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Unifying Access to Patient Data - Oracle

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					Unifying Access to Patient Data
Oracle Healthcare Transaction Base

Doug Renert
Vice President,
Oracle Healthcare
Healthcare Transaction Base


An information repository and services
infrastructure supporting patient-centric
data consolidation and applications

•   Leverages Oracle’s core technology and expertise
•   Built for large, complex healthcare communities
•   Standards-based, open architecture
•   Adaptive development, integration and operation platform
                                                   Healthcare
                                                  Healthcare
                                                 Financial Apps
                                                Financial Apps
                                                   Healthcare
                                                  Healthcare
                                                  ClinicalApps
                                                 Clinical Apps




                                     HTB
                                                   Healthcare
                                                Marketing
                                                  Healthcare Apps
                                               Administrative
                                              Administrative Apps

                                                Contracts
                                                Marketing

                                                Contracts
                                                 Sales

                                                  Sales
                                                 Service

                                                Service
                                                                    An interoperability framework




                                           Order Management
                                           Order Management
                                             Supply Chain
                                             Supply Chain
        Oracle E-Business
                                                                                                    Healthcare Transaction Base




                                           Internet Procurement
                                           Internet Procurement
    Oracle E-Business Platform




                                                Financials
Oracle E-Business PlatformPlatform




                                                Financials

                                            Human Resources
                                            Human Resources

                                                 Projects
Healthcare Transactions

                                     I need a
                                    Chest X-ray
                                                             Order
                   Report               for
                                                             Chest
                   Result            Mr. Smith
                                                             X-ray



                                                                           Schedule
 Interpret
                                                                            Chest
   Study
                                                                            X-ray
                               Enterprise Object
                                    Model

       Place
                                                                      Check
      Image in
                                                                     Technician
     Radiologist
                                                                     Availability
       Queue                                   Check
                             Perform
                                              Equipment
                            Procedure
                                              Availability
Model Based Services
Based on the Reference Information Model


   Ancillary                          New
   Systems                         Applications
                  HL7 IF
                  Engine



                 Messaging

               Application Programming Interface

                   Enterprise Object Model
               HL7v3 Reference Information Model


                         Data Model
                  Oracle e-Business Platform
Core Services


 •   Terminology Mediation
 •   Person Identification
 •   Auditing and Security
 •   Configuration
 •   Workflow Integration
 •   Message Management
Business Process Functionality
Current API support




                                       Documentation
                Management


                             Results



                                          Clinical
                             Review
                   Order


                                                         Patient
  Scheduling    Encounter Management
                                                       Accounting

       Registration and Organization Management
Healthcare Enterprise Viewer
Results and registries
             Staff              Community                                 Care
                                                     Patients
           Physicians           Physicians                              Providers

                                          Internet

                     Results              Patient              Staff
                    Reporting           Registration        Management




                                Healthcare Transaction Base

                        •   Messaging Services
      HL7 IF            •   Master Person Indexing          Clinical
      Engine            •   Terminology Management           Data
                        •   Security and Auditing          Repository




                                   ADT & Clinical Systems
Healthcare Analysis and Reporting
Business and Clinical Intelligence
                           Executives         Managers           Researchers

                                               Internet
   Executive       Operational                                              Encounter
                                    Cost Analysis         Historical                            Clinical
  Information      Day-to-Day                                               Lifecycle
    System          Reports           Reports             Trending          Monitoring         Outcomes




                                   Healthcare Transaction Base                           Data Warehouse

                           •   Messaging Services
         HL7 IF
                           •   Master Person Indexing           Clinical
         Engine
                           •   Terminology Management            Data
                           •   Security and Auditing           Repository




                                                                                            Business
                                                                                          Process Data
                                                                                           Warehouse




          ADT & Clinical Systems                             Financial Systems
PHIN Platform
Disease surveillance and summary views
                          Healthcare         Local Health          Federal
                                                                                     Researchers
                           Workers            Agencies            Authorities
  Data Capture
                                                    Internet
  Applications
                   Encounter           Results         Incident            Data             Alert
                   Summary             Access          Reports             Mining        Notifications




                            Healthcare Transaction Base                         Data Warehouse

                    •   Messaging Services
                    •   Master Person Indexing         Clinical
                    •   Terminology Management          Data
          HL7 IF    •   Security and Auditing         Repository
          Engine




                                Facility ADT & Clinical Systems
Disease Management
First payor solution
                               Case
                                                Researchers
                              Managers
                                     Internet

                     Care Map        Outcomes             Cost
                    Compliance       Research            Analysis




                    Healthcare Transaction Base                     Data Warehouse

            •   Messaging Services
            •   Master Person Indexing       Clinical
            •   Terminology Management        Data
            •   Security and Auditing       Repository




                      Payor Operational Systems
HTB Value Proposition
Healthcare Delivery Organization
• Facilitates quality and process improvement by
  implementing a central information repository

• Single-source of truth providing comprehensive
  analyses and reporting across the entire healthcare
  continuum

• Derive optimal value from existing systems by
  supporting integration with legacy IT systems

• Empower the healthcare community by providing
  secure access to a common set of accurate health
  information

• Integrate clinical, administrative and financial
  processes
HTB Value Proposition
Software and service vendors

• Accelerate application development

• Reduce development costs and minimize risk

• Lengthen product lifecycle via industry standards and
  open technology

• Support meaningful integration with existing systems
[Start NHS Demo here]
                Unifying Access to Patient Data
Paul Viskovich – President, Orion North America
        Orion Systems International
 Specialists in Integration for Healthcare
 Mission: “Provide Universal Access to Patient Information”
 Orion integrates best-of-breed health information systems…
   between health IT systems,
   between health organization,
   and on the desktop,
  with unrivalled functionality and ease at a fraction of the cost.

 Founded in 1993.
 Offices in the US (CA, MD), Canada (Edmonton), UK (London,
  Birmingham) Australia and Development Center in Auckland, New
  Zealand
 ~120 employees
 50%+ of revenue from North America
                    Four Key Products
•   Integration Broker
      Rhapsody™ Integration Engine


•   Medical Applications Portal
      Concerto™


•   Messaging and Mapping Tools
      Symphonia™


•   Clinical Workflow/Process Management
      Soprano™ Clinical Workflow Suite
Oracle Healthcare Transaction Base (HTB)
                     -What does it offer Orion?

• Oracle HTB allows Orion to scale its solutions for large regional
  or community health customers

• A robust data repository & service infrastructure

• Ability to normalize terminology from disparate sources

• Enables Orion to deploy solutions across large healthcare
  enterprises or Integrated Delivery Networks

• Large existing healthcare customer base who already use Oracle
  for financial data
           Our Partnership with Oracle
                -What does it offer Orion?
• Credibility of the Oracle brand – known worldwide as technically
  robust, interoperable, industry standard

• Harnessing the resources of Oracle’s global organization

• Marketing partnerships at major conferences e.g. HIMSS (USA),
  Healthcare Computing (UK) HINZ (NZ), HIC (Aus)

• Development of co-branded marketing material
Concerto™ Medical Applications Portal
    Concerto™ Medical Applications Portal

•   Provides a web-based environment for secure access to patient centric
    data

•   “Unified view” of patient data, regardless of where the data is stored

•   Centralized log-on to all applications

•   Access provided across an organization, multiple campuses, region–
    wide or nation-wide

•   Extensive 3rd party application support

•   CCOW Support

•   Multilingual support
Concerto™ Medical Applications Portal
                  Why a Clinical Portal?
• Costs and risks associated with implementing a large system from a
  single vendor
• Retain options for implementing best-of-breed applications
• Retain investment (dollars and IP) in existing systems
• Allows for an incremental approach
    • Reduced risk
    • Quick wins for clinical staff
• Avoid lock-in to one vendor
• Provide wider and more unified view of clinical data
• Add immediate value (quick wins) to ensure clinician by-in
• Integrate data from existing systems
• Incremental solution
Concerto and Oracle™ HTB


                Web-based, secure access to
                patient data, enterprise and
                region-wide




                Normalized, central repository for
                disparate data
  Concerto and Oracle™ HTB - Summary

• Oracle Healthcare Transaction Base
    A secure, normalized repository and service architecture for storing
     and managing patient data transactions




• Concerto™ Medical Applications Portal
    Provides clinicians with a simple, unified and secure way to access
     clinical data as part of their normal work routine
Rhapsody™ Integration Engine
             Rhapsody™ and Oracle HTB

“Rhapsody™ HTB Bridge”
Rhapsody™ provides a secure messaging conduit for exchanging inbound and
   outbound data between health information systems and the Oracle Healthcare
   Transaction Base (HTB)
          Rhapsody™ and Oracle HTB

• Rhapsody™ maps and validates messages flowing in and out of
  Oracle HTB.

• Messages are mapped between HL7 2.x and HL7 3.0 (XML)

• Rhapsody™ routes messages according to business rules to the
  appropriate receiving systems

• Maps and transmits master file messages, patient administration
  messages, observation reports and order entry messages
                Rhapsody™              Key Benefits

• “Out of the Box”
    Fully featured without need to buy add-ons
• Low overall cost of ownership
    Easy to install & use with reduced reliance on expensive technical
       resource
• Powerful and Fully-Featured
    Supports full functions of an Integration Broker
• Scalable for all Integration scenarios
    Small or large organizations
• Based on Open Standards
    Extendable and future-proof (including web services)
• Developed in Java
Rhapsody™   Easy configuration and administration
    Rhapsody™              WWW Based Monitoring

                                    Remote control of engine
                                    components




Graphical display of engine
                  statistics
              Demonstration




• Demonstration of Concerto integration with HTB

				
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posted:7/27/2011
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