This document summarizes a presentation by Sara Mazer on how MarkLogic was used for the Healthcare.gov project and other healthcare analytics applications. The key points are: 1) MarkLogic enabled Healthcare.gov to be built for today's complex healthcare data in an agile 18-month timeframe, handling various data sources and regulatory changes. 2) Healthcare.gov was successfully deployed, with over 8 million people signing up in the first 5 months using MarkLogic as the backend database. 3) MarkLogic provides enterprise search, database, and application services including semantics that help power applications for medical compliance, procedures and payments analytics, and medical device intelligence.

1. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.
Healthcare Analytics Summit
Sara Mazer, Principal Healthcare Solutions Architect

2. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 2
Harnessing Data & Reimagining Applications
 Reduce Risk – Fraud & Waste
 Manage Compliance
 Create New Value from Data
 Optimize Operations
 Lower TCO / Better IT Economics
 Better Decision-making

3. HEALTHCARE.GOV

4. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 4
Health insurance for millions of Americans
Built for Today’s Data
Schema-agnostic data model that could handle various data sources and adapt
to later changes with policies and regulations
Agile Development
18-month timeframe from procurement to launch for what has been called “the
most complex government-IT project of all-time”
Secure and Trusted
Did not have to sacrifice any of the enterprise features required, and could rely on
a system with government-grade security, ACID transactions, and HA/DR
Successful Deployment
Over 8 Million people signed up for health insurance in less than 5 months
After MarkLogicBefore MarkLogic
 Unable to handle complexity
 Impossible data model
 Development too slow
 Limited scalability
 Inflexible to change

5. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 5
8,000,000+ new beneficiaries
150,000+ concurrent users
0 zero data loss

6. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 6
MarkLogic is Gartner’s #1 Rated
Operational Data Warehouse
Source: Critical Capabilities for Data Warehouse Database Management Systems, Roxane Edjlali and Mark A. Beyer, Gartner, 18 August 2014

7. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 7
Enterprise Search, Database, and App Services
 Search & Query
 ACID Transactions
 High Availability / Disaster Recovery
 Replication
 Government-grade Security
 Scalability & Elasticity
 On-premise or Cloud Deployment
 Hadoop for Storage & Compute
 Semantics
 Faster Time-to-Results
SEARCHDATABASE
APPLICATION
SERVICES

8. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 8
Semantics to Link Data
 Data model to manage relationships and link together data
 ‘triples’ (Subject-Predicate-Object) describe single facts
 Collections of facts describe complex real-world scenarios
"John Smith" "England"
livesIn
"London"
isIn
livesIn
!

9. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 9
The World of Triples
Linked Open Data
(Free semantic facts available to anyone)
Facts from Free-Flowing Text
(Derived from semantic enrichment)
Proprietary Semantic Facts
(Facts and Taxonomies in your organization)
Facts in Documents
(Part of metadata or added with authoring tools)
SemanticWorld
DocumentWorld

10. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 10
MarkLogic Semantics Use Cases
 Semantic Search
– Make use of billions of facts to make your search app better
 Dynamic Semantic Publishing
– Manage nuggets of information, deliver as mashups
 Information Aggregation and Reduced ETL
– Aggregate atomic pieces of data
– Link same/similar/related documents and data

11. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 11
EX: British Standards Institute
 "Compliance Navigator"
 Find all the standards I need to read before
building a "cardiac catheter"
 Ex. Search for "cardiac catheters" also
returns results for:
– safety requirements for devices that
stimulate nerves
– sterilization of implantable devices

12. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 12
Semantics Powered Facets at APA

13. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 13
Medical Device Intelligence App

14. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 14
Procedures and Payments: MarkLogic and Tableau

15. © COPYRIGHT 2015 MARKLOGIC CORPORATION. ALL RIGHTS RESERVED.SLIDE: 15
Semantics in Action

16. Learn More About NoSQL and Semantics
Read
nosqlfordummies.com
Learn Meet
marklogic.com/training sales@marklogic.com
Download
Semantics Paper