Perspecta Digital Health Solutions health concourse Interoperability Accelerated

The Problem: Fragmented, Unstandardized Healthcare Data PCP Clinic Specialist Home Care Manager Hospital Systems of Engagement API Gateway Systems of Insight Urgent Care Data and Insights Delivery Knowledge and Enrichment Data Integration The Conceptual Solution: A Systems of Insight Systems of Record Perspecta Proprietary Information 2

Recommended APIs on top of an abstraction layer that manages the underlying complexity API Strategies Systems of Engagement Cerner Products Apps APIs VBA Systems of Record HDR/ADR 130+ Vist. A DBs Apps Cerner Products Abstraction Layer CDW Knowledge / Inferencing Enrichment Systems of Insight Aggregation Standardization Data Normalization VBA Systems Not Recommended APIs expose the complexity of the underlying systems of record HDR/ADR 130+ Vist. A DBs Perspecta Proprietary Information Cerner Products CDW Vist. A in the Cloud to reduce number of instances and associated cost

An Open Platform, Service-Oriented, Systems of Insight Data and Insights Delivery Knowledge and Enrichment Data Integration Systems of Record Enriched Data for Analysis Data Pipeline Orchestration Engine Systems of Engagement FHIR Based Approach Clinical Portal Patient Portal Business UIs Dashboards Mobile Apps SMART on FHIR apps Data and Insights Delivery Layer FHIR Knowledge API Manager Context Awareness Access Control FHIR Resources Storage Queries Consent FHIR Knowledge FHIR Resources Knowledge Service Wrapper COTS, Open Source or Internal Solution Service Wrapper Canonical Data Model (FHIR Resources) FHIR Resources Variable Data Fragmented Data from Various Sources EMRs Data/ETL Service Wrapper COTS, Open Source or Internal Solution HIEs Perspecta Proprietary Information Business Systems Mobile Apps Patient Portals Data Warehouse Service Wrapper Devices 4

A Digital Health Platform (DHP) Reference Architecture Systems of Engagement Enriched Data for Analysis Visualization Business Services Care Planning Scheduling Referral Management Others… Knowledge Services Analytics, CDS & Calculators Clinical Quality Measures De-Duplication / Reconciliation Record Semantics Data Enhancement Services Labeling & Tagging FHIR Profile Conformance Data Profiling and Quality Data Provenance Standardization Services Terminology Services Identity Matching Directory Services Natural Language Processing Enrichment Data Normalization Systems of Record Canonical Data Model Data Integration & Transformation Fragmented Data from Various Sources Perspecta Proprietary Information Data Adapters EMRs Listeners HIEs Transform Services Business Systems - HL 7 v 2 - FHIR - CDA Mobile Apps - X 12 - DICOM - Proprietary Patient Portals Data Warehouse Event / Topic Management Aggregation Data Processing Pipeline Standardization Biz Process Models Consent Pub/Sub Query Services Context Services Data Utilization Services Business Logic Execution Encryption Service Management Authentication / Authorization Workflow Standardization API Management SMART on FHIR apps Orchestration Services Aggregation Data Access Services Mobile Apps Master Data Management Enrichment Dashboards Data Persistence Knowledge / Inferencing Business UIs Data Indexing APIs Patient Portal Data Management Services Systems of Insight Clinical Portal Devices

Alignment to the VA Vist. A Data Integration and Federation Enterprise Platform Perspecta Proprietary Information 6

Health. Concourse – the Perspecta Digital Health Platform Implementation Perspecta Apps Systems of Engagement Perspecta & Industry Apps Clinician Patients Like Me Dashboard Clinician Patient Record Viewer Patient Consent Manager Patient Our Care. Hub (Fluidity Health) i. Blue. Button (Humetrix) Patient Maestro (Care Innovations) Care Manager API Services Encryption MS API Manager and Active Dir Microsoft API Manager Perspecta Secure IO Visualization Consent Authority Microsoft Power. BI Perspecta & Hyperledger Visualization Kibana OHC FHIR Srvr Others… Perspecta Custom TBD Perspecta Custom MDMI Vist. A FHIR Server Health. Share / J 2 EMRs & HIEs Systems of Record Fragmented Data from Various Sources Synthea (Mitre) Vist. A FHIR Ingestion Research Database VA EMR (Vist. A) MHS EMR (AHLTA) (Future) Private EMR (All. Scripts) MHS/VA EMR (Cerner) HIE (Future) Perspecta Proprietary Information Claims, EMR Data (PRA) KAFKA Vist. A FHIR Server Event / Topic Management Viaduct FHIR STU 3 CDA to FHIR Transformation Biz Process Models Identity Matching and Personas j. BPMN & MDIX (future) Canonical Data Model Data Integration & Data Processing Pipeline Transformation Pub/Sub MPI (future) Directory Services Master Data Management c. TAKES and Univ. of Utah Data Persistence – Data Lake NLP WK Health Language (HLI) Viaduct MS Data Lake Terminology Metadata Tagging (future) Cassandra Standardization Services Data Provenance Data Persistence – Data Cache Perspecta Arroyo BPMN Quality & Profiling HL 7 FHIR Validator (future) Business Logic Execution FHIR Conformance Labeling & Tagging Record Semantics Viaduct Harmon. IQ CQFRuler Service Management AMIDA Data Enhancement Services Perspecta & HLI Medical Algorithms Quality Measures Reconciliation Perspecta Arroyo Calculators Cognitive Medical CORA KAFKA & APIFocal De-duplication Clin Dec Support Data Indexing Motive MI Elastic Search Clin Dec Support Workflow Clin Dec Support Harmon. IQ Clin. IQ Viaduct Knowledge Services Consent Redaction & Query Services MS FHIR Server Context Services Security Services Care Planning Aggregation Diabetes + me (Rimidi) Data Management Data Access Services Business Services Standardization Patient UI (DXC Patient. Aide) DXC Open Health Connect Data Utilization Services Enrichment Patient Record Navigator Orchestration Services Systems of Insight Industry/Partner Apps Diabetes Prediction Dashboard Data Adapters / Listeners FHIR Transform Services Viaduct Patient Generated Medical Devices Health Assessments (Google PA) Consumer Device Repo (Validic) Patient Portal (Patient. Aide) Devices (e. g. Fitbit) HTH Devices (e. g. , BP Cuff) 7

Health. Concourse – Phase 5: Green border = updated, Blue border = new Perspecta Apps Systems of Engagement Perspecta & Industry Apps Clinician Patients Like Me Dashboard Clinician Patient Record Viewer Patient Consent Manager Patient Our Care. Hub (Fluidity Health) ASCVD Risk Calculator (Cerner) Patient Maestro (Care Innovations) Care Manager API Services Encryption MS API Manager and Active Dir Microsoft API Manager Perspecta Secure IO Visualization Consent Authority Microsoft Power. BI Perspecta & Hyperledger Visualization Kibana OHC FHIR Srvr Others… Perspecta Custom TBD Perspecta Custom MDMI Vist. A FHIR Server Health. Share / J 2 EMRs & HIEs Systems of Record Fragmented Data from Various Sources Synthea (Mitre) Vist. A FHIR Ingestion Research Database VA EMR (Vist. A) MHS EMR (AHLTA) (Future) Private EMR (All. Scripts) MHS/VA EMR (Cerner) HIE (Future) Perspecta Proprietary Information Claims, EMR Data (PRA) KAFKA Vist. A FHIR Server Event / Topic Management Viaduct FHIR STU 3 CDA to FHIR Transformation Biz Process Models Identity Matching and Personas j. BPMN & MDIX (future) Canonical Data Model Data Integration & Data Processing Pipeline Transformation Pub/Sub MPI (future) Directory Services Master Data Management c. TAKES and Univ. of Utah Data Persistence – Data Lake NLP WK Health Language (HLI) Viaduct MS Data Lake Terminology Metadata Tagging (future) Cassandra Standardization Services Data Provenance Data Persistence – Data Cache Perspecta Arroyo BPMN Quality & Profiling HL 7 FHIR Validator (future) Business Logic Execution FHIR Conformance Labeling & Tagging Record Semantics Viaduct Harmon. IQ CQFRuler Service Management AMIDA Data Enhancement Services Perspecta & HLI Medical Algorithms Quality Measures Reconciliation Perspecta Arroyo Calculators Cognitive Medical CORA KAFKA & APIFocal De-duplication Clin Dec Support Data Indexing Motive MI Elastic Search Clin Dec Support Workflow Clin Dec Support Harmon. IQ Clin. IQ Viaduct Knowledge Services Consent Redaction & Query Services MS FHIR Server Context Services Security Services Care Planning Aggregation Diabetes + me (Rimidi) Data Management Data Access Services Business Services Standardization Patient UI (DXC Patient. Aide) DXC Open Health Connect Data Utilization Services Enrichment Patient Record Navigator Orchestration Services Systems of Insight Industry/Partner Apps Diabetes Prediction Dashboard Data Adapters / Listeners FHIR Transform Services Viaduct Patient Generated Medical Devices Health Assessments (Google PA) Consumer Device Repo (Validic) Patient Portal (Patient. Aide) Devices (e. g. Fitbit) HTH Devices (e. g. , BP Cuff) 8

Health. Concourse – Network Topology Perspecta Proprietary Information 10

Health. Concourse – Coalition of Partners Perspecta Proprietary Information 11

Thank you Health. Concourse Sandbox Bo Dagnall bo. dagnall@perspecta. com Perspecta Proprietary Information 12

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A Digital Health Platform (DHP) Enriched Data for Analysis Patient Portal Business UIs Health. Concourse FHIR Server Knowledge & Enrichment Capabilities Health. Concourse Analytics and Decision Support Health. Concourse Enrichment and Business Logic Canonical Data Model VDIF (Health. Share, Health. Connect) Fragmented Data from Various Sources EMRs MVI HIEs Perspecta Proprietary Information Business Systems Mobile Apps SMART on FHIR apps Cross-Cutting Support Capabilities Patient Portals Health. Concourse Pub/Sub Health. Concourse API Manager Mobile Apps Dashboards Health. Concourse Orchestration Engine Data Access and Utilization Capabilities Data Integration & Harmonization Capabilities Systems of Record Clinical Portal Health. Concourse Data Management Data Processing Pipeline Systems of Engagement Reference Architecture – Overview Data Warehouse Devices