Cloud HIS

Hospital Information System Software

ESIM Software – March ,2015

WHITEPAPER

DISCLAIMER This document describes the features of OTOMATIP Hospital Information System Software

in general. With this document we want to give you a more detailed insight in the features

of OTOMATIP Cloud HIS. Described is the software version 8.8.4. Features and hardware

are subject to change without further notice. This document can be attached to a ESIM

OTOMATIP Cloud HIS offer but will however never be part of the legal offer and/or order.

The exact Scope of Delivery is defined in the offer or order.

Table of Contents

Purpose .................................................................................................................................................... 4

Scope ....................................................................................................................................................... 4

Target audience ....................................................................................................................................... 4

Introduction ............................................................................................................................................. 5

Products................................................................................................................................................... 6

Services .................................................................................................................................................... 9

Hardware and Software Platform ......................................................................................................... 10

Purpose The purpose of this document is to provide an overview of OTOMATIP Cloud HIS Hospital Information System in general and provide more technical details about to HIS related products. The architecture part provides more insight in the way OTOMATIP Cloud HIS is built up and projected in the hospitals ICT infrastructure.

Scope Features described in this document apply to OTOMATIP Cloud HIS version 8.8.4.

Target audience

The target audience of this document is Hospital Management Staff Members, Ministry of

Health IT Strategy Decision Makers who are involved in the process of selecting an Cloud

Hospital Information System Software solution and need an understanding of OTOMATIP

Cloud HIS system functionality and available options. Staff members responsible for

implementing the system in the existing ICT and technical infrastructure will find the most

interesting parts in this summarised document.

Introduction

When we consider quality management in today's conditions of service and competition, we should not think of it as being independent from technology and automation. It was in this spirit that Esim Software, founded in the light of the experience gained in the IT sector in foreign countries, moved its studies forward, initiating services in Europe and Software Project Consultancy in Japan, with the solutions offered to the Turkish Healthcare sector. Esim Software, with 24 years of experience under its belt, has become one of Turkey's Leading software companies, specialized especially in the healthcare sector with its development of the future oriented , .NET Web-Based OTOMATIP Cloud Hospital Management and Information System [HMIS] software that it developed. Underlying Esim Software's success is the talent to implement the technologies of future generations, starting from today, and the value it attaches to innovative ideas. Therefore, it is no coincidence that Esim Software is the first company to implement Visual Studio 2010 and Team Foundation Server software development platform and Project Management Tools that achieved again a Succes Story Award from Microsoft.

ESIM has been working as an ISV in Healthcare Sector since 20 years and implemented

many succesfull projects during the years.

ESIM has build experience in Primary,Secondary Care Public Hospitals and integrated

Hospital Information System Software applications. Also Referring and Teaching

Hospitals,University Hospitals,Private Hospitals HIS projects is implemented within the scope

of our services. Beside that we work with global leaders as HP,Intel,Philips and Microsoft as

partners to assure the quality and support that you need.

Our Web-Based .NET technology gives us the ability to implement e-health projects with

needed support and know-how in that field. Our Team of Consultants are able to give you

the support that you need to implement big scale projects like PPP Healthcare Campuses at

Management level. Our latest announced software is Cloud HIS solution, please read the

related topics to understand what we can offer for Hospital Chains who are seeking to cut

down the costs of HIS IT Infrastructure and services.

As an Innovative Driven company we developed a Hospital Information System that runs

paperless and completely digitally, with the integration to Mobile Clinical Assistant and

Patient Bedside Multimedia Monitor touchscreen PC which is produced by Philips and

completes the paperless system.

As latest development we have introduced HTML5 to maintain Private Cloud Connections

from Windows 8 ,iOS or Android operating systems with excellent Graphical User ınterface.

Products Software

Private Cloud HIS Solution

Private Cloud services helps healthcare organizations manage their complex healthcare IT solutions infrastructure while freeing up physical space, resources and costs associated with maintaining computer servers and deploying client-based applications on-site.

With server processing and data storage maintained in the industry standards meeting Local Hosting Data Centers or by the enterprise owned Private Cloud infrastructure , organizations can ensure they are always operating with the most current technology for their information systems. Software installation, upgrades and patches and network configuration and repairs are handled by Hosting Center IT experts behind the scenes, so hospital IT departments can focus on more strategic initiatives.

The customer has to make decision to install their own Private Cloud infrastructure or to

lease Hosting Center services which meets the International Standards which are needed to

operate on 7/24 basis.

Data security and patient privacy, of course, are fundamental requirements across the healthcare industry, and ESIM takes its role very seriously with its Partners. The compliance framework for ESIM cloud computing and online services ensures that security safeguards meet the most stringent standards. The Ministry of Health’s and Private Hospital Chains has opportunities to install Private Cloud

within their organizations. The most MOH’s face with the problem to centrally manage the

HIS Software where Cloud Computing exactly creates the solutions for their needs.

Our Private Cloud HIS Solution is based on Microsoft technologies like:

Microsoft .NET 4.5

Windows 2012 Operating System

Windows SQL 2012

Windows System Data Center

Exchange Online

Sharepoint Online

Microsoft Office 365

We deal with Partners to offer Private Cloud HIS Solutions:

Microsoft for MS Products Licensing and to prepare proposals.

System Integrator Partners for IT Infrastructure and to deal with the tenders

o IT Infrastructure services exists from:

Supplying IT Infrastructure for Private Cloud Data Center

Supplying Server, Storage, Backup Hardware

Supplying Internet Security

Supplying services to maintain highest availability

Suppliying Internet Services by means of Providers

Hosting back-up facilities seamlessly uses disk, tape, and cloud-based repositories to deliver

an easy-to-use and best-of-breed backup and recovery solution for Windows environments

from Microsoft. Windows customers of all sizes can rely on Microsoft to provide a scalable

and manageable protection solution that is cost-effective, secure, and reliable.

Microsoft Azure Platform Ready Cloud HIS Solution as SaaS

Advantages of Azure Cloud HIS SaaS

As MOH seek ways to optimize their technology foundation to help control costs and improve access to information, tools, and resources MOH Regional CEO’s are exploring the promise of cloud computing services. Combining security and reliability with a flexible range of deployment options, Azure Cloud Platform offers benefits that can make it a compelling choice for their organization.

Today’s budget-conscious climate, streamlined IT operations in the cloud will give them

more time to focus on improving the quality of medical services in the hospitals.

The performance of budget cuts can be achieved at next topics:

The maintenance costs

HR costs

Software License costs

The hardware upgrade costs

Security costs

Backup costs

Services

Hospital Information System Software as SaaS

Software as a Service (SaaS) -- meaning delivering software over the Internet -- provides the

ability to simplify deployment and reduce acquisition costs. ESİM’s Microsoft Azure Platform

Ready Solution is subscription-based, on-demand applications and hosted services, providing

Healthcare organizations with a consistent experience across multiple devices.

HMIS Maintenance and Operating Services

With its experienced IT Integrators and their System Support Team specialised in hospitals IT

departments, ESIM Software is able to provide a high quality of service, meeting the rigorous

standards necessary for the ISO9001/2008 certificate. It supports its products and services

with a competent staff that is acknowledged and supported by the latest technology. Our

staff continuously attend Microsoft Software training sessions. It consantly monitors the

performance of these staff through procedures suggested by the ISO9001/2008 Total Quality

Management and customer satisfaction surveys, eliminating any problems as they arise.

Turnkey Private Cloud HIS projects

Aware that rendering service in the hospital management sector is a complete business,

ESIM Software offer with its capable Partners a complete range of hospital services, as well

as the Hospital Management System Software and Services. We can offer you a turnkey

Private Cloud HIS project from the building to the infrastructure ,internet security and

administration services with our Integrator Partners specialised in this fields.

Hardware and Software Platform

Firewalls The internet access must be protected by a Firewall. In case HIS clients are to be used as access devices to hospital services a firewall is needed to assure a safe con-nection between Remote Users and the Private Cloud HIS network. Additionally the Private Cloud HIS servers are advised to have a firewall and virus scanner installed. HIS servers The primary server operates with Windows Server 2012 version. The hardware is not to be delivered by ESIM, but our Integrator Partners can deliver excellent services, based on the specifications prescribed by ESIM. The security policies is also strictly provided by our Integrator Partners. Hyper-V servers

Microsoft® Hyper-V™ Server 2012 is a stand-alone product that provides a reliable and optimized virtualization solution enabling organizations to improve server utilization and reduce costs. Since Hyper-V Server is a dedicated stand-alone product, which contains only the Windows Hypervisor, Windows Server driver model and virtualization components, it provides a small footprint and minimal overhead. It easily plugs into customers’ existing IT environments, leveraging their existing patching, provisioning, management,

support tools, processes, and skills. Some of the new key new features that are available in Microsoft Hyper-V Server 2012 are live migration, cluster shared volume support and expanded processor and memory support for host systems.

OTOMATIP HIS System can be easily integrated within with Microsoft virtualization products, as well as the collective knowledge of the community, minimizing any learning curve. In addition, with Microsoft providing comprehensive support for Microsoft applications and heterogeneous guest operating systems, customers can virtualize with confidence and peace of mind.

The Private Cloud HIS is installed on Windows Server 2012 to get application failover capabilities or flexible and cost-effective virtualization rights (one free virtual instance for Standard Edition, four free virtual instances for Enterprise Editions, and unlimited virtual instances for Datacenter Edition with the purchase of a license of Windows Server 2012), and flexible and cost-effective virtualization rights.

Operators Operators maintain the OTOMATIP HIS system by a web based administrator account. Each operator has a personal login and password. The different parts of the Manager can be accessed but based

on the read, write, add and delete rights each operator has been given by the main operator (administrator). In this way it is possible to give access rights to the content part of the system without having access to the technical setup of the system.

Software Architecture

Microsoft Entity Framework 4.5

When one takes a look at the amount of code that the average application developer must write to address the impedance mismatch across various data representations (for example objects and relational stores) it is clear that there is an opportunity for improvement. Indeed, there are many scenarios where the right framework can empower an application developer to focus on the needs of the application as opposed to the complexities of bridging disparate data representations.

A primary goal was using ADO.NET to raise the level of abstraction for data programming, thus helping to eliminate the impedance mismatch between data models and between languages that application developers would otherwise have to deal with. Two innovations that make this move possible are Language-Integrated Query and the ADO.NET Entity Framework. The Entity Framework exists as a new part of the ADO.NET family of technologies. ADO.NET will LINQ-enable many data access components: LINQ to SQL, LINQ to DataSet and LINQ to Entities.

An ideal environment for creation of business applications allow ESIM Software developers to describe the business logic and state of the problem domain which

they are modeling with minimum or no "noise" coming from the underlying representation and the infrastructure that supports it. Applications should be able to interact with the stores that maintain the persistent state of the system in the terms of the problem domain; specifically in the terms of a conceptual domain model, completely separated from the logical schema of the underlying store.

OTOMATIP HIS is written in general purpose, object oriented programming language C#. These programming languages and their surrounding development environments model business entities as classes and their behaviors as code. To contrast with this, ADO.NET so far has exposed data from databases as "values", that is, as rows and columns. In order to interact with databases, applications have to deal with the impedance mismatch that exists between the data and the application code; this includes both the way queries are formulated and the way results are exposed.

The ADO.NET Entity Framework includes an object services layer that reduces, and often eliminates, this impedance mismatch.

HTML5 is used to develope Operating System independent graphical user interface within the Cloud HIS application. Mobile devices with iOs, Android and Windows8 operating systems can connect Cloud HIS without any modifications.

Server Hardware

ESIM does not supply the servers but our Integrator Partners delivers all the needed IT Infrastructure to get a good performance according to the desired specifications for Private Cloud. Although each system differs, in general some presumptions can be made. The number of cores is depending on the number of clients. A solution with up to 100 clients must be supported by 2 cores. Up to 400 clients needs 4 cores and large systems with larger than 1.000 clients will preferably have 10 cores CPU. The type of cores also depends on the numbers of Hospitals that runs on the server. The internal memory will exist from 144 Gbyte (1000+ clients) for each Private Cloud Servers. The Private Cloud HIS servers servers is depended from number of Hospitals which will connect to Private Cloud. Each server must have 4 CPU(10 Core) and virtualised servers are managed by VMware or Hyper V. Redundancy Redundancy strategy The ESIM OTOMATIP Cloud HIS redundancy strategy is based on redundant storage of data in combination with a virtualised servers that can be enabled in case of a nonfunctioning some of the primary portal servers. On the client site no data is stored. The replacement of a malfunctioning terminal is easy and does not require more precaution then a certain number of spare units. Storage redundancy All data within the OTOMATIP HIS system is to be stored redundantly. In the

simplest case this is performed using a RAID 5 configuration that support the failure of one HDD’s. For Private Cloud use of a high availability network storage solution is preferred, with automatic and fast backup functionality. Secondary Servers The secondary virtual servers is configured as backup servers, meaning that the same software version as the primary server is installed and that this server is ready to take over the role of primary servers after restoring the latest database. Disaster recovery Disaster recovery is to be performed when data is lost, despite the redundant storage. System Center 2012 –Data Protection Manager (DPM) enables disk-based and tape-based data protection and recovery for servers such as SQL Server, Exchange Server, SharePoint, virtual servers, file servers, and support for Windows desktops and laptops. DPM can also centrally manage system state and Bare Metal Recovery (BMR). The Live Migration feature in Windows Server 2012 allows us to have highly available Hyper-V virtual machines. A catastrophe is a backup administrator’s worst nightmare. The Cloud gives here the right solution which works better and means less effort on his part – backing up the data to the cloud from where he can

restore the business data and bring the business back online in almost no time.