con8008 - healthcare modernization with soa suite€¦ · soa interface output using same input...

CON8008 - Healthcare Modernization with SOA Suite

Steve Schenks, Ascension Health Kevin Mattingly, Ascension Health Sean Keane, Oracle Suresh Sharma, Oracle

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About the presenters

Steve Schenks Kevin Mattingly

Integration Architect,

Ascension Health

Integration Architect,

Ascension Health

Sean Keane Suresh Sharma

Director, Healthcare

Interoperability,

Oracle

Product Strategy Director,

Oracle


Program Agenda

Oracle Healthcare Focus and Healthcare Trends

Ascension Health Case Study

Oracle SOA for Healthcare Overview

Demo

Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |

Oracle Healthcare Focus

Analytics Connected Health/

Health Management

Platform

Operational Efficiency


Oracle Healthcare: A Complete Portfolio

Infrastructure & Mobility •Security

•Care Giver -Mobility

•Identity

•Exchange

•3CI

•Master Data Management

Interoperability

and Integration •SOA Suite for Healthcare

•Master Patient Index

•Healthcare Data Model

•Collaboration

•HIE Solutions

•ACO Solutions- Coordinated Care

•NHIN Connect

•Medical Device Integration

Healthcare Management Platform •Health & Disease

• Management

•Patient & Clinical Portal

•eCommerce

•Patient Discharge Mgt

•Healthcare Retail Solutions

•Translational Research Solutions

•Healthcare Cost Management

Business Performance •Financials

•Supply Chain

•Human Resources

•Strategic Planning

•Talent Management

•Advanced Controls

•Value Chain Planning

•Grants Management

Healthcare Analytics •Financial Performance

•Supply Chain Analytics

•Human Resources Analytics

•Cost Accounting

•Translational Research Analytics

•Molecular Medicine

•Clinical Performance

•Operating Room

Care Management and

Partners •Epic

•Cerner

•McKesson

•Allscripts

•GE

•Orion

•Siemens


Healthcare – tactical trends

Securing data access and at rest

Increased reporting of data breach Laptops, thumb drives, paper

Data replicated to many unaudited destinations

Meaningful Use Stage 2 is here Greater Patient Engagement, consumerism, retailization

Increased data sharing

Increased usage and demand for Analytics

Oracle Confidential – Internal/Restricted/Highly Restricted 8


Healthcare – strategic trends

ONC

New focus on interoperabilty and data exchange

Certification and Regulation role

HL7 FHIR Fast Healthcare Interoperability Resource

HL7 V4 (sshhh!), REST, JSON, XML

Increased data sharing across care settings

ACO

Stop replicating data!


Ascension Information Services Confidential and Proprietary 10

Ascension (www.ascensionhealth.org) is transforming healthcare by

providing the highest quality care to all.

Ascension is directed by the Church to care for those most in need. Our

Catholic philosophy permeates our national health ministries and our promise

to provide

Healthcare That Works

Healthcare That is Safe

Healthcare That Leaves No One Behind

Ascension Health

http://www.ascensionhealth.org/


Program Agenda




Demo


As Ascension Health added hospitals and related health facilities, siloed IT

departments were also added in some cases

The majority of the clinical interfaces (2058) and all the PeopleSoft human

resources, finance, supply chain interfaces (1084) are supported by the

Ascension Shared Information Services ("SIS") integration team and run in a

centralized data center.

Other interfaces (approximately 1000) are supported by Health Ministries

themselves and run locally at the Ministry.

Current Environment – Scattered Deployments


Moving to Standardization

Orion

Rhapsody

v 5.1.0

Oracle

Java

CAPS

(JCAPS

5.1.3) Sybase eBiz

Impact

eGate

4.5.3

eGate

TRE 5.0.1

(Clinical)

eGate SRE

Summit

Express

Connect 8

eGate

SRE 5.0.5

(Symphony)

Lawson

Cloverleaf

Sybase

Impact TDM

4.1 / Ebiz

5.5.4

Shared

Integration

Shared Integration Stand-Alone Integration

Oracle SOA Suite

Oracle SOA for Healthcare

Oracle

Managed File Transfer

Oracle Enterprise

Manager 12c Oracle

Database 12c

High-value

Service

Delivery

Governance &

Optimization

Standardization

One Integrated Ministry


Schedule

=


High Level Architecture Overview


IP Virtualization Strategy


Comparison Testing Easing the transition to SOA for Healthcare

Integration Flows Implementing Common Healthcare Message Patterns with SOA for Healthcare

Exception Handling Framework Handling Exceptions with SOA for Healthcare

Custom Operations Dashboard Managing an enterprise environment with SOA for Healthcare

Interfacing in SOA for Healthcare


Comparison Testing

* NOTE: identical (same) production test data is processed in bulk through Legacy and SOA systems. Results are compared to match the legacy interface output against

SOA interface output using same input data.

POTENTIAL

DEFECT FIXING

Potential defects proactively fixed to expedite testing and Cut-over validation.

SMOOTH

DEPLOYMENT

Typical scenarios which may create issues in Production Environment are mitigated by proactive planning.

OPTIMAL USE

OF END USER TIME

Code that has gone through output

comparison against the scenarios that occur

in 1 month of production data is deployed on

UAT\Production servers enabling optimal

UAT thus reducing test cycle durations.

Testing with 1 month of input and

output Production Data.

The scenarios that occur in 1 month

of production data get tested *

Typical technical scenarios captured

and tested prior to comparison Migrated Interface functionality

matches Legacy Interface functionality

Compare Results

Legacy Output

A

SOA Output

A’ =

Ensures we are validating existing functionality.

Typical end-to-end testing is not required because no new

functionality is introduced.


Comparison Testing - Architecture


Integration Flow – High Level

1 Mediator

Mediator

AMediator

Source 1

Source 2

Source 3

Destination A

Destination B

Destination C

2 Mediator

Mediator Ba

Mediator3a Mediator

Mediator

C

Mediator

Mediator

MessageType

1

MessageType

1

SSHISSHI

Source Interface Leg Destination Interface Leg

Routing Transformation

3b

MessageType

2 Mediator

Bb

MessageType

2

A

C

C

*Primary constraint is FIFO. Must be maintained by source.


Integration Flow - Scenarios

Source with Single Message Format

1 Mediator

Mediator

Source

Destination A

Destination B

Destination C

Mediator B

Mediator

A

C

SSHI SSHIADT

ADT

ADT

ADT

1

Mediator

Mediator

Source

Destination A

Destination B

Destination C

Mediator B

Mediator

A

C

SSHI

ADTADT

ADT

ORU2

SSHI

ORU

Source with Multiple Message Formats



Destination with Single Message Format

Destination with Multiple Message Formats

1 Mediator MediatorSource 1

Destination

AADT

ADT

2 Mediator MediatorSource 2 AADT

SSHI SSHI

ADT

1 Mediator MediatorSource 1

Destination

AADT

ADT

2 Mediator MediatorSource 2 AORU

SSHI SSHI

ORU



HL7 and Non-HL7 Batch File

Non-HL7 Batch File – Utilizes SOA Suite File Adapter

HL7 Batch File – Utilizes SOA Suite HealthCare Adapter and SSHI Endpoint

MFT Solution – Short-term: Accenture developed AFPO MFT solution

– Long-term: Oracle SOA Suite 12c MFT


Exception Handling Framework

SISAI Event Handler Publisher

Event Delivery Network

Logging Subscriber

SISAI_ERROR_LOG (Table)

ADF DashBoard

ServiceNowTicket

Creation

NotificationSubscriber

B2B_INSTANCEMESSAGE(View)

SISAI Event Handler Subscriber

Consists of the following:

• Logging

• Exception Handling

• Notifications

Custom Operations Dashboard was developed for

viewing errors and message data.



SSHI/B2B layer: Any exception in the SSHI layer like the unavailability of the End Points, TCP/MLLP/FTP protocol

error, Document translation error etc. results in an exception thrown by the SSHI layer.

SOA Composite layer: Any exception

related to routing and transformations

occurring in the Mediator component

would be result in an exception thrown

by the Composite layer.



Source System SSHI AdapterRouting

Mediator

Transformation Mediator

Transformation Mediator

SSHI Adapter

SSHI Adapter

Destination System

Destination System

External Sender

Inbound HL7 Processing

Routing and Transformation(SOA Composite)

Outbound HL7 Processing

External Receiver

B2B Exception Handler SOA Exception Handler

Custom Component Custom Component

SISAI Exception Handling Framework

B2B_EXCEPTION_QUEUEFault Policy

SOA Infra DB

SISAI Event Handler Publisher

Event Delivery Network

SISAI Event Handler Subscriber

Logger

ServiceNowTicket

Creation

Notification


Custom Operations Dashboard

Problem

Ascension Health has approximately 2750 endpoints spread across 26 Health Ministries. The number of endpoints

dictates that multiple SOA for Healthcare domains must exist – current implementation plan includes 6 domains.

Solution

In order to effectively monitor and get a complete picture of the Healthcare transactions and endpoints across the

multiple domains, Ascension in partnership with Accenture is developing a Custom Operations Dashboard that will

provide the single view across all Healthcare endpoints. The Operations Dashboard will include the following

functionality:

• Endpoint Dashboard: allows for a ‘rollup’ status by Ministry. This dashboard utilizes the B2B_InstanceMessage view as well

as a custom table used to store the errors / notifications produced by SOA and SOA for Healthcare.

• Errors: allows for the searching and viewing of errors that occur in any of the domains.

• Messages: allows for the searching and viewing of transactions that are received or sent via any of the domains


Operations Dashboard – Endpoint Dashboard

Provides an status overview of all endpoints. Status is based on the last message processed. It is not used for monitoring.


Operations Dashboard – Errors

Allows for searching and displaying of error messages that occur across all domains


Operations Dashboard – Errors - Detail

Displays detailed information for selected error.


Operations Dashboard – Messages

Allows for searching of data messages – both metadata and payload. Displays messages based on search results.


Operations Dashboard – Messages - Detail

Displays detailed information for selected message.


Operations Dashboard – Messages - Detail

Displays selected message payload.


FY14-Q4 (Apr-Jun 2014)

FY15-Q1 (Jul-Sep 2014)

FY15-Q2 (Oct-Dec 2014)

FY15-Q3 (Jan-Mar 2015)




FY16-Q3 (Jan-Mar 2016)




Group 1:

1a. IDLEW (2/9/15), 1b. TXWAC (3/20/15), 1c. WIMIL (3/31/15), 1d. MIGRA (5/28/15), 1e. TXAUS (12/23/15)

1a 1c 1b 1d 1e

Alpha: MDBAL (11/14/14) A

Beta: FLJAC (1/27/15) B

Group 2:

2a. INEVA (1/29/16), 2b. ININD (6/30/16)

2a 2b

Group 3: SY-SR (12/23/16) 3

Group 4:

4a. DCWAS (5/18/16), 4b. ALMOB (5/31/16), 4c. NYBIN (10/24/16), 4d. MIDET (10/31/16),

4e. ALBIR (12/23/16)

4a 4b 4c 4d 4e

Group 5:

5a. CTBRI (11/30/16), MIKAL (11/30/16), MITAW (11/30/16)

5b. WAPAS (12/23/16), TNNAS (12/23/16), FLPEN (12/23/16),

MISAG (12/23/16)

5a 5b

Note: Durations/dates for Groups 6 (AZTUC & NYNIA), 7 (ILARL), 8 (MOKAN)

and 9 (Marian Health Ministries) are to be determined.

1. Functional Model complete (5/16/14)

2. Org Structure and Capacity Planning detailed (7/2/14)

3. Roles and Responsibilities finalized (7/16/14)

1. Training materials developed (9/12/14)

2. Trainers (4) equipped to conduct training (12/24/14)

1. Development (DEV) Run Time Environment available (6/20/14)

2. System Integration Test (SIT) Run Time Environment available (7/11/14)

3. User Acceptance Test (UAT) Run Time Environment available (9/5/14)

1 2 3 5 6 4

1 2 3 4 5

A. Ready to Support Alpha Go-Live (9/4/14)

B. Ready to Support Beta Go-Live (11/6/14)

C. Ready to Support Group 1 Go-Live (12/4/14)

1 2 A B C D E F G

Milestones Timeline

PLATFORM DEVELOPMENT

INTERFACE DEVELOPMENT & CUT-OVER (BY MINISTRY)

SIS-AI ORGANIZATIONAL DESIGN & OPERATING MODEL

SIS-AI TRAINING & TRANSITION

4. Production (PRD) Run Time Environment available (10/24/14)

5. Monitoring Dashboard is operational (11/14/14)

6. Oracle to advise on 12c version upgrade (TBD)

4. Resource Transition Plan complete (8/1/14)

5. Operating Model complete (9/12/14)

6. Org Blueprint complete (10/1/14), Operations Manual complete (10/1/14)

& Performance Metrics Deliverable complete (10/1/14)

D. Ready to Support Group 2 Go-Live (11/2/15)

E. Ready to Support Group 3 Go-Live (8/4/16)

F. Ready to Support Group 4 Go-Live (3/3/16)

G. Ready to Support Group 5 Go-Live (9/2/16)


Program Agenda




Demo


Connectivity Cloud

Apps Services Platform

On-premises

Apps Mainframe DB

Business to Business

EDI XML Industry

Analytics Business Activity Monitoring Event Processing

Orchestration BPEL Process Manager Business Rules

Service Virtualization & Mediation Service Bus

Oracle SOA Suite

• Simplifies development and management

• Standards-based, open infrastructure interoperates with your existing IT

• Consistent tooling - Single development, deployment and management platform

Unified Integration Across Cloud, Mobile, and On-premise


• 30 % memory footprint reduction

• Startup acceleration

• Pre-tuned database profiles

• Active-active support

SOA Suite 12c Key Features

• One-click install

• Everything in JDeveloper

• Debugger & tester

• Templates

• First class support for mobile-friendly standards (REST, JSON, …)

• Automated conversions REST/SOAP

• Cloud adapters to simplify on-prem to cloud integration

• Managed File Transfer (MFT) for file-based integration

• Certifications on Oracle Public Cloud

Developer

Productivity

Web Scale Mobile

Cloud


Oracle SOA Suite for healthcare integration

TR

AN

SP

OR

T

WS-HTTP

FILE

FTP

SFTP

JMS

MFT

HL7 v2.X

Custom

BA

CK

EN

D

INT

ER

FA

CE

MLLP

HLLP Translation

Validation

Mapsets

Sequencing

Callout

Batching

ACK

Handling

HealthCare Runtime Engine

Database

Healthcare Console

Resubmission SOA

Composite

Enterprise Manager Document

Editor

Document

Handling

HL7 v3.0

External

System

Route, Transfer,

Integrate

Interface Configuration,

Dashboards, Monitor

Healthcare Message creation,

customization, testing

Systems

Management

Healthcare Runtime Engine

Translation ACK Handling Sequencing Validation


IOT in Healthcare Scenario : Correlating a Patients Diagnosis with Devices Reading for More Accurate Alarm Evaluation and Enhanced Patient Care


Correlation scenario: Scale: 3 lb weight gain BP cuff: Slight elevation in BP Pulse: Slight increase in pulse –Alone, each data point may not be reason for concern – Together they may indicate a potential emergency – Local analytics triggers a query to the patient, and sends data along with patient feedback in a single alert to the care provider or hospital


Program Agenda




Demo


Raspberry Pi with OEP Server and Web Server

Cloud Services

Healthcare 2 Home IOT Flow Receives JSON data and converts into HL7 and invokes SOA Healthcare Adapter and stores the information into tables

Sensors Installed on Healthcare IOT Device and sends captured results

Gateway becomes SMART with OEP Embedded. It analyzes temperature data to identify temperature fluctuations

SOA Healthcare sends data to endpoints

Send to EMR System

Portal to observe the result and analyze

UI (Oracle Portal) To present the captured data

1 2

3 Sends Temperature, Breathing and SPO2 results to REST Service

4 5

6

7

8

Temperature Sensor

SPO2 Sensor

Breathing Sensor

Oracle SOA Oracle SOA Healthcare

JSF/ADF Mobile ADF /ADF Mobile

EMR

DB

con8008 - healthcare modernization with soa suite€¦ · soa interface output using same input...

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