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Lighting up healthcare data with FHIR®: Announcing the Azure API for FHIR

Posted on February 7, 2019

General Manager, Microsoft Healthcare

In the last several years we’ve seen fundamental transformation in healthcare data management, but the biggest, and perhaps most important shift, has been in how healthcare organizations think about cloud technology and their most sensitive health data. Healthcare leaders have transitioned from asking “Why should I manage healthcare data in the cloud?” and are now asking “How?”.

The change in the question may seem subtle, but the rigor required to ensure the highest level of privacy, security, and management of Protected Health Information (PHI) in the cloud has been a barrier to entry for much of the healthcare ecosystem. Compounding the difficulty is the state of data: multiple datasets, fragmented sources of truth, inconsistent formats, and exponential growth of data types.

We are now seeing, almost daily, new breakthroughs with applied machine learning on health data. But to truly apply machine learning at scale in the healthcare industry, we must ensure a secure and trusted pathway to manage that data in the cloud. Moving data into the cloud in its current state can reduce cost, but cost isn’t the only measure. Healthcare leaders are thinking about how they bring their data into the cloud while increasing opportunities to use and learn from that data: How do we ensure the privacy of patient data? How do we retain control and access management for our data at scale? How do we bring data into the cloud in a way that will accelerate machine learning for the future?  

And today I am thrilled to announce Azure technology that begins to answer the question of “how”: Azure API for FHIR®.

Azure API for FHIR®: Your health data. Unlocked with FHIR.

Data management in the open source FHIR (Fast Healthcare Interoperability Resource) standard is becoming turnkey for interoperability and machine learning on healthcare data. There is a growing need for healthcare partners to build and maintain FHIR services that exchange and manage data in the FHIR format.

Azure API for FHIR offers exchange of data via a FHIR API and a managed Platform as a Service (PaaS) offering in Azure, designed for management and persistence of PHI data in the native FHIR format. The FHIR API and data store enables you to securely connect and interact with any system that utilizes FHIR APIs, and Microsoft takes on the operations, maintenance, updates and compliance requirements in the PaaS offering, so you can free up your own operational and development resources.

Key features of the Azure API for FHIR will include:

  • Provision and start running in just a few minutes
  • High performance, low latency
  • Enterprise grade, managed FHIR service
  • Role Based Access Control (RBAC) – allowing you to manage access to your data at scale
  • Audit log tracking for access, creation, modification, and reads within each data store
  • SMART on FHIR functionality
  • Secure compliance in the cloud: ISO 27001:2013 certified, supports HIPAA and GDPR, and built on the HITRUST certified Azure platform
  • Data is isolated to a unique database per API instance
  • Protection of your data with multi-region failover

The cost-effective way to start in the cloud

Because we believe it's important to invest in the FHIR standard, you pay only for underlying database usage and data transfer when using the Azure API for FHIR.

The cloud environment you choose for healthcare applications is critical. You want elastic scale so you pay only for the throughput and storage you need. The Azure services that power Azure API for FHIR are designed for rapid performance no matter what size datasets you’re managing. The data persistence layer in the Azure API for FHIR leverages Azure Cosmos DB, which guarantees latencies at the 99th percentile and guarantees high availability with multi-homing capabilities.

Those with experience in healthcare data management may wonder:  we have HL7 standards in the industry already, why do we need FHIR to bring data into the cloud? HL7 has served the industry well since its first implementations in the 1980s. But as it’s evolved, customizations of HL7 can translate to a heavy lift for the future of healthcare learning: data science. FHIR is gaining traction because it provides a consistent, open source, extensible data standard that can scale as we learn. In order to accelerate machine learning on healthcare data, organizations are shifting data to the FHIR format as they transition into the cloud:  saving both time and money.

Where can I apply the Azure API for FHIR?

Azure API for FHIR is intended for customers developing solutions that integrate healthcare data from one or more systems of record. The API promotes the use of ingesting, managing, and persisting that data in native FHIR resources. Leveraging an open source standard (FHIR) enables interoperability for data sharing both within and outside of your ecosystem and helps accelerates the machine learning process on data is normalized in FHIR.

Our customers are already seeing powerful scenarios for FHIR applications:

Startup/IoMT:
Fred Hutchinson Cancer Research in Seattle, WA is developing innovative IoMT and patient applications to remotely monitor patients undergoing chemotherapy. While in development, they needed a secure, fully managed backend service to handle patient data across multiple participating hospitals. To ensure they could design once and integrate quickly into a broad number hospital EHR systems, they are using Azure API for FHIR and a SMART on FHIR implementation.

Provider Ecosystems:
University of Pittsburgh Medical Center has been working with Microsoft FHIR offerings in their hospital systems: “The ability to one-click deploy a FHIR server as a managed service allows us to think more about our applications and customer needs, and less about the plumbing required to store and represent clinical data.” – Brian Kolowitz, director of product management, UPMC Enterprises.

Research:
Associate Dean of Research Information Technology at University of Michigan, Dr. Sachin Kheterpal, is leading efforts to streamline data ingestion and management for Michigan Medicine’s research teams. To drive faster research innovation and ML development, University of Michigan will be piloting the management of data through the Azure API instead of their on-premise systems. “We’re expecting to reduce operational workloads, increase data control, improve data de-identification, and enable our data scientists to move faster with data normalized in the FHIR standard that benefits from a community of developers based upon FHIR resources.”

If you want additional support as you integrate FHIR, we’ve also been working with over 25 partners in our Early Access Program. ISV and SI partners in the Early Access Program understand the technical details and applications for Azure API for FHIR and can help get your data into FHIR and the cloud even more easily.

Investing in FHIR to accelerate AI in healthcare

The Azure ecosystem already has robust components for Microsoft partners to build secure and compliant health solutions in the cloud on their own, but we’re going to continue making it easier. We’re focused on delivering turnkey cloud solutions so our healthcare partners can focus their attention on innovation. Check out Azure API for FHIR and do more with your health data.


FHIR® is the registered trademark of HL7 and is used with the permission of HL7