Unifying Access to Patient Data Oracle Healthcare Transaction

Unifying Access to Patient Data Oracle Healthcare Transaction Base Doug Renert Vice President, Oracle Healthcare

Healthcare Transaction Base An information repository and services infrastructure supporting patient-centric data consolidation and applications • • Leverages Oracle’s core technology and expertise Built for large, complex healthcare communities Standards-based, open architecture Adaptive development, integration and operation platform

Order Management Supply Chain Service Order Management Sales Service Contracts Sales Oracle E-Business Platform Projects Human Resources Financials Internet Procurement HTB Contracts Marketing Healthcare Financial. Apps Financial Healthcare Clinical Apps Healthcare Marketing Administrative Apps Healthcare Transaction Base An interoperability framework

Healthcare Transactions I need a Chest X-ray for Mr. Smith Report Result Order Chest X-ray Interpret Study Enterprise Object Model Place Image in Radiologist Queue Perform Procedure Check Equipment Availability Schedule Chest X-ray Check Technician Availability

Model Based Services Based on the Reference Information Model Ancillary Systems HL 7 IF Engine New Applications Messaging Application Programming Interface Model HL 7 v 3 Enterprise Reference. Object Information Data Model. Platform Oracle e-Business

Core Services • • • Terminology Mediation Person Identification Auditing and Security Configuration Workflow Integration Message Management

Business Process Functionality Scheduling Clinical Documentation Results Review Order Management Current API support Encounter Management Patient Accounting Registration and Organization Management

Healthcare Enterprise Viewer Results and registries Staff Physicians Community Physicians Patients Care Providers Internet Results Reporting Patient Registration Staff Management Healthcare Transaction Base HL 7 IF Engine • • Messaging Services Master Person Indexing Terminology Management Security and Auditing Clinical Data Repository ADT & Clinical Systems

Healthcare Analysis and Reporting Business and Clinical Intelligence Executives Managers Researchers Internet Executive Information System Operational Day-to-Day Reports Cost Analysis Reports Historical Trending Encounter Lifecycle Monitoring Healthcare Transaction Base HL 7 IF Engine • • Messaging Services Master Person Indexing Terminology Management Security and Auditing Clinical Outcomes Data Warehouse Clinical Data Repository Business Process Data Warehouse ADT & Clinical Systems Financial Systems

PHIN Platform Disease surveillance and summary views Healthcare Workers Local Health Agencies Data Capture Applications Federal Authorities Internet Encounter Summary Results Access Incident Reports Healthcare Transaction Base HL 7 IF Engine Researchers • • Messaging Services Master Person Indexing Terminology Management Security and Auditing Clinical Data Repository Facility ADT & Clinical Systems Data Mining Alert Notifications Data Warehouse

Disease Management First payor solution Case Managers Researchers Internet Care Map Compliance Outcomes Research Healthcare Transaction Base • • Messaging Services Master Person Indexing Terminology Management Security and Auditing Clinical Data Repository Payor Operational Systems Cost Analysis Data Warehouse

HTB Value Proposition Healthcare Delivery Organization • Facilitates quality and process improvement by implementing a central information repository • Single-source of truth providing comprehensive analyses and reporting across the entire healthcare continuum • Derive optimal value from existing systems by supporting integration with legacy IT systems • Empower the healthcare community by providing secure access to a common set of accurate health information • Integrate clinical, administrative and financial processes

HTB Value Proposition Software and service vendors • Accelerate application development • Reduce development costs and minimize risk • Lengthen product lifecycle via industry standards and open technology • Support meaningful integration with existing systems

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Unifying Access to Patient Data Paul Viskovich – President, Orion North America

Orion Systems International § Specialists in Integration for Healthcare § Mission: “Provide Universal Access to Patient Information” § Orion integrates best-of-breed health information systems… between health IT systems, between health organization, and on the desktop, with unrivalled functionality and ease at a fraction of the cost. § Founded in 1993. § Offices in the US (CA, MD), Canada (Edmonton), UK (London, Birmingham) Australia and Development Center in Auckland, New Zealand § ~120 employees § 50%+ of revenue from North America

Four Key Products • Integration Broker § Rhapsody™ Integration Engine • Medical Applications Portal § Concerto™ • Messaging and Mapping Tools § Symphonia™ • Clinical Workflow/Process Management § Soprano™ Clinical Workflow Suite

Oracle Healthcare Transaction Base (HTB) -What does it offer Orion? • Oracle HTB allows Orion to scale its solutions for large regional or community health customers • A robust data repository & service infrastructure • Ability to normalize terminology from disparate sources • Enables Orion to deploy solutions across large healthcare enterprises or Integrated Delivery Networks • Large existing healthcare customer base who already use Oracle for financial data

Our Partnership with Oracle -What does it offer Orion? • Credibility of the Oracle brand – known worldwide as technically robust, interoperable, industry standard • Harnessing the resources of Oracle’s global organization • Marketing partnerships at major conferences e. g. HIMSS (USA), Healthcare Computing (UK) HINZ (NZ), HIC (Aus) • Development of co-branded marketing material

Concerto™ Medical Applications Portal

Concerto™ Medical Applications Portal • Provides a web-based environment for secure access to patient centric data • “Unified view” of patient data, regardless of where the data is stored • Centralized log-on to all applications • Access provided across an organization, multiple campuses, region– wide or nation-wide • Extensive 3 rd party application support • CCOW Support • Multilingual support

Concerto™ Medical Applications Portal

Why a Clinical Portal? • Costs and risks associated with implementing a large system from a single vendor • Retain options for implementing best-of-breed applications • Retain investment (dollars and IP) in existing systems • Allows for an incremental approach • Reduced risk • Quick wins for clinical staff • Avoid lock-in to one vendor • Provide wider and more unified view of clinical data • Add immediate value (quick wins) to ensure clinician by-in • Integrate data from existing systems • Incremental solution

Concerto and Oracle™ HTB Web-based, secure access to patient data, enterprise and region-wide Normalized, central repository for disparate data

Concerto and Oracle™ HTB - Summary • Oracle Healthcare Transaction Base § A secure, normalized repository and service architecture for storing and managing patient data transactions • Concerto™ Medical Applications Portal § Provides clinicians with a simple, unified and secure way to access clinical data as part of their normal work routine

Rhapsody™ Integration Engine

Rhapsody™ and Oracle HTB “Rhapsody™ HTB Bridge” Rhapsody™ provides a secure messaging conduit for exchanging inbound and outbound data between health information systems and the Oracle Healthcare Transaction Base (HTB)

Rhapsody™ and Oracle HTB • Rhapsody™ maps and validates messages flowing in and out of Oracle HTB. • Messages are mapped between HL 7 2. x and HL 7 3. 0 (XML) • Rhapsody™ routes messages according to business rules to the appropriate receiving systems • Maps and transmits master file messages, patient administration messages, observation reports and order entry messages

Rhapsody™ Key Benefits • “Out of the Box” Fully featured without need to buy add-ons • Low overall cost of ownership Easy to install & use with reduced reliance on expensive technical resource • Powerful and Fully-Featured Supports full functions of an Integration Broker • Scalable for all Integration scenarios Small or large organizations • Based on Open Standards Extendable and future-proof (including web services) • Developed in Java

Rhapsody™ Easy configuration and administration

Rhapsody™ WWW Based Monitoring Remote control of engine components Graphical display of engine statistics

Demonstration • Demonstration of Concerto integration with HTB