1. Advancing an Open Source Service Oriented Architecture (SOA) Electronic Health Ecosystem Open Health Tools New Charter Presentation
Mario G. Hyland
Senior Vice President
AEGIS.net, Inc.
February 28, 2014

2. Concept
Drive EHR advancement towards an Open Source Service Oriented Architecture (SOA) Electronic Health Ecosystem that will enable the development of loosely coupled integrated solutions (such as modernized workflow oriented applications)
Bring wider community involvement by engaging vendors to support newer technology paradigms
Certification & Accreditation
Crowd Source Open Source Certification

3. Current SOA Challenges
Understanding the complex health workflow and business rules environment
Will require close working relationship with provider organization personnel
Understanding the benefits derived from true SOA implementations (open interface agreements)
Funding a transformation technology
Engage and excite the community to contribute
Completing work-segments within months in order to keep momentum.

4. Vision: To-Be Architecture
Web Services Stack

5. VistA Open Source: As-Is
Component model of the As-Is System
Inventory & Map dependencies, Prioritization, Baseline Level of Effort.

6. SOA Open Source: Intermediary

7. SOA Open Source: Final State

8. Test: Architecture
Support for Test Driven Development

9. Implementation: Statistics

10. Benefits Enables: Eco friendly solution – flexible and green
Operational and Maintenance efficiencies
Open clinician work flow strategies
Plug and Play Innovation
Seamless Integration of applications
Evolving data and security strategies
Eco friendly solution – flexible and green
Intelligent, robust business capabilities (rules)
Support concepts like Chaos factors (to ensure scalability).

11. Assumptions/Risks Keep the project team(s) small (4-6 members)
Lower barrier to engage
At least one provider organization participate in the project
DoD, VA, NHS, Mayo etc.
Funding in the form of grants, in-kind labor etc. be realized within 60 days of project start

12. a green solution to the future of EHR
Next Steps
Identify Consortium of Partners
Develop Project Plan & Timeline
Approve OHT Charter
“an EHR Ecosystem”
a green solution to the future of EHR