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Progress Data Integration in Healthcare A quick overview October 2009 Martin van Middelkoop Business Development Manager
© 2009 Progress Software Corporation 2 Mijn passie
© 2009 Progress Software Corporation 3 Architectural Vision for Healthcare
© 2009 Progress Software Corporation 4 Problem - Integration Technology Gap Queuing MOM ESB Hand coding Hub-and-Spokes Common Model Number of Integrated Resources Years Integration Infrastructure Data Integration Semantic Integration
© 2009 Progress Software Corporation 5 Technology Vision for Healthcare Open Health Tools, Architectural Vision
© 2009 Progress Software Corporation 6 Enabling Plug-n-Play in Healthcare
© 2009 Progress Software Corporation 7 Progress Software Headquarters: Bedford, MA Offices: 90 Worldwide Employees: 1,600 Revenues: $512 million NASDAQ: PRGS Founded:1981 GLOBAL Deployed at 120,000 customer sites in 140 countries 2,000 Partners deliver 5,000 unique business applications Over 600,000 new users acquire Progress-based technology annually To deliver superior software products and services that empower our partners and customers to dramatically improve their development, deployment, integration and management of quality applications worldwide. INNOVATION #1 Enterprise Service Bus – Sonic ESB Gartner Dataquest Market Leading Event Processing Platform – Apama Bloor Research Award winning Semantic Data Integration Product – DataXtend SI Telstra, Telecom Italia, BT, DT Leading Business Transaction Assurance Product - Actional MISSION EXPERIENCE
© 2009 Progress Software Corporation 8 Data Services Enterprise Service Bus Governance & Management Adding value to any infrastructure Event Processing Mainframe Connectivity Data Access Application Platform
© 2009 Progress Software Corporation 9 Data Services Enterprise Service Bus Governance & Management Technology Map Event Processing Mainframe Connectivity Data Access Application Platform Apama DataDirect ObjectStore Shadow OpenEdge Sonic FUSE DataXtend Orbix Actional
© 2009 Progress Software Corporation 10 The Progress ecosystem A sample of Progress’ OEM customers 9 of the top 10 app infrastructure vendors 8 of the top 10 system infrastructure vendors 8 of the top 10 packaged application vendors
© 2009 Progress Software Corporation 11 Our strategic partnership with EMC uses many parts of Progress portfolio Healthcare is an important, growing market Both working closely with healthcare standards bodies and integration groups (e.g., HL7, IHE) to address the challenges of information management and integration in healthcare. EMC and Progress are working together to identify and advance the capabilities of integration technologies that will be critical to the future of healthcare IT (e.g., Web Services, ESBs, and RESTful Web Services).
© 2009 Progress Software Corporation 12 Various products and solutions Captiva eInput PACS imaging/storage Documentum xDB + XML Store XForms engine, XProc engine Dynamic Delivery Services Virtual Patient Record
© 2009 Progress Software Corporation 13 Virtual Patient Record
© 2009 Progress Software Corporation 14 SOA for Healthcare
© 2009 Progress Software Corporation 15 Data Integration Terminology
© 2009 Progress Software Corporation 16 Cross-enterprise Data Integration Concepts PHR Provider Pharmacy Primary Care Physician Health Plan, Claims Government NCPDP/X12 HL7 HIPAA HL7 CCR EMR Record Locator Service Master Patient Index Security Semantic Integration Payments
© 2009 Progress Software Corporation 17 Conceptual Enterprise Architecture in Healthcare B2B Gateway Web Portal COTS Applications ODSData Warehouse Business Logic ESB Patient Master Index Patient Admin Electronic Medical Records PDQ, PIX, HL7 HL7 XML HL7 XML HL7, CCR, CDA, DICOM, HIPAA, NCPDP, … Forms, s, documents
© 2009 Progress Software Corporation 18 Data Integration Strategies Point-to-Point integration Finances Patient Locator Patients Radiology Pharmacy EMR Emergency Data W/house Messaged Oriented Middleware Patients Pharmacy FinancesPatient Locator Radiology Emergency EMR Data W/house ESB with Point-to-Point integration Patients Pharmacy Finances Patient Locator RadiologyEMR Emergency Data W/house ESB with Common Messaging Model Finances Patient Locator Patients Radiology Pharmacy EMR Emergency Common Messaging Model Data W/house
© 2009 Progress Software Corporation 19 Evolving Approach to Data Integration in Healthcare (internal/global) PatientsClaimsEmergency Common Messaging Model B2B Gateway EMR Patient Locator FinancesRadiology Data Services Business Processes Services Hospital GovernmentPhysician A industry-standard HL7-based Information Model enables a large-scale data integration through common semantics s emantics capture the formal meaning of data. It is achieved by mapping (or rationalizing) the data source schemas to the Information Model Lab Semantic Data Integration Run-time Design Patients EMR Locator
© 2009 Progress Software Corporation 20 Conceptual Data Integration Stack Applications Java, C#, C++ J2EE,.NET Messages HL7, DICOM, CDA Web ServicesData Services Databases Data Architecture – format conversion, technical mapping Data Integration Architecture – point-to-point, transformation hub, common model Information Model – business “lingua franca”; openEHR, HL7 RIM Semantic Mapping Business Architecture – business Dictionary, business Business Processes; SNOMED Information Architecture
© 2009 Progress Software Corporation 21 Types of Mappings HL7 V2.3 HL7 V3.0 Common Messaging Model Technical Mappings Semantic Mappings Information Model Common Messaging Model HL7 V2.3HL7 V3.0 HL7 V2.3HL7 V3.0
© 2009 Progress Software Corporation 22 Data Integration in Healthcare
© 2009 Progress Software Corporation 23 Classes of Data Resources in Healthcare HL7 2.x HIPAA COBOL HL7 3.0 openEHR EN DICOM XML Fixed length Delimited Mixed PDF Excel Information Model Non-XML Standards XML Standards Internal Machine Readable Internal Human Readable
© 2009 Progress Software Corporation 24 A Typical Project RadiologyPharmacyEmergency EMR LabsClinics Patient Admin Billing Bus Claims GW Radiology DICOM Billing XML EMR HL7 Patient XML Emergency CSV Pharmacy HL7 Central Design-time Distributed Run-time Information Model Claims HIPAA Lab1 HL7 v2.3 Lab2 COBOL Clinic1 HL7 v2.3 Clinic2 HL7 v2.5
© 2009 Progress Software Corporation 25 Common Data Integration Issues Speed and quality of transformation development Life-cycle – changes, merges, impact analysis, reports Collaboration between analysts and developers Non-standard formats “Just like that one, but a little bit different…” Obscure semantics “Which HL7 v3 structure does my element go to?” Message enrichment How does one generate and maintain message control envelopes?
© 2009 Progress Software Corporation 26 Use-case Outline Use-case 1 – HL7 2.x to 3.0 mapping demo Use-case 2 – DICOM to HL7 2.x discussion Use-case 3 – COBOL to HL7 RIM mapping demo Use-case 4 – openEHR Information Model browser demo Points Information Model as a common Designed to handle size/complexity of models, formats, schemas and mappings Meta-data driven
© 2009 Progress Software Corporation 27 Use-case 1 – Standard to Standard HL7 2.xHL7 3.0 HL7 RIM Conceptual In Semantic Integrator POLB_IN ORU_R01 POLB_IN224200
© 2009 Progress Software Corporation 28 HL7 RIM Core
© 2009 Progress Software Corporation 29 Navigating the Model
© 2009 Progress Software Corporation 30 Guiding through the Structure and Documentation
© 2009 Progress Software Corporation 31 Semantic Mapping to Information Model
© 2009 Progress Software Corporation 32 Integrated Testing HL7 v2.5 ORU_R01HL7 RIMHL7 v3 POLB_IN Patient Info
© 2009 Progress Software Corporation 33 Use-case 2 - Pathology of a Translation HL7 2.x Information Model DICOM Format Neutralization Format Neutralization Semantic Mapping Semantic Mapping
© 2009 Progress Software Corporation 34 Custom Format Conversion
© 2009 Progress Software Corporation 35
© 2009 Progress Software Corporation 36 Formal HL7 Extension Mechanism SEF – Standard Exchange Format Generated through visual UI Allows formal extensions of HL7 and X12 grammar HL7 Sample SEF Definition
© 2009 Progress Software Corporation 37 Creating Format Extensions
© 2009 Progress Software Corporation 38 Use-case 3 – Legacy Connectivity COBOL HL7 RIM Conceptual CopybookCOBOL Data
© 2009 Progress Software Corporation 39 Use-case 3 – Legacy Connectivity Results
© 2009 Progress Software Corporation 40 Use-case 4 – openEHR Information Model Browser
© 2009 Progress Software Corporation 41 For more information Visit Visit Visit life-sciences/index.htmhttp://www.emc.com/solutions/industry/healthcare- life-sciences/index.htm me: Martin van Middelkoop (up to November 30th, 2009) My US colleagues working on DXSI and HL7 are Bill Gino – Boris Bulanov – You can reach me after November 30th, 2009 at
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