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ConnectedHealthcareFramework

AStableFoundationforAgileHealthcare

Dr Ilia Fortunov

Senior Architect

Microsoft

EMEA

Public Sector

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Connected Healthcare Framework 5

CHFVision Defineanarchitecturalframeworkfor

HealthcareIndustrysolutions

Sharebestpracticesforserviceorientedhealth

informationintegrationandcollaboration

architectures

Suitablefore

nterprise,regionandcountry

-

widelevel

LeverageMicrosoftassetstodelivermorevalue

Playwellwithothersbyusingopenstandardsand

protocols

DevelopecosystemofCHF

-

enabledsolutions

FasterandbetterROIforcustomers

Easierdevelopmentanddeploymentofpartner

solutions

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Connected Healthcare Framework 6

ConnectedHealthcareFramework

Focusedonmajorissuesspecifictoconnected

healthcaresolutions

Provides:

ABusinessPatternforHealthcare

AReferenceTechnicalArchitectureforHealthcare

Basedonrealworldwideexperience

Created,reviewedandapprovedby

Microsoftarchitects,engineeringteamsand

consultantsand

Microsoftpartnersandcustomers

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Connected Healthcare Framework 7

HealthcareisaComplexSystem

Healthcarediffersfromotherlargescalesystems

because:

Healthcarebusinessprocessesarehighlyvaried

Theychangeconstantly

Multipleoutcomes,oftennotpredicable

Systemusageisafunctionofuserpreferenceand

practice

Systemsmustadapttoreal

-

worldconditionsanda

constantlychangingenvironment

TheConnectedHealthcareFrameworkrecognises

andaddresses

th

esechallenges

by:

Separatingthedynamicpartofthesystem(business

processesandsystemusage)fromthestablepart

(corefunctionalityanddatastructure

s

).

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Connected Healthcare Framework 9

CHFinContext

Guiding Principles

POLICY

AIMS & OBJECTIVES

PROJECT GOALS

NEEDS

INFRASTRUCTURE

Connected Healthcare Framework

CHF

TechnicalFramework

BusinessPatterns

REQUIREMENTS

SOLUTIONS

create

require

define

ReferenceArchitecture

SOLUTIONARCHITECTURE

CAPABILITIES

CHF

BusinessFrameworkDEMAND

SUPPLY

IMPLEMENTATIONS

HEALTHCAREENVIRONMENT

sets

i bj i

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CHFAims&Objectives(Demandside=WhattheCustomerwants.)

AnAgile,FlexibleArchitecturePlugandPlayapplicationintegration

Useofopen,internationalstandardsProcessorchestration

UseofclinicalmessagingHL7v3,SNOMED-CT,ICD10

Modulereusabilityandreplacability

BusinessCoverage

ComprehensivefunctionalityConsistentsupportforcommontasks

Specialitysupportonacommonfoundation

LegacyIntegration,includingIntegrationofexistingapplications

IntegrationwithlegacymessagesIntegrationwithterminologycoding

Role-basedUserInterfacesandProcesses

Acrossmultiapplication,multiplatformenvironments(medicalerrorreduction)

Preservationofcontextacrossapps

Business-focusedProcesses,localprocedures

Consistent,reliablestandardprocesseswithlocalimplementationflexibility

Workflowsupport

Privacy&ConfidentialityPatientConsent

Securityofdata(encryption,sealedenvelopes)

Gatekeepersandguardians

HealthcareBusinessIntelligenceDataanalysis

Identificationofbestpractise(roleofcoding)

Forecastingfuturehealthcareneeds(couldbebasedonGenomicsbasedmedicine)

DecisionsupportKnowledgetools

Digitalcontent

Materialontheweb

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8/25Connected Healthcare Framework 12

CHFNeeds(Supplyside=Whatwemustprovide.)

AgilityandFlexibilityStandards-based,modular,reusable,interoperable

ScalabilityNational,regional,localordistributedapplication

FocusabilityPatient-centric,process-centric,research-centric,admin-centric,speciality-centric

GranularityFromhigh-levelsummarytothedeepestdetail

Implementationindependentdesign

CoreBusinessandDataServicesBusinessfocusedprocesses,localproceduresUserfocused,role-basedpresentationandworkingpractice

Thoroughengineeringandtesting

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CHFCapabilities(Supplyside=Whatwedoprovide)

AgilityandFlexibilityFlexiblearchitectures

HighlydistributedtofullycentralisedMiddleware

SecureandReliableMessaging

AdaptersandConnectors

BusesandHubs(e-HealthServiceHub)

IdentityandAccessControlDirectoryServices

SingleSignOnFederatedidentityandauthentication

EnterpriseApplicationIntegrationPersistenttotransientdatastoresandrecords

Middleware

SecureandReliableMessaging

AdaptersandConnectors

UserInterfaceandProcessDesignDevicesensitiveinterfacesandprocessesLocalandusergroupspecificprocesses

Clinicalspecialitycustomisation

BusinessProcessOrchestration

Reliableandsecuremessagedelivery,routing,transformation

DevelopmentMethodsComponentBasedDevelopmentandObject

OrientationServiceOrientedArchitectureandWebServicesTechnology

SoftwareArchitecture

.NetFramework

Relationaldatabases

DataManagementClusteringandfailover

Disasterrecoverydatamirroring

ScalabilityScale-upandscale-outcapability

PerformanceTuningservices

DialogueOptimisation

SecurityAuthenticationandAuthorisationMechanisms

Encryptionandsecuremessaging

SystemManagementSystemmonitoring

Softwaredistribution

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10/25Connected Healthcare Framework 14

CHFBusinessFramework

TheCHFBusinessFrameworkusesaserviceorientedapproachto

Definebusinesscomponentsandmajorsubjectareas

Offerarangeofservicesthatcanbeorchestratedtoenableandsupportbusinessprocesses

Leverageexistingsourcesoffunctionalityandinformation

ItprovidesaBusinessPatternforHealthcare

CHF B i F k

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11/25Connected Healthcare Framework 15

CHFBusinessFrameworkABusinessPatternforHealthcare

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12/25Connected Healthcare Framework 16

CHFTechnicalFramework

TheCHFTechnicalFrameworkisconcernedwithinteroperabilityandaddressesthefollowingkeyarchitecturalchallenges:

Multiplicity

Identitymanagement

Integrationchallenges

Flexibilityandagility

Securingthesolution

Scalability,performanceandavailability

Itprovidesa

ReferenceArchitecturefore-Health

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Connected Healthcare Framework 17

CHFTechnicalFrameworkAReferenceArchitectureforHealthcare

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Connected Healthcare Framework 18

KeyArchitecturalPrinciplesServiceorientedarchitecture

AllowsformodularandflexibleapproachBasedonopenstandardsFocusonthebasics,addmoreserviceslaterDiscoverabilityofservices

DatanetworkUserinterfaceisanadditionalservice

FederatedorcentralizeddataFocusonsubsetofcriticalcareInformation

DataownershipispreservedFederatedsecurityFlexibilitytoaccommodateallscenarios

Trustworthy

Reliable,faulttolerant,scalable

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Connected Healthcare Framework 19

SupportforBothCentralizedandFederatedDeploymentModels

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Connected Healthcare Framework 20

OptionsForStoringClinicalData

Mostlyamatterofownershipandpolicy

CentralizedmodelCentralrepositoryholdsreplicaoffullhealthrecord

CentraleHealthhubpublishesfullhealthrecordandmanagesdatasynchronisation

FederatedmodelCentralrepositoryholdsnopersonaldata

CentraleHealthhubpublishesregistrationevents,cachesfullrecordobtainedfrommultiplesources

HybridmodelCentralrepositoryholdsrecordsummary

CentraleHealthhubpublishesrecordsummaryandcachesfullrecordobtainedfrommultiplesources

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Connected Healthcare Framework 21

ConnectingtheCHFBusiness&TechnicalFrameworks

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Connected Healthcare Framework 22

CHFConsolidatedFramework

CHF A S bl F d i f A il H l h

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Connected Healthcare Framework 23

CHFAStableFoundationforAgileHealthcare

S T A B L E

A G I L E

h d h

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Connected Healthcare Framework 24

CHFWhodoeswhat?

Customer Specific(MS provides Guidelines,

Platform Products, Assistance)

ISV Provided(MS provides Business Pattern

Component and Service Definitions)

MS or SI Partner Provided

SI Partner Provided(MS provides Reference Architecture

and SDKs)

SI Partner Provided(MS provides Reference Architecture and SDKs)

C h d h ?

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Connected Healthcare Framework 25

CHFWhodoeswhat?

Customer Specific(MS provides Guidelines,

Platform Products, Assistance)

ISV Provided(MS provides Business Pattern

Component and Service Definitions)

MS or SI Partner Provided

SI Partner Provided(MS provides Reference Architecture

and SDKs)

SI Partner Provided(MS provides Reference Architecture and SDKs)

h i f d i

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Connected Healthcare Framework 26

WhereDoMicrosoftProductsFit?

Microsoft OfficeInfoPath

Office extensionsSharepoint

Workflow Foundation

Visual Studio, .Net FW, WSE

BizTalk Server, WCF (Indigo)

ADFSSharepoint

UDDI

MOM, SUSSQL Server

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Connected Healthcare Framework 27

BuildingSolutionsusingtheCHF

Keyscenariosdependingontherole:

Customer-FormulatingRequirements(RFP)

Vendor/SystemsIntegrator-MeetingRequirements(RespondingtoanRFP)

SoftwareVendor-AligninganISVApplicationwiththeCHF

Infrastructureprovider-EstablishingtheEnvironment

CHF(Part4)providesguidanceforeach,e.g.:

UnderstandingScope&BoundariesUnderstandingtheRequiredFeatures

DerivingtheArchitecture

DefiningtheSolution

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2006MicrosoftCorporation.Allrightsreserved.Thispresentationisforinformationalpurposesonly.Microsoftmakesnowarranties,expressorimplied,inthissummary.