IQware EMR Integration & Migration Architecture

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Magdalen Stanley
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1 IQware EMR Integration & Migration Architecture AUGUST 2014

2 IQware Deliverables 1. Integrate with Legacy EMR Systems - Do No Harm (Recognized by Technology Leaders) TCB (Trusted Computing Base) that is DoD rated B2/C2 for the secure server. Client piece (XLIB) is very thin open source freeware. 2. Eliminate System Vulnerabilities Separate the user input piece from the rest of the application so malware cannot infect the critical business logic / program operation. All communication to/from client is encrypted. Accepts any kind of laptop / desktop for the user input piece (Windows, Linux, Apple, Smart Phones, Tablets, PDAs, etc.) 3. Enable IQware's MDM Strengths - Interactive Data Analysis - Flexible Reporting - Data Control/Auditing C 2014 Dr. Steve G. Belovich Page 2 Secure server handles data management, program logic, decision making and operation execution. Rules drive reporting, data acquisition, analysis and research initiatives

Eliminate System Vulnerabilities Separate the user input piece from the rest of the application so malware cannot infect the critical business logic / program operation.

3 IQware Recognized by Technology Leaders "As part of Oracle's Emerging Markets Group, IQware's innovative incorporation of Oracle's database technology into its patented rule-based software system is a paradigm shift in the the way software is designed, delivered and deployed. IQware's disruptive technology has the potential to open new markets and capture existing ones in spaces where regulatory compliance is expected, security is mandatory and flexibility is essential." - Rajat Dham, Branch Manager, Oracle Emerging Markets, Oracle Corporation "Oracle's inclusion of IQware in its Emerging Markets Group was based on IQware's disruptive rule-based technology, IQware's innovative incorporation of Oracle's database technology into its patented rulebased software system and its proven security." - Jim Mathisen, Technology Sales Director, Oracle Embedded Technology Sales, Oracle Corporation The HP and IQware solution is built from the ground up to offer true information security. Unlike traditional software, IQware is desktop-virus-immune and does not require anything additional to be secure. It is built on HP OpenVMS the most secure operating system available today which has never, to our knowledge, been hacked or burdened by a virus. Taking security one level further, IQware software is deployed on secure servers in the data center, and delivered to end-users via thin clients. - Hewlett-Packard Solution Brief IQware Leading the Next Generation of Software Deployment Integrate Legacy Systems with IQware Secure Performance C 2014 Dr. Steve G. Belovich Page 3

IQware's disruptive technology has the potential to open new markets and capture existing ones in spaces where regulatory compliance is expected, security is mandatory and flexibility is essential.

4 IQware Architecture With Legacy Systems Existing EMR Systems EMR #1 Key Advantages Secure & patented (US #7,322,028) Track and control information access and content delivery Physically secure content is only displayed when/where authorized and properly requested Supports tailored content on a perrequest basis Content s appearance dynamically alterable Functionality can be updated quickly in real-time. IT View EMR #2 EMR #3 Physician View Nurse View Authorized Users Network Cloud Data Analyst View ODBC connection Using SQL. Data is accessed and placed into IQware's Internal Oracle Database. Executive View Audit & Tracking Database Rule Database User I/F Database Internal Oracle Database Contains PHR/EMR records from existing AGMC Systems Key Attributes Secure & Hacker-Proof. Audit trail for all data access and edits. Interoperable with any client. Works with existing legacy IT systems. Reports (Outputs) To Executives To Regulators To Payers To Outside Partners Other Inputs Manual data entry. Existing IT Systems Existing legacy processing systems. User-specific views based upon login credentials Content control, audit & reporting based upon approved roles C 2014 Dr. Steve G. Belovich Page 4

in real-time. IT View EMR #2 EMR #3 Physician View Nurse View Authorized Users Network Cloud Data Analyst View ODBC connection Using SQL.

5 Traditional IT Systems Are Not Secure Security cannot be just added-on. It must be integrated with both software and hardware A desktop security add-on can t be compatible with existing IT systems and presents security vulnerability Magic software that will protect your desktop 100% without any other changes is not possible. (proven every day) Going over each line of code - a famous Microsoft quote - won t fix the security problem.(again, proven every day and costly) Solution is unique redesign of the O/S, and application and network protocols & software architecture. (IQware) Security is more of an economic issue than a technical one. Insecure System Magic Software Secure System Excerpt from the Cyber-Security Briefing by Dr. Steve G. Belovich C 2014 Dr. Steve G. Belovich Page 5

your desktop 100% without any other changes is not possible. (proven every day) Going over each line of code - a famous Microsoft quote - won t fix the security problem.

6 IQware's Unique Approach (Patented US #7,322,028) This part of the app runs on ANY client! Malware stays here Invention #1: We cut the app along this line for interoperability This part of the app runs on a DoD secure server No malware here User Input Key Press Mouse Movement Mouse Click Other Input Business Logic Examine User Input Examine program state Examine other conditions Make a Decision Invention #2: We put this piece on a DoD rated secure server for virus-immunity Idle Time Wait for next user input Wait for external event Program Response Perform operation(s) Execute routine(s) Terminate C 2014 Dr. Steve G. Belovich Page 6

Input Key Press Mouse Movement Mouse Click Other Input Business Logic Examine User Input Examine program state Examine other conditions Make a Decision

7 IQware's Rule-Based Invention Network Cloud Communication is encrypted in both directions IQware Secure Server Business Logic Examine User Input Examine current program state No malware Examine other conditions Make a Decision No interference No data theft Idle Time Wait for user input Wait for external event IQ's rules control ALL aspects of program operation Program Response Perform operation(s) Execute routine(s) Terminate Invention #3: The app is controlled by RULES and not by hard-coded logic RULE Data Base IQware converted the application into a Rule Processor that executes rules. Rules control the business logic, program state, other conditions. Rules control screen appearance, menus, toolbars, other visual aspects of the application. Rules control all program decisions and operations. Rules control all database access, data formatting, data presentation and data display. Rules are configured graphically without any programming. Rules can be changed on-the-fly so new functionality can be added while the application is running! C 2014 Dr. Steve G. Belovich Page 7

operation(s) Execute routine(s) Terminate Invention #3: The app is controlled by RULES and not by hard-coded logic RULE Data Base IQware converted the application into a Rule Processor that executes

8 IQware's Secure Architecture PC or PC Server Malware remains here Only this machine is vulnerable. User Input Key Press Mouse Movement Mouse Click Other Input User events are encrypted and sent to the secure server. No sensitive data (e.g. UID or PWD strings) is in PC's RAM. Malware within PC cannot infect secure server. End-user client is thin deploying XLIB which is available as open source freeware. Any device may be used: Windows, Linux, Apple PCs, tablets, smart phones, etc. Network Cloud Secure server controls all business logic and makes all application decisions. Secure server performs all application operations. Malware cannot affect secure server (non-intel CPU ISA, DoD rated B2/C2). Optional CAPTCHA images can be used so that text strings (e.g. SSNs, UIDs, PWDs, etc.) are never sent to the virus-prone PC client. IQware Secure Server Business Logic Examine User Input Examine current program state No malware Examine other conditions Make a Decision No interference No data theft Idle Time Wait for user input Wait for external event Program Response Perform operation(s) Execute routine(s) Terminate C 2014 Dr. Steve G. Belovich Page 8

Malware within PC cannot infect secure server. End-user client is thin deploying XLIB which is available as open source freeware.

9 IQware Delivers Flexible Functionality Functions can be improved and easily migrated to IQware Existing functions can be maintained if desired, however these functions are not IQware secured Existing Function #1 Existing Function #2 Existing Function #3 Customer's Current IT System Capabilities Rules For Old Function #1 Rules For New Function #4 Rules For New Function #5 Rule-based deployment on secure server IQware delivers NEW functionality... in SECURE environment C 2014 Dr. Steve G. Belovich Page 9

Function #3 Customer's Current IT System Capabilities Rules For Old Function #1 Rules For New Function #4 Rules For New

10 Why Choose? Traditional Software: Costs too much, both initial and ongoing Long development and deployment schedule Extensive ongoing maintenance Data integrity issues across multiple systems Inflexible adaptability to new opportunities/challenges Not secure, vulnerable to cyber attacks IQware: Cost effective, both initial and ongoing Rapid deployment... 2 to 3 months Ongoing maintenance built in Elimination of data pillars enabling data integrity Rules based logic enables rapid response to change Unique, patented architecture delivers unmatched security C 2014 Dr. Steve G. Belovich Page 10

issues across multiple systems Inflexible adaptability to new opportunities/challenges Not secure, vulnerable to cyber attacks IQware: Cost

What does it take to simplify healthcare application deployment? It takes IQware Medication Therapy Management and Health Information Exchange

What does it take to simplify healthcare application deployment? It takes IQware Medication Therapy Management and Health Information Exchange software, together with HP mission-critical Converged Infrastructure.