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World®
’16
Tech	Talk:	APIs	in	Healthcare:	How	to	
Increase	Interoperability	and	Security	
With	FHIR	and	CA	API	Management
David	Bressler - VP,	Vertical	Markets,	API	Management	- CA	Technologies
(@djbressler)
DO3T21T
DEVOPS
2 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
©	2016	CA.	All	rights	reserved.	HL7	and	FHIR	are	the	registered	trademark	of	Health	Level	Seven	International.	Twitter	is	a	trademark	of	
Twitter,	Inc.	or	its	affiliates.	All	trademarks	referenced	herein	belong	to	their	respective	companies.
The	content	provided	in	this CA	World	2016	presentation	is	intended	for	informational	purposes	only	and	does	not	form	any	type	of	
warranty. CA	makes	no	warranties	or	promises	regarding	HIPAA	compliance	with	respect	to	any	CA	product	or	service.	The information	
provided	by	a	CA	partner	and/or	CA	customer	has	not	been	reviewed	for	accuracy	by	CA.	
For	Informational	Purposes	Only	
Terms	of	this	Presentation
3 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Abstract
With	the	emergence	of	the	Fast	Healthcare	Interoperability	Resources	(FHIR)	API	standard	from	
HL7,	the	healthcare	industry	is	poised	for	a	major	change	in	how	it	shares	and	secures	medical,	
patient,	and	financial	data.	To	achieve	true	interoperability	in	the	future,	all	health	organizations	
- from	the	largest	provider	networks	to	the	smallest	mHealth startups	- will	have	to	understand	
and	adopt	an	API	strategy.	In	this	session,	we	will	offer	a	hands-on	demo	and	discussion	of	FHIR	
APIs	being	secured,	managed,	and	used	through	CA	API	Management	SaaS,	the	cloud	version	of	
our	analyst-acclaimed	technology.
David	
Bressler
CA	Technologies
VP,	Vertical	Markets,	
API	Management
4 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Agenda
APPLICATION	ECONOMY	IMPACT	ON	HEALTHCARE	PROVIDERS
API	MANAGEMENT	AS	A	MAGIC	MULTIPLIER
CA	API	MANAGEMENT	DEVELOPER	PORTAL	FOR	THE	FHIR	STANDARD
SMART	ON	FHIR	POLICY	SUPPORT
1
2
3
4
5 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
6 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Customer	Experience	Drives	Revenue	Growth
Revenue	Growth	for	Individual	Companies	in	Select	Industries,	2010-2014
"Does	Customer	Experience	Really	Drive	Business	Success?"	Forrester	Research,	Inc.,	July	15,	2015
Reference	Link:	Forrester
7 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
A	Great	
Customer	
Experience	
Eliminates	
Friction
8 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
The	Platform	
Informs	the	
Experience
9 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Deep	Security
Identity	is	key
Health	history	can’t	be	reset
Mobile	security	models	differ	
from	web	security	models
Security	as	part	of	the	app,	in	
addition	to	being	part	of	the	
infrastructure
More	Software
More	experiences
More	target	persona
More	opportunity	to	engage	as	
a	result	of	having	a	“computer	
in	your	pocket”
Crafted	with	Care
The	competition	are	small	
companies	going	deep	on	a	
single	experience
Apps	are	judged	very	quickly;	
looks	matter
What	Does	This	Mean	for	Market	Participants?
Everyone	Is	Impacted	– Providers,	Payers,	Device	Manufacturers,	Even	Large	Employers
10 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
REST*
HTTP
TCP
IP
Back	End
REST	URL
SOAP/WSDL
IDE
Key	Value	Props
1. Simple	URI	
(GET/POST/PUT/DELETE)
2. Standards	based
3. Decoupled
Check	out	Twitter’s	public	API:
https://dev.twitter.com/rest/public
What	Is	an	API?
11 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
What	Is	the	Problem	With	Silos?
1. Brittle	– changes	could	impact	the	whole	system
2. New	‘experiences’	need	to	version	the	whole	end-to-end	silo
3. Everything	is	in	the	app	(security,	data	model,	governance)
12 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
API	Management	Enables	Experience	Creation	at	Scale
1. Decouples	“apps”	and	“experiences”	from	the	back	end;	
requires	less	coordination,	lowers	complexity,	improves	
speed	to	market
2. Improves	ability	to	create	new	experiences,	capitalize	on	new	
business	opportunities,	get	scale	(coverage	on	the	problem)
3. Unbundles	security,	data	model,	analytics,	governance
API	MANAGEMENT…
13 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
CA	Mobile	App	Services
CA	API	Gateway
CA	Mobile	API	Gateway
CA	API	Developer	Portal
CA	Live	API	Creator • Consume
• Develop
- Entire	API	
Lifecycle
+	Mobile• Promote
• Acquire
• Define
• Create
• Secure
• Runtime
CA	Advanced	Authentication
CA	Single	Sign-On
CA	Application	
Performance	Management
FHIR®	
APIs
SMART	
on	FHIR®
MU3FHIR®	
Services
CA	API	Management	- Healthcare
World®
’16©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD13
14 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Healthcare	Developer	Sandbox:	http://fhir.dev.ca.com
Supporting	the	HL7®	FHIR®	Standard
Test	FHIR®	Server
FHIR®	APIS
Conformance	Statement
Developers
API	Explorer	to:
1.	explore	FHIR®	APIs,	
2.	send	test	messages,	
3.	generate	code
API	Gateway
API	Developer	Portal
oAuth
Security
Added
Presenter’s	note:
Please	make	sure	you're	following	HL7's	trademark	guidelines.	
http://www.hl7.org/legal/trademarks.cfm?ref=nav
Brand	added	copyright	info	to	bottom	of	slide.
HL7	and	FHIR	are	the	registered	trademarks	of	Health	Level	Seven	International.
15 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Mobile	Security:	SMART	on	FHIR®
Accelerate	development,	improve	security,	lower	cost
Test	FHIR®	Server
FHIR	APIS
Conformance	Statement
API	GatewayWeb
WebWeb
Healthcare	Mobile/Web	Apps
Improving	patient	care	with	a	more	human	
technology	experience
1.SMART	on	FHIR®
SMART	on	FHIR®
Defines	a	profile	involving	a	set	of	open	specifications	to	integrate	apps	with	health	systems:
• FHIR®	for	structured	data
• OAUT	2.0	for	scopes	and	permissions
• OPenID	Connect	for	Identity
• HTML5	for	lightweight	UI	integration
HL7	and	FHIR	are	the	registered	trademarks	of	Health	Level	Seven	International.
16 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Mobile	Security:	SMART	on	FHIR®
Accelerate	development,	improve	security,	lower	cost
Test	FHIR®	Server
FHIR	APIS
Conformance	Statement
Mobile	API	GatewayWeb
WebWeb
Healthcare	Mobile/Web	Apps
Improving	patient	care	with	a	more	human	
technology	experience
1.SMART	on	FHIR®
2.Unique	capabilities	to	improve	developer	and	
patient/doctor	experience	around	security	in	
MAG	SDK
SMART	on	FHIR®
Defines	a	profile	involving	a	set	of	open	specifications	to	integrate	apps	with	health	systems:
• FHIR®	for	structured	data
• OAUT	2.0	for	scopes	and	permissions
• OPenID	Connect	for	Identity
• HTML5	for	lightweight	UI	integration
HL7	and	FHIR	are	the	registered	trademarks	of	Health	Level	Seven	International.
17 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Mobile	Security:	SMART	on	FHIR®
Accelerate	development,	improve	security,	lower	cost
Test	FHIR®	Server
FHIR	APIS
Conformance	Statement
Mobile	App	ServicesWeb
WebWeb
Healthcare	Mobile/Web	Apps
Improving	patient	care	with	a	more	human	
technology	experience
1.SMART	on	FHIR®
2.Unique	capabilities	to	improve	developer	and	
patient/doctor	experience	around	security	in	
MAG	SDK
3.Mobile	acceleration	and	simplicity	through	
MAS	(FHIR	enabled	services	for	things	like	
appointments	and	prescription	management)
SMART	on	FHIR®
Defines	a	profile	involving	a	set	of	open	specifications	to	integrate	apps	with	health	systems:
• FHIR®	for	structured	data
• OAUT	2.0	for	scopes	and	permissions
• OPenID	Connect	for	Identity
• HTML5	for	lightweight	UI	integration
HL7	and	FHIR	are	the	registered	trademarks	of	Health	Level	Seven	International.
18 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Questions?
19 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
Thank	you.
Stay	connected	at	communities.ca.com
20 ©	2016	CA.	ALL	RIGHTS	RESERVED.@CAWORLD				#CAWORLD
DevOps	– API	Management	and	
Application	Development
For	more	information	on	DevOps	– API	Management	and	
Application	Development,	please	visit:	http://cainc.to/DL8ozQ

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