FHIR Data Platform

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Customer Challenge

With the mandate from CMS to implement secure standards-based Patient Access APIs that allow members to access their health information using HL7 FHIR 4.0.1. the need for payers to find compliant solutions became a major priority. Solutions like TIBCO’s application integration offering are optimized to help payers transform existing clinical and claims data for storage using FHIR (Fast Healthcare Interoperability Resources) on a data platform like Smile CDR. Additionally, TIBCO's API management offering provides API capabilities to control access to the data stored in the CDR, while TIBCO's visual analytics offering delivers reporting capabilities against the FHIR data that round out the solution.

Solution Description

The Smile CDR FHIR data platform, supports all FHIR versions and resources and is perfectly suited to meet the CMS interoperability mandate. Leveraging TIBCO’s integration, API management, and visual analytics capabilities, the combined solution provides significant value to payer organizations striving to meet the ONC mandated deadline, including:

  • Accelerated implementation and reduced time-to-market
  • A strategic investment to meet current and future CMS requirements, while establishing an interoperability capacity for future innovation
  • Mitigated risk due to enhanced security and privacy features, ensuring HIPAA compliance
  • Enterprise-grade performance and operational features with commercial support

Smile CDR was recognized by Gartner1 as a Representative FHIR vendor offering solutions tailored to achieve compliance with the CMS rule. According to IDC analysis and buyer perception, Smile CDR is positioned in the Leaders category in the 2020–2021 IDC MarketScape for customer-360 data platforms for payers software in the U.S. market2.

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Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.

1Gartner, Prepare for CMS Interoperability and Patient Access API Compliance for U.S. Healthcare Payers, Mandi Bishop, 15 June 2020

2IDC MarketScape: U.S. Customer-360 Data Platforms for Payers 2020–2021 Vendor Assessment, Jeff Rivkin, December 2020, # US46997020


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