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Letitia Lawrence
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2 <Insert Picture Here> SOA kot temelj Ogrodja zvem Tomaž Poštuvan Principal Sales Consultant Oracle Software

3 Agenda Introduction Successful Reference Cases in Healthcare Oracle SOA Suite 11g functionality licencing Differentiators of Oracle SOA Suite 11g Summary

4 Oracle SOA Solution Used by 1000 s of the World s Leading Companies Retail, Consumer Product, Entertainment Healthcare, Pharma, Medical Financial Services Technology & Communications Manufacturing & Transportation Public Sector & Government

Healthcare, Pharma, Medical Financial Services Technology &

5 Examples of ehealth Initiatives Canada Infoway set up to design and procure National EHR - $1.2 billion of government backing for regional EHR projects USA Federal ONC NHIN contract underway. Multiple State initiatives for RHIOS. Still emergent national EHR by 2014 Opportunity Status Current Work Planning Monitor Considering EHR Data N/A or No EHR Presence Mexico: No EHR but aim for HL7 Integration Chile: National RFP for EHR project is expected soon Ireland: Procurement contracting has started to drive national EHR effort England: EHR initiative in process, PACS project is imminent Spain: Regional initiatives are being considered France: EHR mandated by National RFP has been issued Sweden: Developing a National Patient Summary Netherlands: National Switch Hub Italy: EHR regional initiatives have begun Brazil: National Health Card Project. Argentina: 1 st adoption of a digital radiography solution Denmark: New National IT-strategy to standardize EHR s Finland: National ehealth- Archives to be established Germany: One regional deal underway. Future EHR efforts are expected to be regional SEE: Bulgaria, Romania, Turkey and Serbia all developing national ehealth strategies. South Africa: No EHR but infrastructure being developed Malaysia: Lifetime Health Record (LRH) by 2010 Russia: 15 Diagnostic Centers project in progress. Plans being developed for national HER for 145 million people. China: Plans to develop a national EHR Hong Kong: Territory wide Patient Master Index Singapore: EMR system tender expected Q Australia: HealthConnect is developing a National Information Network New Zealand: National EHR system in place (complete)

Still emergent national EHR by 2014 Opportunity Status Current Work Planning Monitor Considering EHR Data N/A or No EHR Presence Mexico: No EHR but aim for HL7 Integration Chile: National RFP for EHR

6 EHR Architectural Decisions USA Source; Cap Gemini, 2008 AORTA National SwitchBoard, The Netherlands Canada Denmark New Zealand NHS, UK

7 Project example Canada s EHR Journey The Infoway Definition Electronic Health Record (EHR) The EHR provides each individual in Canada with a secure and private lifetime record of their key health history and care within the health system. The record is available electronically to authorized health providers and the individual anywhere, anytime in support of high quality care. This record is designed to facilitate the sharing of data across the continuum of care, across healthcare delivery organizations and across geographies, thereby enabling Longitudinal clinical record Electronic referral Chronic disease management Homecare Source: Canada Health Infoway

The record is available electronically to authorized health providers and the individual anywhere, anytime in support of high quality care.

8 National ehr Infrastructure, Canada JURISDICTIONAL INFOSTRUCTURE Registries Data & Services Client Registry Provider Registry Immunization Management Ancillary Data & Services Data Warehouse PHS Reporting Shared Health Record EHR Data & Services Healthcare Drug Transaction Diagnostic Base/ Laboratory Information Imaging DICOM Data Warehouse Healthcare Intelligence Health Information Location Registry Business Rules EHR Index Message Structures Normalization Rules Terminology Repository HIAL Longitudinal Record Services SOA Suite Identity Security Management Suite Common Services Communication Bus Mgmt Data Privacy Data Configuration Public Health Services Pharmacy System Radiology Center PACS/RIS Lab System (LIS) Hospital, LTC, CCC, EPR Physicia n Office EMR EHR Viewer Public Health POINT OF SERVICE Provider Pharmacist Radiologist Lab Clinician Physician/ Provider Physician/ Provider Physician/ Provider Source: Canada Health Infoway

Registry Business Rules EHR Index Message Structures Normalization Rules Terminology Repository HIAL Longitudinal Record Services SOA Suite Identity Security Management Suite Common Services

9 9 Customer Success - Quebec DSEIQ

10 Medcom Denmark Demographics & Statistics 5.5 million people 95% of people with Internet access More then 3,500 health providers Medcom program Establised in 1994, nationally adopted in1999 National project organisation involved in developing, testing, distributing and quality- checking electronic communication and information in the healthcare sector. Medcom - Million Messages Per Year Medcom core components Danish Health Data Network Regional EPR Systems and Switchboards Danish ehealth Portal sundhed.dk National Registers Home Care Records Solutions Suppliers of medicine systems CSC Scandihealth ACURE an IBM Division Logica Danmark A/S FICS Danmark A/S TM Software Systematic Software Engineering A/S

involved in developing, testing, distributing and quality- checking electronic communication and information in the healthcare sector.

Oracle HTB in Denmark Challenge: Customer: North DK Region Partner: CSC-Scandihealth Multiple electronic systems with minimal interoperability No single view of the patient Multiple paper processes

11 Oracle HTB in Denmark Challenge: Customer: North DK Region Partner: CSC-Scandihealth Multiple electronic systems with minimal interoperability No single view of the patient Multiple paper processes Solution: The Clinical Suite Centralised EHR Project started with department of infectious diseases in Aalborg Hospital Expanding the solution to two other regions Now we can easily exchange data across. Eg I can confer with a colleague over the phone while we both have patient information in front of us on the computer screen. It allows for a good and informed dialogue in dealing with Henrik Nielsen, Senior consultant doctor,aalborg Hospiital

Expanding the solution to two other regions Now we can easily exchange data across.

12 Oracle Fusion Middleware

13 Oracle SOA and Event Technologies BPA Suite REAL-TIME VISIBILITY & PROCESSING Enterprise Modeling BPM Suite Business User Modeling JDeveloper Application Development Framework Messaging Alerts Events Business Monitoring ORCHESTRATION Data Streams Apps Native BAM BPEL Process Manager Business GOVERNANCE CEP Human BPEL ROUTING & Rules DATA SERVICES Workflow Oracle Service Bus Routing Transform ETL & Data Mediation Replication CONNECTIVITY Quality Adapters DB Legacy Data Integrator Partners B2B Coherence Cache J2EE Application Server (Oracle AS, WebLogic, WebSphere, JBoss) Enterprise Manager System GOVERNANCE Monitoring Web Services Manager WS Policies Security Enterprise Repository SOA lifecycle governance Registry UDDI JRockit VM & RT

Service Bus Routing Transform ETL & Data Mediation Replication CONNECTIVITY Quality Adapters DB Legacy Data Integrator Partners B2B Coherence Cache J2EE Application Server (Oracle AS,

14 SOA Composite SOA composite is a standards-based deployment unit Leverages the SCA assembly model Can mix variety of components: ESB routing (Mediator), BPEL, Human Workflow, etc. service properties reference S S Mediator R S BPEL R R WS R WS wire S BPEL R R WS SOA composite

routing (Mediator), BPEL, Human Workflow, etc.

15 SCA Composite Editor SCA Composite Editor Palette of Service Components & Adapters Mediation Web services and adapters Mediation BPEL orchestration Human Tasks Business Rules

16 Fusion Middleware Control Comprehensive, Top-Down Management End-to-End Instance Tracking

17 Oracle BPA Suite Powered by ARIS Business Process Architect Business Process Simulator Oracle SOA Extensions Business Process Publisher

18 BPA Suite Interaction Design Ms. Rosenfeld Person in charge of the process Review Ms. Maier Project manager Publishing Technical departments Staff in charge Worldwide process design Analysis, optimization, and administration Worldwide communication of process knowledge to all employees Shared Process repository Oracle database = basis for continuous process optimization

design Analysis, optimization, and administration Worldwide communication of process

Process Model Business Modeling Logical Design Shared Metadata Physical Design

19 Business and Technical Modeling 1. Business Process model Alignment Oracle BPA Suite - EPC/BPMN models Business Process Model Business Modeling Logical Design Shared Metadata Physical Design Technical Modeling Oracle JDev - Process Designer (BPEL) 3. Complete Executable Process 2. Process Blueprint (Logical Design)

20 BPM & SOA are complementary Strategy Oracle BPA Suite Execution Oracle SOA Suite

21 Unified BPM Platform BPA BPMN 2.0 BPEL BPMN Business Rules BPEL Human Workflow SOA Composite Mediator Service Assembly, Orchestration IDE Application composers BAM B2B Optimized binding 11g Service Infrastructure Common JCA-based connectivity infrastructure Policy Enforcement Oracle Service Bus Web-based console RegRep SOA Operations Service virtualization, Shared Service Gateway, Monitoring

22 Oracle s Licensing Policy Licenses can be perpetual or term (time limited) Licensing metrics named user (for development, test environments and closed applications) processor (internet applications, lots of users) unlimited agreement (unlimited use of product licenses for agreed time period, based on predefined scope, ) Support basic support (includes new versions and patches) ACS Advanced Customer Support (proactive)

23 Differentiators of Oracle SOA Suite 11g Fast implementation times Based on standards Hot-pluggable: choice of middleware operating system and application server. Freedom to choose any system integrator for implementation One SCA implementation Lower services, integration costs due to integrated platform, less complexity

24 Oracle s Approach With SOA Suite 11g Components tightly integrated together: This is a single product, not a collection. Innovative Services Platform employs Composite approach Speeds development and deployment Declarative approach to policies, development, deployment Policy-driven management Single event framework Single fault handling framework

25 Summary 1. Oracle s SOA Suite is proven 1000 s of references, including healthcare 2. BPA Suite, together with SOA Suite cover the whole Business Process Management cycle 3. SOA Suite is standards based with short implementation times 4. Flexible licensing policy

ehealth Records best practice examples

ehealth Records best practice examples Dr. med. Ulrich Pluta Business Development Healthcare ehealth 2007, April 18 Agenda ehealth is everywhere ehrs What for? Best practice examples Obstacles 2 Opportunity