{"id":1246,"date":"2017-10-18T23:38:36","date_gmt":"2017-10-18T23:38:36","guid":{"rendered":"http:\/\/orionhealth.weareiceberg.co\/?p=1246"},"modified":"2024-06-14T00:44:28","modified_gmt":"2024-06-14T00:44:28","slug":"how-can-fhir-apis-help-to-prevent-heart-attacks","status":"publish","type":"post","link":"https:\/\/orionhealth.com\/global\/blog\/how-can-fhir-apis-help-to-prevent-heart-attacks\/","title":{"rendered":"How can FHIR APIs help to prevent heart attacks?"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Learn more about a new sample app.<\/h4>\n\n\n\n<p>Heart disease and heart attacks are one of the leading causes of chronic disease and premature death globally.\u00a0<a href=\"https:\/\/en.wikipedia.org\/wiki\/Framingham_Risk_Score\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">The Framingham Risk Score<\/a>\u00a0is a scoring system used to determine an individual&#8217;s chances of developing heart\/cardiovascular disease. The Framingham Cardiovascular Risk Calculator, gives an estimate of the likelihood (as a percentage) of an individual having a cardiovascular event (e.g. a heart attack) in the subsequent 10 to 30 years. The risk score can also highlight individuals who may benefit from prevention plans such as, being offered preventive drugs to lower blood pressure and lower cholesterol levels.<\/p>\n\n\n\n<p>A demo app has been developed that uses\u00a0<a href=\"https:\/\/orionhealth.com\/blog\/fhir-the-basics\/\">HL7\u00aeFHIR\u00ae<\/a>\u00a0APIs both as the source data, and also as a repository to store data that it creates. The application is an implementation of the Framingham Cardiovascular risk calculator.<\/p>\n\n\n\n<p>It works by taking a number of measures (blood lipid levels, blood pressure, smoking status and whether an individual is a diabetic) and assigning a number of \u2018points\u2019 to each one (there can be negative points for good results as well). The points are totalled and the overall risk calculated, and then saved back to the platform, which means that it can be viewed directly from a portal.<\/p>\n\n\n\n<p>The application is a web application, which means that it will run in a browser on any device \u2013 including smart phones and tablets.<\/p>\n\n\n\n<p>We\u2019ll discuss this project in a number of posts, over the next three weeks.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>In this first post we\u2019ll talk about the way the app works \u2013 how we meet the requirements of calculating the risk for an individual patient<\/li>\n\n\n\n<li>Next, we\u2019ll consider what APIs we need from the platform, and how to call them<\/li>\n\n\n\n<li>Finally, we\u2019ll dig into the security details \u2013 how we use OAuth to secure the application<\/li>\n<\/ol>\n\n\n\n<p>The overall application flow is as follows.<\/p>\n\n\n\n<p>First we log into the application. Actually, behind the scenes we are really logging into the\u00a0<a href=\"https:\/\/orionhealth.com\/digital-care-record\/\">Orion Health Amadeus Platform<\/a>, so we need to have a Portal login. Our user account also needs to have permissions to access the clinical data we need (we\u2019ll talk about this in the third post in this series).<\/p>\n\n\n\n<p>Once we\u2019ve logged in, the app will retrieve the worklists that have been defined for the logged in user. These worklists are lists of individuals\/patients that can be maintained by the user. The lists are displayed in the app.<\/p>\n\n\n\n<p>We select a worklist, and the app then displays all the patients in that worklist. We can select any patient, and the app will retrieve the data from the platform (via the API) and calculate the Cardiovascular Disease (CVD) risk. Both risk and the data used to calculate the risk are displayed on the screen. (Please don\u2019t rely on these figures from this app \u2013 this is a demonstration only!) Here\u2019s a screen shot:<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1407\" height=\"551\" src=\"https:\/\/orionhealth.weareiceberg.co\/wp-content\/uploads\/2019\/05\/framingham.png\" alt=\"\" class=\"wp-image-1247\" srcset=\"https:\/\/orionhealth.com\/wp-content\/uploads\/framingham.png 1407w, https:\/\/orionhealth.com\/wp-content\/uploads\/framingham-300x117.png 300w, https:\/\/orionhealth.com\/wp-content\/uploads\/framingham-1024x401.png 1024w, https:\/\/orionhealth.com\/wp-content\/uploads\/framingham-768x301.png 768w, https:\/\/orionhealth.com\/wp-content\/uploads\/framingham-18x7.png 18w\" sizes=\"auto, (max-width: 1407px) 100vw, 1407px\" \/><\/figure>\n\n\n\n<p>We can then save the assessment back to the platform using the green \u2018Save Risk Assessment\u2019 button, after which it can be viewed in Portal \u2013 or retrieved from the API again. In fact, we display the previous assessments on the screen over on the right hand side of the app.<\/p>\n\n\n\n<p>Here\u2019s a screen shot of the assessment being viewed from portal:<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/orionhealth.weareiceberg.co\/wp-content\/uploads\/2019\/05\/screen-shot-2017-10-10-at-103242-am-1440x619.png\" alt=\"\" class=\"wp-image-1248\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/orionhealth.weareiceberg.co\/wp-content\/uploads\/2019\/05\/screen-shot-2017-10-10-at-104620-am-1440x794.png\" alt=\"\" class=\"wp-image-1249\"\/><\/figure>\n\n\n\n<p>And because this is a demo app, we\u2019ve also provided the ability to generate random test data (using the red button).<\/p>\n\n\n\n<p>And that\u2019s really all the app is! There\u2019s a lot more we could do \u2013 for example we could allow the user to modify the data on screen and re-generate the risk to show someone how they could reduce their risk, or display a chart showing the risk changing over time, but this is only a demo after all!<\/p>\n\n\n\n<p>It\u2019s a Single-Page Application (SPA) using Angular on the client, communication with a Node.js application on the server. The node app makes the actual API calls to the platform (via the API Manager) and returns the results to the client. It also has the assessment algorithm. This approach was taken to avoid any Cross Origin Resource sharing (CORS) issues that can occur when the call is made directly from the browser to the server.<\/p>\n\n\n\n<p>In the next week\u2019s blog, we\u2019ll dig into the API in more detail.<\/p>\n\n\n\n<p>To learn more about FHIR for Clinicians download the white paper now.<\/p>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/orionhealth.com\/white-papers\/fhir-for-clinicians\/\">Go to White Paper<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Learn more about a new sample app. Heart disease and heart attacks are one of the leading causes of chronic disease and premature death globally.\u00a0The Framingham Risk Score\u00a0is a scoring system used to determine an individual&#8217;s chances of developing heart\/cardiovascular disease. The Framingham Cardiovascular Risk Calculator, gives an estimate of the likelihood (as a percentage) [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":2660,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[1],"tags":[],"region":[23],"class_list":["post-1246","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","region-global"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How can FHIR APIs help to prevent heart attacks? - Orion Health<\/title>\n<meta name=\"description\" content=\"Learn how FHIR APIs can help prevent heart attacks in this blog post.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/orionhealth.com\/global\/blog\/how-can-fhir-apis-help-to-prevent-heart-attacks\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How can FHIR APIs help to prevent heart attacks? 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