1. Gabe Rijpma Healthcare Industry Director Microsoft Asia Pacific gabery@microsoft.com

2. Challenges Agenda Universal Data Issues The Importance of XML Application Architecture and SOA Summary : Q&A Typical Integration Healthcare Integration Best Practices

3. Finding The Right Data

4. How clinicians spend time Student Study: Washington Medical Center – Study tracking Doctor and Nurses Time

5. Universal Data Issues Lots and lots of data scattered around Very diverse data types Legacy systems everywhere No standards Too many standards Traditional business practices work against integration & sharing

6. Universal Data Problems Completeness problem –Hard to know whether you have all the known data Correctness problem –Hard to resolve conflicting or incorrect data Access problem –Hard to get at data even when you know some information exists in a particular place Organization problem –Hard to put it all together Time problems –Time resources, delays, response speed

7. “XML as a common way of describing data is important to deliver true interoperability”

9. Why Does Microsoft Care About XML Work started in 1997 Microsoft bet the company on this with.NET in 2000 Had a major impact on all software systems: OS, database, Office, services Industry-wide adoption Competition on implementation

10. Simple adaptors allow connection to any power outlet in Europe

11. Industry standards for interoperability Software that talks to other software over the network Based on Internet standards Works with any operating system Loosely coupled programming Preserve and connect existing systems Integrate inside and outside the firewall Broad industry support So why is this important?

12. The Power Of Reuse Software Reuse Highest Low Higher Low

13. Application Silo “Architecture” Client B Client A Client C Application B Application A Application C API BAPI AAPI C

14. Services Oriented Architecture Client B Client A Client C Application B Application A Application C API BAPI AAPI C Common Services Layer XML Web Services

15. Open Standards Progress Tuxedo, MQ Series, COM, CORBA, etc. Tuxedo, MQ Series, COM, CORBA, etc. SNA, DecNet, SPX/IPX, TCP/IP, etc. SNA, DecNet, SPX/IPX, TCP/IP, etc. TCP/IP XML Web Services Network Middleware/ Plumbing Business Logic Focus Expertise Here Raise the bar…Open Standards

16. Orders Orders Radiology How does Healthcare Integration Work? ADT ADT ADT ORM ORU DFT DFT Pharmacy Other Other ORM Billing Billing Laboratory Registration Patients may be “registered” via a patient registration system or HIS (Hospital Information System) Orders may be created and results reported May maintain the Electronic Medical Record (EMR) Patients may be “registered” via a patient registration system or HIS (Hospital Information System) Orders may be created and results reported May maintain the Electronic Medical Record (EMR)

17. Orders Orders Radiology How does Healthcare Integration Work? ADT ADT ORU DFT Pharmacy Other Other ORM Billing Billing Laboratory Registration HL7 was created to help standardize the messaging communication between healthcare applications

18. The Reality of Integration Financial System Patient Data Lab Data Data Warehousing Billing Membership Claims Capitation Utilization BillingMembership Human Resources Source: Deloitte & Touche Consulting Group

19. Orders Orders Radiology Delivering XML and HL7 Integration Pharmacy Other Other Billing Billing CPR CPR Laboratory Registration ADT ADT ORU ? ORM ORU DFT ORU BizTalk Server

20. Best Practices XML/HL7 in Action New Zealand Health Connection Engine (HCE) –Brings together primary care, pharmacy, lab and tertiary care integration regardless of existing systems by using XML, Web Services and HL7 Singapore EMRX (Electronic Medical Record Exchange) –Integrates tertiary care patient record with lab results and more to create a single patient record that can be shared amongst hospitals Korea Yonsei University Medical Centre –integrating and interconnecting, OCS, EMR, PACS (Picture Archiving and CommunicationsSystems) and ERP (Enterprise Resources Planning) systems –Taking this further through the creation of an HER and extending building the base for CDSS (Clinical Decision Support Systems)

21. Thinking About the Opportunities Ahead PapereFormsXML/HL7 Existing Systems ExtendXML/HL7 New Systems Procure with Standards XML/HL7 Integrated and Interoperable View of Health

22. Q&A