This document discusses Medfx's connected healthcare products and services: - It outlines Medfx's conceptual architecture for connecting jurisdictions, services, registries and point of care systems. - The key products - Interchange, Connectfx and Lifescape - are mapped to the architecture and their functions described. - Principles of the architecture include design for change, loose coupling and open standards. - Onboarding, operational support, cross-border sharing and strategic partners are also covered. - Additional contact details are provided for sales and technical information.

1. Connected Healthcare
14 October 2010
Canadian Version 6

2. 2

3. Agenda
Canada Health Infoway Conceptual
Architecture
Products
Onboarding
Operational Support Considerations
Cross Border and Cross Jurisdictional
Support
Strategic Partners
Additional Information
3

4. Canada Health Infoway
EHR Infostructure: Conceptual Architecture
JURISDICTIONAL INFOSTRUCTURE
Registries Data Ancillary Data EHR Data Data
& Services & Services & Services Warehouse
Client
Registry Outbreak PHS Shared Drug Diagnostic Health
Laboratory
Management Reporting Health Record Information Imaging Information
Provider
Registry
Location
Registry Business EHR Message Normalization
Rules Index Structures Rules
Terminology Longitudinal Record Services
Registry
Security Mgmt
Privacy Data Configuration
Data
Common Services
HIAL
Communication Bus
Radiology Physician
Public Health Pharmacy Lab System Hospital, LTC, EHR
Center Office
Services System (LIS) CCC, EPR Viewer
PACS/RIS EMR
Public Pharmacist Radiologist Lab Clinician Physician/ Physician/ Physician/
POINT OF SERVICE Health Provider Provider Provider
Provider
4

5. Product Overview
interchange
Reusable internal service façade supporting
interactions based on open standards and
defined by customer requirements
connectfx
External service façade for
standardized cross-organization
interactions
lifescape
Best-in-class user experience for
display of clinical information
5

6. Product Mapping to
CHI Conceptual Architecture
JURISDICTIONAL INFOSTRUCTURE
Registries Data Ancillary Data EHR Data Data
& Services & Services & Services Warehouse
Client
Registry
Provider
Outbreak
Management
PHS
Reporting
Shared
Health Record
Drug
Information ORACLEDiagnostic
Imaging
Laboratory
Health
Information
Registry
Location
Registry Business EHR Message Normalization
Rules Index Structures Rules
Terminology Longitudinal Record Services
Registry
INTERCHANGE Security Mgmt
Data
Privacy Data Configuration
Common Services
HIAL
CONNECTFX Communication Bus
Radiology Physician
Public Health Pharmacy Lab System Hospital, LTC, EHR
Center Office
Services System
EDGE APPLIANCE
PACS/RIS
(LIS) CCC, EPR
EMR
Viewer
Public Pharmacist Radiologist Lab Clinician Physician/ Physician/ Physician/
POINT OF SERVICE Health Provider Provider Provider
Provider
LIFESCAPE
6

7. Principles
Design for Change
Loose Coupling
Platform Independent, Open Standards
Reusable, Shared Services
Minimize manual labour for Operational
Support
Best-in-Class User Experience
Simplicity
Transparency
7

8. interchange
Reusable internal Service Façade
supporting interactions based on open
standards and defined by customer
requirements
Core Services
Internal Interactions
8

9. interchange
Representational State Transfer (REST)
Services
Integration with Oracle Health Transaction
Base (HTB) and Oracle Health Master
Person Index (OHMPI)
Value
Low datacenter footprint
Consistent processing of requests across
service façade, user interfaces and other entry
points
9

10. interchange
architecture
10

11. connectfx
External service façade for standardized
cross organization interactions
United States Nationwide Health
Information Network (NHIN)
Accomplishments
First on the NHIN with Social Security
Administration
SSA Case Study (Using the Nationwide Health
Information Network to Deliver Value to Disability
Claimants) documents annual cost savings of over
$2.2M for four hospitals
11

12. connectfx
First participant in the Virtual Lifetime
Electronic Record (VLER) on the NHIN
(August 31, 2010) able to share Patient
Demographics and Clinical Information
VLER Community
MedVirginia (powered by MEDfx)
Veterans Affairs (VA)
Department of Defense (DoD)
Kaiser Permanente (KP)
12

13. connectfx
One of three data providers sending
information to Center of Medicare and
Medicaid Services (CMS) over the NHIN
CMS Health Information Exchange Pilot
13

14. connectfx
Extendable to support Transport
Layer Interoperability (TLI)
Specification
Based on HL7v3 and CDA
Separates Web Service Interface
Contract from localized
implementation
14

15. connectfx
architecture
15

16. lifescape
Best in class User experience for display
of clinical information
Event Driven (Asynchronous)
Able to dynamically populate events for in-
context patient
Extendable
Support Consent (break-the-glass)
functionality
16

17. lifescape
Information Requests
Broadcast (based on configuration)
Targeted
Shreds HL7v3 and CDA content into
viewer
MVP Architecture
Administrative Viewer
17

18. lifescape
architecture
18

19. Onboarding Process
Standardized and Repeatable
Partial List of Deliverables:
Data Provider Interfaces and Content
identified and categorized
Determination for Edge Appliance
Assist in Adoption
Translate Data
Translate messages into Provincial
Standard
19

20. Operational Support
Considerations
Operational support has been
considered from day one
Provide interface and workflow for
data stewards
Interaction with helpdesk software
(e.g., Remedy)
Asynchronous notification supported
20

21. Cross-Border and
Jurisdictional Support
Canada-wide view of a patient
Support for jurisdictional implementation
differences supported across the
architecture
Technology supports cross-border
interactions
HIAL to NHIN, NHIN to HIAL
21

22. Strategic Partners
MedVirginia
Level 7 Health Information Exchange
Like an established HIAL in a Province with a
number of data providers
Verizon
Reseller
Hosting
Oracle
Health Transaction Base
Oracle Health Master Patient Index
22

23. 23

24. Additional Information
Website:
www.medfx.com
Kathy Aubin (Sales)
508.237.0618 mobile
Kathy.Aubin@medfx.com
Colin Fletcher (Technical)
403.613.7051 mobile
Colin.Fletcher@medfx.com
24