1. Powering the Era of Health Insight
SMART IoT June 27, 2017
Blackford Middleton

2. The Big Problem
The health enterprise will need to connect 1,000s of analytics to many data sources and end points
ANALYTICS GROWTH
OPERATIONS COMPLEXITY ∂
DATA
ANALYTICS
END POINTS
MANY END POINTS +
2000
2010
TODAY
PAPER ERA
EHR ERA
x100
Demand
for Health
Insight
THE ERA
OF INSIGHT + +
THE CARE CONTINUUM

3. Apervita
The platform to create, manage and distribute insight to many places, for many purposes
System of Record
System of Insight
System of Engagement
EHR
EHR
EDW
Mobile
many data sources
many data types
many data formats
many users
many purposes
many places
Apervita
CDR
Apps
Financial
Web
Ancillary BI
Apervita is a new breed of open platform empowering enterprises with real time intelligence. Apervita takes advantage of health data, rapidly creating, distributing, and scaling insight across clinical and business processes.
Fast, simple, affordable.

4. Enterprise and industry scale with run-time binding
Apervita Architecture
CDS Recommendations
…Others….
DELIVERY INTERFACE
Packaging & Distribution:
Orchestrations | Visualizations | Events | Alerts| Input/Feedback | Web Services
Creation:
Rules
Scores
Algorithms
Measures
Order sets
Pathways
Execution:
Value sets
Code sets
Ontologies
Enterprise and industry
scale with run-time binding
Data Connection:
Facts
Events
Populations
Cohorts
Real time or Bulk
ANALYTIC INTERFACE
DATA INTERFACE
FHIR QICore
CQL
Enterprise Administration
Marketplace
PUBLISH & SUBSCRIBE
Blackford Middleton, MD, SMART 2017

5. Methodology and Application Overview
Started with paper CDS STI guideline L2
Converted guideline to a logic flow diagram L3
Built standards-compliant CQL and FHIR Resources L4
Implemented real-time CDS on Apervita
Boxwala AA, Rocha BH, Maviglia S, et al. A multi-layered framework for disseminating knowledge for computer-based decision support.
Journal of the American Medical Informatics Association : JAMIA. 2011;18 Suppl 1:i132-i139. doi: /amiajnl
Blackford Middleton, MD, SMART 2017

6. Allscripts Cerner Epic… Meliorix Sapphire
CDC 2015 STD Guideline Implementation and Application Overview
EHR
SMART on FHIR App
Analytics Engine 3
EHR
Allscripts
Cerner
Epic…
Apervita
Population
Health
EHR
Strategic
Reporting
SCM
Finance HR √
APIs
SMART on FHIR
Meliorix
Sapphire
Blackford Middleton, MD, SMART 2017