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
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Leverages Oracle’s core technology and expertise
Built for large, complex healthcare communities
Standards-based, open architecture
Adaptive development, integration and operation platform
HTB
Oracle
Oracle
E-Business
Oracle
E-Business
E-Business
Platform
Platform
Platform
Projects
Human
Resources
Human Resources
Financials
Financials
Internet Procurement
Internet Procurement
Order Management
Supply Chain
Supply Chain
Service
Order Management
Sales
Service
Contracts
Sales
Contracts
Marketing
Healthcare
Healthcare
Apps
FinancialApps
Financial
Healthcare
Healthcare
Apps
Clinical
Clinical Apps
Healthcare
Healthcare
Marketing
Apps
AdministrativeApps
Administrative
Healthcare Transaction Base
An interoperability framework
Healthcare Transactions
Report
Result
Interpret
Study
Place
Image in
Radiologist
Queue
I need a
Chest X-ray
for
Mr. Smith
Enterprise Object
Model
Perform
Procedure
Check
Equipment
Availability
Order
Chest
X-ray
Schedule
Chest
X-ray
Check
Technician
Availability
Model Based Services
Based on the Reference Information Model
Ancillary
Systems
HL7 IF
Engine
New
Applications
Messaging
Application Programming Interface
Model Model
HL7v3Enterprise
ReferenceObject
Information
Data Model Platform
Oracle e-Business
Core Services
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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
HL7 IF
Engine
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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
HL7 IF
Engine
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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
HL7 IF
Engine
Researchers
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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
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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
[Start NHS Demo here]
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
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Integration Broker
 Rhapsody™ Integration Engine
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Medical Applications Portal
 Concerto™
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Messaging and Mapping Tools
 Symphonia™
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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
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Provides a web-based environment for secure access to patient centric
data
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“Unified view” of patient data, regardless of where the data is stored
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Centralized log-on to all applications
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Access provided across an organization, multiple campuses, region–
wide or nation-wide
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Extensive 3rd party application support
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CCOW Support
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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 HL7 2.x and HL7 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
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