Whitelisting , FHIR Endpoints (Cerner) and a list of Medical Entities that utilize Cerner Endpoints

[Robert Maagdenberg]

All,

I am seeking to speak to someone who can help me with the following information:

a. the exact process (es) to follow in how to 'whitelist' our product with the various medical entities that utilize Cerner endpoints
b. FHIR Endpoint URLs...the current list several years old (2018)..can Cerner provide me a spreadsheet (or csv or word document) of the current FHIR Endpoint list? These are URLs  https://github.com/cerner/ignite-endpoints  
c. a list of medical entities (hospitals, clinics, etc.) that are associated with these FHIR Endpoints (ex. Dignity Health, San Ramon, CA utilizes Cerner FHIR Endpoints). This can be in an excel sheet as well...

I need help on these specific points. If someone can provide me details to each one, that would be great. 

Robert

[Jenni Syed (Cerner)]

Hi Robert,

a) To confirm, is the app a read only app using "on behalf of" the patient workflow and the CCDS? Or is it provider facing/system? The type of app varies in the process.

b) That list is a list of sites that opted in to sharing their URL. It will be getting an uplift as part of our changes coming with 21st Century Cures to include all sites, but that hasn't been completed yet.

c) We don't currently have that information. Other applications have worked with the sites/systems to determine what practices or facilities should be included in a list and maintain that. 

Regards,

Jenni

[Robert Maagdenberg]

Jenni,

a. Thank you for responding. In response to 'a'. I believe we are simply attempting to 'read'  using 'on behalf of' but below provides a more detailed explanation:

The company I work for is developing an online insurance application for the U.S market. In essence it is a B2B Portal app that solicits brokers, insurers, applicants and healthcare providers to collaborate to provide an applicant price quotes on various insurance products and services.   

b. So am I to understand that the list currently in the public forum (https://github.com/cerner/ignite-endpoints) is NOT the complete list? Is there a way you can provide us with whatever updated list you have currently collected along with the associative Medical Entity? It would greatly help us to understand the reach and complexity of Cerner's FHIR Endpoints...

c. So am I to understand that Cerner doesn't provide a list of all the medical entities that utilize their respective FHIR Endpoints?

For example, if you look at the list below you can see that there is a medical entity with the associative FHIR endpoint. Is it my understanding that Cerner does not track which medical entity is utilizing its FHIR Endpoints? Just curious...

"endpoints": [
	{
	"name": "A Woman's Place, LLC",
	"baseUrl": "https://fhir-myrecord.cerner.com/dstu2/sqiH60CNKO9o0PByEO9XAxX0dZX5s5b2/",
	"type": "prod"
	},
	{
	"name": "ABC Pediatrics",
	"baseUrl": "https://fhir-myrecord.cerner.com/dstu2/8004d35e-3cbe-40a8-8f64-f3def78d8499/",
	"type": "prod"
	},
	{
	"name": "ASCHINBERG PEDIATRICS",
	"baseUrl": "https://fhir-myrecord.cerner.com/dstu2/9376d5c9-afda-4b32-a319-0c1c159dffd7/",
	"type": "prod"
	},
	{
	"name": "Abbott Laboratories, Corporate",
	"baseUrl": "https://fhir-myrecord.cerner.com/dstu2/e5c7a150-047a-4c41-88cf-7d5d78afaeea/",
	"type": "prod"

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Licensed Real Estate Broker

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CA BRE # 01432017

[Jenni Syed (Cerner)]

Thank you for the details.

For the process to connect a system app ("b2b") - the FAQ and process is described here: https://code.cerner.com/submit

After going through code, you're typically listed in our app gallery, and clients would contact you or us to add access - you are typically under their BA for this type of connectivity (as HIPAA applies) so it does take some conversation. At that time, you also will be told the FHIR url - the URLs listed in that github repository are just for patient facing applications right now.

The reason some of the entries on that list look very detailed (EG: beyond just the system level) is that those sites specifically have their own FHIR URL - they don't share their system with a large health system.

As part of the code process, you would also have access to our business team that can talk through more details/questions that you may have which the team that supports this group may not have.

Thanks,

Jenni

[Adrian Gropper]

https://linux.slashdot.org/story/20/07/11/2037250/the-linux-team-approves-new-neutral-terminology

- Adrian

On Thu, Aug 6, 2020 at 1:45 PM 'Jenni Syed (Cerner)' via Cerner FHIR Developers <cerner-fhir...@googlegroups.com> wrote:

Thank you for the details.

For the process to connect a system app ("b2b") - the FAQ and process is described here: https://code.cerner.com/submit

After going through code, you're typically listed in our app gallery, and clients would contact you or us to whitelist - you are typically under their BA for this type of connectivity (as HIPAA applies) so it does take some conversation. At that time, you also will be told the FHIR url - the URLs listed in that github repository are just for patient facing applications right now.

The reason some of the entries on that list look very detailed (EG: beyond just the system level) is that those sites specifically have their own FHIR URL - they don't share their system with a large health system.

As part of the code process, you would also have access to our business team that can talk through more details/questions that you may have which the team that supports this group may not have.

Thanks,

Jenni

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[Robert Maagdenberg]

Jenny,

Thanks for the feedback and analysis. In response to the original I believe we are looking for the patient facing FHIR Endpoint URLs (or updated list). Our app (I may have been mistaken) is a 'read only app' and 'on behalf of' patient workflow...In this scenario, I would imagine the whitelisting process is different. Could you elaborate on this whitelisting scenario?

b. In terms of the FHIR Endpoints, any list that you have (even in beta or unpublished form) similar to the github list  https://github.com/cerner/ignite-endpoints would be most ideal. Obviously the current github list is old and it doesn't encompass all the hospitals that utilze Cerner's FHIR Endpoints

c. So it appears you are saying that Cerner doesn't keep a list of the medical entities that utilize its FHIR Endpoints? I don't know if I understood this properly and apologize if I got this wrong

Robert

To view this discussion on the web visit https://groups.google.com/d/msgid/cerner-fhir-developers/CANYRo8gB65LHypNBzUH%3Dat4LDDdaXV3FFUbMhVnB%3DL5FatETbg%40mail.gmail.com.

[Jenni Syed (Cerner)]

For patient facing applications (the app *must* be getting the prompt for the patient to log in, and using the authorization method described in our doc), assuming the reads are for CCDS data, you just need to tell us you're ready for prod. We are working on making the authorization process more seamless, the first building block which requires an upgrade to our sandbox, but this will get better documentation over time, and have less steps in the process.

Once you've built and tested your application in our sandbox, and are ready to go to production, contact us via that code submission page linked above and just make sure to mention that you are a direct to consumer application needing read access to the CCDS dataset. We'll get some basic information from you that we add to a page that our clients can view and move your application over to the production system. We'll also grab links from you around terms/privacy policies/etc that can be viewed on the patient's consent screen to share data. You could also ask any additional questions you might have around the client base as our business associates will have more context. After that, a client or you would still typically reach out to us to get the application allowed at a specific site. Again, this is something we're working on improving/speeding up.

Today we have access to know what systems we have live on our APIs (eg: Acme Big National Health System), but don't currently have anything that breaks that down to facilities and locations (EG: Dr. Brenda's Primary Care in Sacramento, CA, Acme Hearts Hospital in North Kansas City, MO) that a patient may understand (yet). Again, this is something we want to improve over time, especially for the patient experience.

Regards,

Jenni

[Robert Maagdenberg]

Jenni,

Thanks for the feedback on the whitelisting process. It is really helpful and appreciated and helpful :)

Regarding the FHIR Endpoints. I completely understand that it is a work in progress and you don't have a list just yet of the FHIR Endpoint with an associative medical entity name. If you are allowed to send me anything pertaining to this, that would be ideal (including a list of medical entities that are 'tied' (utilizing FHIR Endpoints) to Cerner such as hospitals, etc. 

You have been soooo helpful to me...:))))

I hope the questions were appropriate :)

Robert

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[Robert Maagdenberg]

Jennifer, 

Can help define for me  CCDS data

[Robert Maagdenberg]

Jennfier,

You wrote: 'For patient facing applications (the app *must* be getting the prompt for the patient to log in, and using the authorization method described in our doc), assuming the reads are for CCDS data...'   Can you help define for me the following CCDS https://en.wikipedia.org/wiki/Consensus_CDS_Project  

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[Michele Mottini]

https://www.healthit.gov/sites/default/files/ccds_reference_document_v1_1.pdf 

  - Michele

  CareEvolution Inc

 

[Robert Maagdenberg]

Michele,

Thank you so much for this link. I really appreciate it :) It is very helpful:)

I notice that you are very active on the Google Cerner Forums. I was wondering if you have any exposure to (or access to) any of the major EHR 'live' FHIR Endpoints such as 

a. any updated Cerner list (other than what is published on Gitbhub)
b. other than EPIC (which publishes a list through open.epic)

Just curious...any non EPIC FHIR Endpoint list to share would be most appreciated

Robert

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[Michele Mottini]

No, sorry, do not have such list. I used to maintain one but I gave up (...and it did not contain much more than the Epic list in any case)

  - Michele

  CareEvolution Inc

[Robert Maagdenberg]

Michele,

Any list you have would be helpful and ideal

Contact me if you have any questions 

Robert

robert.ma...@universal.one

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