10 s of FHIR Resources No FHIR extensions required

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20 Model C EHR

21 Model C - EHR THE FUTURE PLUG N PLAY INTEROPERABILITY

22 Questions

23 Commercial Statement Kainos Evolve Limited 2016 Kainos Evolve Limited ("Evolve") is a company registered in the UK under company number NI This presentation (and each slide and its content individually) is the copyright of Evolve, commercial in nature and issued in confidence. It must not be reproduced, in whole or in part, for any purpose, without the prior written consent of Evolve. Evolve is a registered trademarks of Kainos Evolve Limited. All rights are reserved. You may not delete, change or modify any copyright or trademark notice. The information supplied shall be deemed, for the purpose of the Freedom of Information Act 2000, to be "sensitive information". The information has been provided in confidence by Evolve and disclosure may be prejudicial to the commercial interests of Evolve. Where features, functionality or services are described in the content, these are a summary guide only and are not a representation that all features, functionality or services will be made available on any particular deployment of Evolve. Issued commercial in confidence Kainos Evolve Limited 2016 no reproduction without prior consent.