Progress Data Integration in Healthcare A quick overview

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Progress Data Integration in Healthcare A quick overview Martin van Middelkoop Business Development Manager October 2009

Problem - Integration Technology Gap Number of Integrated Resources ESB Integration Infrastructure MOM Semantic Integration Queuing Data Integration Common Model Hub-and-Spokes Hand coding Years 4 © 2009 Progress Software Corporation

Progress Software GLOBAL Headquarters: Offices: Employees: Revenues: NASDAQ: Founded: Bedford, MA 90 Worldwide 1, 600 $512 million PRGS 1981 INNOVATION 4#1 Enterprise Service Bus – Sonic ESB Gartner Dataquest 4 Market Leading Event Processing Platform – Apama Bloor Research 4 Award winning Semantic Data Integration Product – Data. Xtend SI Telstra, Telecom Italia, BT, DT 4 Leading Business Transaction Assurance Product - Actional 7 MISSION 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. EXPERIENCE 4 Deployed at 120, 000 customer sites in 140 countries 42, 000 Partners deliver 5, 000 unique business applications 4 Over 600, 000 new users acquire Progress-based technology annually © 2009 Progress Software Corporation

Adding value to any infrastructure Application Platform Governance & Management Event Processing Enterprise Service Bus Data Services Data Access Mainframe Connectivity 8 © 2009 Progress Software Corporation

Technology Map Actional Open. Edge Application Platform Sonic FUSE Governance & Management Apama Event Processing Enterprise Service Bus Data Services Data Access Mainframe Connectivity Data. Xtend Orbix 9 Shadow Data. Direct Object. Store © 2009 Progress Software Corporation

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 10 © 2009 Progress Software Corporation

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. , HL 7, 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). 11 © 2009 Progress Software Corporation

Various products and solutions § Captiva e. Input § PACS imaging/storage § Documentum • x. DB + XML Store • XForms engine, XProc engine • Dynamic Delivery Services § Virtual Patient Record 12 © 2009 Progress Software Corporation

Cross-enterprise Data Integration Concepts Payments HL 7 Government PHR CCR Record Locator Service Master Patient Index Security Semantic Integration Provider HIPAA HL 7 EMR Health Plan, Claims Primary Care Physician NCPDP/X 12 Pharmacy 16 © 2009 Progress Software Corporation

Conceptual Enterprise Architecture in Healthcare B 2 B Gateway Business Logic HL 7, CCR, CDA, DICOM, HIPAA, NCPDP, … Electronic Medical Records Web Portal XML Forms, emails, documents ESB HL 7 COTS Applications 17 HL 7 XML ODS XML Data Warehouse HL 7 PDQ, PIX, HL 7 Patient Master Index Patient Admin © 2009 Progress Software Corporation

Data Integration Strategies Messaged Oriented Middleware Radiology EMR Patient Locator Finances ESB with Common Messaging Model Radiology EMR Patient Locator Finances Common Messaging Model Patients Pharmacy Emergency Data W/house Point-to-Point integration Radiology Patients EMR Patient Locator Data W/house ESB with Point-to-Point integration Radiology EMR Patient Locator Finances Pharmacy Emergency 18 Patients Pharmacy Emergency Data W/house © 2009 Progress Software Corporation

Evolving Approach to Data Integration in Healthcare (internal/global) A industry-standard HL 7 -based Information Model enables a large-scale data integration through common semantics Hospital Run-time Lab B 2 B Gateway Data Services Design Business Services Processes Semantic Data Integration Government Physician EMR Patient Finances Locator Radiology Locator Claims Emergency EMR Patients Common Messaging Model semantics capture the formal meaning of data. It is achieved by 19 mapping (or rationalizing) the data source schemas to the Information Model © 2009 Progress Software Corporation

Conceptual Data Integration Stack Business Architecture – business Dictionary, business Business Processes; SNOMED Information Architecture Information Model – business “lingua franca”; open. EHR, HL 7 RIM Semantic Mapping Data Integration Architecture – point-to-point, transformation hub, common model Data Architecture – format conversion, technical mapping Applications Messages Java, C#, C++ J 2 EE, . NET 20 HL 7, DICOM, CDA Web Services Databases © 2009 Progress Software Corporation

Types of Mappings Technical Mappings HL 7 V 2. 3 HL 7 V 3. 0 Common Messaging Model HL 7 V 3. 0 Semantic Mappings Information Model HL 7 V 2. 3 21 HL 7 V 3. 0 Common Messaging Model © 2009 Progress Software Corporation

Classes of Data Resources in Healthcare Internal Human Readable PDF Excel Internal Machine Readable Non-XML Standards HL 7 2. x HIPAA COBOL Information Model XML Fixed length Delimited Mixed DICOM HL 7 3. 0 XML Standards 23 open. EHR EN 13606 © 2009 Progress Software Corporation

A Typical Project Radiology DICOM Central Design-time Claims HIPAA Billing XML Lab 1 HL 7 v 2. 3 Lab 2 COBOL Information Model EMR HL 7 Patient XML Clinic 1 HL 7 v 2. 3 Emergency CSV Clinic 2 HL 7 v 2. 5 Pharmacy HL 7 Distributed Run-time Clinics 24 Radiology Pharmacy Emergency GW Labs Claims Bus EMR Patient Admin Billing © 2009 Progress Software Corporation

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 HL 7 v 3 structure does my element go to? ” § Message enrichment • How does one generate and maintain message control envelopes? 25 © 2009 Progress Software Corporation

Use-case Outline § § Use-case 1 – HL 7 2. x to 3. 0 mapping demo Use-case 2 – DICOM to HL 7 2. x discussion Use-case 3 – COBOL to HL 7 RIM mapping demo Use-case 4 – open. EHR Information Model browser demo § Points • Information Model as a common • Designed to handle size/complexity of models, formats, schemas and mappings • Meta-data driven 26 © 2009 Progress Software Corporation

Formal HL 7 Extension Mechanism HL 7 Sample SEF Definition § § § 36 SEF – Standard Exchange Format Generated through visual UI Allows formal extensions of HL 7 and X 12 grammar © 2009 Progress Software Corporation

For more information § Visit www. xmlconverters. com/solutions/healthcare § Visit www. dataxtend. com § Visit http: //www. emc. com/solutions/industry/healthcarelife-sciences/index. htm § E-mail me: Martin van Middelkoop mmiddelk@progress. com (up to November 30 th, 2009) My US colleagues working on DXSI and HL 7 are • Bill Gino – bgino@progress. com • Boris Bulanov – bbulanov@progress. com You can reach me after November 30 th, 2009 at mgvanmiddelkoop@medischegegevens. nl 41 © 2009 Progress Software Corporation