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Web services Integration Middleware –
                 Interoperability in Healthcare
                                                                                                            Sanjoy Sanyal
                                                                             MBBS, MS (Surgery), MSc Healthcare Informatics
                                                                                               (RCSEd / University of Bath)
                                                                                Email: drsanjoysanyal@e-courses.rcsed.ac.uk
Foreword
This presentation won the first prize of ₤ 250 at the Health Care Informatics (HCI) Symposium Poster Competition in Royal
College of Surgeons of Edinburgh (RCSED) on 28th June 2005.


Introduction
Web services are XML applications providing basic services like
booking a GP appointment; they can also used as interoperable
building blocks to create more complex systems.
With Web services, a network can be built site-by-site, like the
World Wide Web (W3). Just like the HTTP-Web is standardized
on HTML, Web services can be standardized onto the XML
world.
Adoption of Web services can trigger a W3-style information
revolution within healthcare. Web services can be used to
prepare for the patient-centered healthcare wave.
Ultimately Web services can be scaled up to solve the
interoperability conundrum that are hindering plans for an
interoperable national healthcare IT network
Aims
1. Demonstrate interoperability in healthcare through Web
services middleware, with examples
2. Explore how future worldwide interoperability may be
achieved through Semantic Web Web services
Descriptions

                                                                                                                            1
Most common Web services approach within healthcare is:


                        Patient portals
     Automated                                Automated



     Access to back-                 Utilisation of back-
     end health data                  end health data




 Thus, a few examples


1.
               Web services
               middleware
          application integration

 In-house                           Patient
                                                   Result
   legacy                           portal         Example
  systems
                 Tied to            Online bill payment
                                      option created



                                                             2
2.
             Web services
         middleware integration

     Physician              Emergency
       office               department             Result
                                                   Example
       EPR                   and acute
                               care

                 Tied to                 Physicians get
                                         comprehensive
                                        view of complete
                                        office EPR when
                                       they log into portal


3.
                    Web services utilities


    Medical                                Customer’s
 manufacturer’s                              hospital
  products, e.g.                           information
 radiology items                             systems


                           Linked to

Other utilities of Web services middleware in healthcare:
                                                              3
Know about patient’s allergy
                             profile (for example) at time of
                                 pre-admission workup

   Web services              Through physician’s location,
   Middleware                link between health insurer’s
   integration               network and practice
                             management systems

                             Facilitate transactions between
                             companies; for example
                             between providers and payers

Discussion
Microsoft-NHS
The Microsoft-NHS team supports NHS organisations in UK. Health
services organizations in UK are under pressure to adopt integrated
technology, not only as a challenge posed by the NPfIT, but because it
is being recognized as an important tool:
   • To improve the efficiency and effectiveness of services
   • Help NHS trusts streamline processes
   • Improve access to information for both patients and staff, and
   • Keep within tight budgets
XML and Interoperability
Microsoft is advancing a new generation of interoperable software.
These are centered on XML and have resulted in
implementing next-generation architecture for Web
services (WS-* in .NET).
The UK example

                                                                         4
Wrightington, Wigan and Leigh NHS Trust has initiated steps towards
realisation of ‘a-single-view-of-patients’ EPR, for better patient care, by
implementing a Web-based system.
Conclusion – The Future of the World
Semantic Web Web services




                                                                            [From ref. 5]

The Semantic Web, which will understand human language, is expected
to replace the current Web by 2010.
The Semantic Web Services Initiative (SWSI) was composed in 2004. It
combined Semantic Web and Web services to enable automation in all
aspects of Web services.
Few commercial products have successfully implemented a semantic
shell over a robust Web services kernel. Functional / behavioral
descriptions of Web services / processes need exploration.




                                                                                [From ref. 5]


Semantic Web enabled Web Services (SWWS)
SWWS is a European 5th Framework project aimed at utilizing
Semantic Web technology to enable open, flexible approach to web
services. Its goals are:
1. Provide a comprehensive web services description framework
2. Define a web service discovery framework
3. Provide a scalable web service mediation platform
Reference:
1. http://www.e-courses.rcsed.ac.uk/mschi/unit5/KamelBoulos-XML-Jun03.ppt
2. http://www.microsoft.com/uk/government/health/default.mspx
3. http://www.microsoft.com/windowsserversystem/interop/default.mspx
4. http://www.healthcare-informatics.com/issues/2005/05_05/trends.htm
5. http://www.aisnet.org/sigs.shtml


                                                                                                5

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Web Services Integration Middleware-Interoperability in Healthcare

  • 1. Web services Integration Middleware – Interoperability in Healthcare Sanjoy Sanyal MBBS, MS (Surgery), MSc Healthcare Informatics (RCSEd / University of Bath) Email: drsanjoysanyal@e-courses.rcsed.ac.uk Foreword This presentation won the first prize of ₤ 250 at the Health Care Informatics (HCI) Symposium Poster Competition in Royal College of Surgeons of Edinburgh (RCSED) on 28th June 2005. Introduction Web services are XML applications providing basic services like booking a GP appointment; they can also used as interoperable building blocks to create more complex systems. With Web services, a network can be built site-by-site, like the World Wide Web (W3). Just like the HTTP-Web is standardized on HTML, Web services can be standardized onto the XML world. Adoption of Web services can trigger a W3-style information revolution within healthcare. Web services can be used to prepare for the patient-centered healthcare wave. Ultimately Web services can be scaled up to solve the interoperability conundrum that are hindering plans for an interoperable national healthcare IT network Aims 1. Demonstrate interoperability in healthcare through Web services middleware, with examples 2. Explore how future worldwide interoperability may be achieved through Semantic Web Web services Descriptions 1
  • 2. Most common Web services approach within healthcare is: Patient portals Automated Automated Access to back- Utilisation of back- end health data end health data Thus, a few examples 1. Web services middleware application integration In-house Patient Result legacy portal Example systems Tied to Online bill payment option created 2
  • 3. 2. Web services middleware integration Physician Emergency office department Result Example EPR and acute care Tied to Physicians get comprehensive view of complete office EPR when they log into portal 3. Web services utilities Medical Customer’s manufacturer’s hospital products, e.g. information radiology items systems Linked to Other utilities of Web services middleware in healthcare: 3
  • 4. Know about patient’s allergy profile (for example) at time of pre-admission workup Web services Through physician’s location, Middleware link between health insurer’s integration network and practice management systems Facilitate transactions between companies; for example between providers and payers Discussion Microsoft-NHS The Microsoft-NHS team supports NHS organisations in UK. Health services organizations in UK are under pressure to adopt integrated technology, not only as a challenge posed by the NPfIT, but because it is being recognized as an important tool: • To improve the efficiency and effectiveness of services • Help NHS trusts streamline processes • Improve access to information for both patients and staff, and • Keep within tight budgets XML and Interoperability Microsoft is advancing a new generation of interoperable software. These are centered on XML and have resulted in implementing next-generation architecture for Web services (WS-* in .NET). The UK example 4
  • 5. Wrightington, Wigan and Leigh NHS Trust has initiated steps towards realisation of ‘a-single-view-of-patients’ EPR, for better patient care, by implementing a Web-based system. Conclusion – The Future of the World Semantic Web Web services [From ref. 5] The Semantic Web, which will understand human language, is expected to replace the current Web by 2010. The Semantic Web Services Initiative (SWSI) was composed in 2004. It combined Semantic Web and Web services to enable automation in all aspects of Web services. Few commercial products have successfully implemented a semantic shell over a robust Web services kernel. Functional / behavioral descriptions of Web services / processes need exploration. [From ref. 5] Semantic Web enabled Web Services (SWWS) SWWS is a European 5th Framework project aimed at utilizing Semantic Web technology to enable open, flexible approach to web services. Its goals are: 1. Provide a comprehensive web services description framework 2. Define a web service discovery framework 3. Provide a scalable web service mediation platform Reference: 1. http://www.e-courses.rcsed.ac.uk/mschi/unit5/KamelBoulos-XML-Jun03.ppt 2. http://www.microsoft.com/uk/government/health/default.mspx 3. http://www.microsoft.com/windowsserversystem/interop/default.mspx 4. http://www.healthcare-informatics.com/issues/2005/05_05/trends.htm 5. http://www.aisnet.org/sigs.shtml 5