SMART Health IT/ITdotHealth Allscripts, API Evolution Manoj Sharma, Sr Architect – Open Business Unit Good morning everyone! My name is Manoj Sharma, a senior architect within the Open Business Unit on the Innovations team. Today I will talk through the evolution of the API landscape, including SMART technologies, at Allscripts.

Allscripts Developer Program 2007 First Generation APIs 2011 ADP Partnership Model 2014 Online Tools & Resources 2016 FHIR-enabled APIs Accessible 2017 ADP Evolution SMART on FHIR . Application Store & Developer Portal Focus on Business Process Focus on Technology This business unit introduced the first generation proprietary API method called “Unity” in 2007. Our focus during those initial API days was to work on bringing a technical solution to a need we saw for accessibility to clinical EMR data. As this technology matured within our main three core EHRs covering Acute and ambulatory care across all practice settings, Sunrise/TouchWorks/Professional EHRs, we introduced a partnership model to support developers wanting to use the API technology in 2011. This model focused on enhancing accessibility of solutions offered by our partners, so in 2014 our online Application Store and the Allscripts Developer Portal, improving developer need to access welcome kits, tools and documentation to code to and utilize the API’s. Let’s fast forward to today, our proprietary Open APIs has been used over two and half billion times bi-directionally to exchange data with our Allscripts core solutions over the past 10 years. But our roadmap for 2017, we will be deploying to our clinical clients FHIR connectivity, with our Meaningful Use 3 upgrade packages needed for certification. What this means is that the API approach and the Developer Program, which has evolved over the last 10 years, is the natural home for the newly SMART on FHIR and CDS Hooks initiatives.

Allscripts Developer Program - Evolution ADP – Partner Full technical support, business side sales and marketing support, more traditional partnership ADP – Integrator Focus on Integration support Fast, immediate access and distribution rights Developer Open Access Account Free & fast FHIR-enabled APIs required for regulatory compliance Earlier this year Allscripts introduced new ways to integrate with Allscripts products.  Our free, fast FHIR access is available at no charge and with no approval to any individual or company wanting to use Allscripts FHIR APIs. Our integrator tier allows access and deployment of solutions built with Unity, our proprietary API and is a usage based revenue share model.  Finally, our partnership tier that requires approval enables sales and marketing support. Since making this evolution to our program we’ve seen nearly 1000 new participants just since January.

12K+ Team Sport FHIR 2.5B 5,500 900+ 1,350 4,000+ UNITY INSTALLS TICKETS WORKED 1,350 CLIENT ACTIVATIONS 2.5B UNITY API CALLS 5,500 PORTAL ACCOUNTS 900+ APIs FHIR CERTIFIED Team Sport We have a dedicated group, the Open Business Unit, whose main purpose is to support our Allscripts Developer Program and API initiatives. We focus on supporting the developers, clients and products who rely on this connectivity to get relevant data where it needs to go.

Building Open, Connected Communities of Health™ OPEN API DATA SHARES ~2,500 HOSPITALS 45K+ PHYSICIAN PRACTICES 14M+ COORDINATED COMMUNITY CARE REFERRALS 100K+ COORDINATED COMMUNITY CARE ORGANIZATIONS 10M+ CONNECTED CONSUMERS Open Open - architecture and ideas: Flexible and seamless workflow, Extensible and scalable Interoperable - access: single view of the patient, standards based data exchange within an enterprise for efficient decision support Connected - resources: patient/partners/payers/ADP partners Interoperable Connected

Follow us on Twitter: @AllscriptsADP, #OpenADP developer.allscripts.com Follow us on Twitter: @AllscriptsADP, #OpenADP THANK YOU !!! You too can sign up, for free, at our Developer Portal… just go to developer.allscripts.com. Also, you can follow our team on Twitter @AllscriptsADP and use the hashtag #OpenADP