1. Perspecta Digital Health Solutions
concourse
Interoperability Accelerated
Bo Dagnall, CTO and Strategist
Healthcare Provider Segment and Digital Health Team
Health Care Group

2. The Problem: Fragmented, Unstandardized Healthcare Data
PCP Clinic
Urgent
Care
Care Manager
Home Care
Hospital
Specialist
The Problem: Fragmented, Unstandardized Healthcare Data
Systems of
Engagement
API Gateway
The Conceptual Solution: A Systems of Insight 
Aggregation
Standardization
Enrichment
Systems of
Insight
Systems of Record
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3. An Open Platform, Service-Oriented, FHIR Based Approach
Systems of
Engagement
Enriched Data for Analysis
Clinical Portal
Patient Portal
Business UIs
Dashboards
Mobile Apps
SMART on FHIR apps
Systems of
Insight
Public API
FHIR Knowledge
Data Management Layer
FHIR Resources
Storage
Queries
Consent
FHIR Knowledge
Enrichment/Knowledge Service Wrapper
Service Wrapper
Service Wrapper
Enrichment
COTS, Open Source or Internal Solution
Service Wrapper
Data Pipeline Orchestration Engine
FHIR Resources
Canonical Data Model (FHIR Resources)
Standardization
FHIR Resources
Data ETL Service Wrapper
Service Wrapper
Service Wrapper
COTS, Open Source or Internal Solution
Service Wrapper
Aggregation
Variable Data
Systems of Record
Fragmented Data
from Various Sources
EMRs
HIEs
Business Systems
Mobile Apps
Patient Portals
Data Warehouse
Devices
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4. A Digital Health Platform (DHP) Reference Architecture
Systems of
Engagement
Enriched Data for Analysis
Clinical Portal
Patient Portal
Business UIs
Dashboards
Mobile Apps
SMART on FHIR apps
Systems of
Insight
Data Access Management
API Management
Business Process Services
Context-Awareness
Security Services
Other services can be added as needed
Data Utilization Services
Query Services
Consent
Visualization
Data Management Services
Data Indexing
Cache
(Persistence)
Data Lake
(Persistence)
Knowledge
Services
Clinical Decision Support
Clinical Quality Measures
Calculators
Record Semantics
De-duplication Service
Enrichment
Data Enhancement Services
Labeling
& Tagging
FHIR Conformance
Metadata Services
Data Profiling and Quality
Data Provenance
Canonical Data Model
Standardization
Data Normalization
Services
Terminology Services
Transform Services
Identity Matching
Directory Services
Natural Language Processing (NLP)
Aggregation
Data Integration Services
Data Adapters
Listeners
Data Processing Pipeline
Systems of Record
Fragmented Data
from Various Sources
EMRs
HIEs
Business Systems
Mobile Apps
Patient Portals
Data Warehouse
Devices
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5. HealthConcourse – the Perspecta Digital Health Platform Implementation
Clinical Portal
Clinician
Patient Record Navigator
Patient UI
(PatientAide)
Patient
Consent Manager
Patient Record Viewer
Patients Like Me Dashboard
Perspecta Apps
Diabetes + me (Rimidi)
Patient
ASCVD Risk Calculator (Cerner)
Maestro (Care Innovations)
Care Manager
CareHub (expanded Apps)
Industry/Partner Apps
Systems of
Engagement
Perspecta & Industry Apps
Open Health Connect
Systems of
Insight
Data Access Management
Security Services
Microsoft API Manager
Process Services
(future)
Context Services
(future)
API Services
Microsoft API Manager
Data Utilization Services
Consent Redaction
OHC FHIR Server
Query Services
OHC FHIR Server
Visualization
Kibana
Visualization
Microsoft PowerBI
Consent Authority
Hyperledger Fabric
Data Management Services
Data Indexing
Elastic Search
Data Cache
Cassandra
Data Lake
Azure Data Lake
Knowledge
Services
CDS Evaluation
ClinIQ
Clinical Quality Measures
CQF-Ruler
Calculators
(future)
Record Semantics
(future)
De-duplication Service
(future)
Enrichment
Data Enhancement Services
Pt. Profile Service
Viaduct
Metadata Services
Viaduct
Labeling & Tagging
HLI
FHIR Conformance
HL7 FHIR Validator
Data Profiling and Quality
(future)
Data Provenance
(future)
Canonical Data Model
FHIR STU3
cTAKES (UIMA Framework)
U of U FastContext
U of U RuSH
Standardization
Data Normalization
Services
Transform Services
Viaduct
Identity Matching
Viaduct
Terminology Services
HLI
CDA to FHIR Transformation
MDMI
NLP
cTAKES/ FastContext/ RuSH
Directory Services
(future)
Aggregation
Data Integration Services
Data Adapters
Viaduct
Listeners
Viaduct
Data Processing Pipeline
EMRs & HIEs
Health Assessments
(Google PA)
Patient Portal
(PatientAide)
Patient Generated
Consumer Device Repo (Validic)
Devices
(e.g. Fitbit)
HTH Devices
(e.g., BP Cuff)
Medical Devices
VA EMR (VistA)
Private EMR
(AllScripts)
MHS EMR (AHLTA) (Future)
Systems of Record
Fragmented Data
from Various Sources
MHS/VA EMR
(Cerner)
HIE
(Future)
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Synthea (Mitre)
VistA FHIR Ingestion

6. HealthConcourse – Coalition of Partners
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7. Perspecta Proprietary Information
Links:
Viewer:
Consent:
Dashboard example:
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8. Perspecta Proprietary Information

9. Perspecta Proprietary Information

10. Perspecta Proprietary Information

11. Perspecta Proprietary Information

12. Perspecta Proprietary Information

13. Bo Dagnall bo.dagnall@perspecta.com
HealthConcourse Sandbox
Bo Dagnall
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