Welcome!

Industrial IoT Authors: Yeshim Deniz, Liz McMillan, Elizabeth White, Stackify Blog, SmartBear Blog

Related Topics: Industrial IoT, Government Cloud

Industrial IoT: Case Study

Support Real Healthcare Reform: Start Using HL7 v3

Dutch Healthcare uses HL7 v3 to build Health Information Exchange

Health Care at Cloud Expo

We all know that technology is key to reducing health care costs, eliminating dangerous errors, and eventually providing coverage for all.  I like learning from others, so while we consider ourselves innovative, there is no point in repeating mistakes made by others.  Here's a fact motivating the Dutch -- one of the leading nations in using modern technology (SOA, XML. HL7v3, Schematrons, Virtualization, Cloud computing) for solving their heath care problems:

"Currently some 90.000 people (out of a population of 16 million) are hospitalized yearly due to wrong medication." 

Fourth Grade Math shows that we, in the US, may be hospitalizing (300/16 x 90,000) over 1.6 Million individuals due to wrong medication.

A review of the Dutch Health Care Initiative that has evolved for almost a decade shows that they are on the leading edge of deploying a useful Health Information Broker (HIB) deployment.  They have weathered major political headwinds in developing a visionary HIB and have used Health Level 7 v3  (HL7 v3) - an ANSI health care standard modeling clinical, administrative, pharmacy, medical devices and imaging domains - as a cornerstone of their message exhange strategy.

The Dutch government's aggressive health care initiative in building a nationwide Health Information Broker (HIB) can serve as a good model for the current US Administration that is focused on transforming US health care through nationwide electronic medical records (EMR) as one of its key policy initiatives.  There's is much to learnt from the Dutch initiative beyond what motivates them to build there healthcare technology platform.  One successful choice that they have made is of aggressively adopting XML/SOAP based models hosted in a Cloud computing environments.  Whereas we are still working with EDI centric HL7 v2, the Dutch are deploying XML-based HL7 v3 using Cloud based models where a health care entity can tie into the HIB using XML/SOAP. 

This article give a flavor for technology artifacts being deployed by the Dutch, including HL7 v3 messages using Schematrons.

In the Dutch health care technology infrastructure - based on Web Services enabled HL7 v3 specification - message exchanges take place between Health Information Systems via a HIB that maintains the necessary relationships between health care parties. The HIB is an intelligent message intermediary between entities involved in health care including providers, payers and pharmacies. The HIB ensures high quality and validity of health care information that reduces errors caused by manual information processing. Crosscheck Networks SOAPSimulator (a Cloud-Service Simulation Product) and SOAPSonar(a SOA Testing Product) are an integral part of the HIB to the extent that health care parties can only tie into the HIB if they meet message viability requirements set and enforced by Crosscheck SOAPSimulator at the HIB.

The HL7 v3 message exchange criteria is set at the semantic level as well as the transmission level. With sophisticated use of standards such as WS-I Basic Profiles and Schematrons, custom health care semantic requirements and message transmission requirements are addressed. Schematron assertions and rules provide a flexible way of capturing business domain specific rules that a message must meet for the message to be valid. This improves message interoperability between health care parties. Schmatrons enable business rules that can then be enforced on the HL7 v3 messages flowing through the Dutch HIB. SOAPSimulator is deployed as the message validity enforcer for HL7 v3 messages. As new health care parities get ready to integrate with the Dutch HIB, they must first satisfy the rules set in SOAPSimulator via Schematrons that check the correctness and validity of the HL7 v3 request and responses. Such checks serve as a pre-requsite for production-level integration and reduce interoperability issues between health care parties. 

Figure 1: Configuring Schematron 1.5 Criteria Rules for HL7 v3 in SOAPSimulator

 Figure 1: Configuring Schematron1.5 Criteria Rules for HL7 v3 in SOAPSimulator

Figure 2: Configuring ISO Schematron Criteria Rules for HL7 v3 in SOAPSimulator

Figure 2: Configuring ISO Schematron Criteria Rules for HL7 v3 in SOAPSimulator

In addition to checking against SOAPSimulator checks against a number of additional criteria to ensure that the right identity and security constructs are being used in the message requests.

Conclusion

Building a Health Information Broker is crucial at state and national level.  An on-ramp methodology for tieing in clinics, pharmacies, insurance companies, and diagnostic laboratories to a central HIB requires a strict way of ensuring that the messages being sent to the HIB are standards compliant.  Such compliance is far more deterministic and cost effective through XML/SOAP, WS-I and Schematrons using XML/SOAP-based messaging over HTTP-type protocols, than through point-to-point, proprietary EDI-based networks (VANs) that cannot scale with increasing demands.  Health care ecosystem should be significantly incentivize to adopt HL7 v3.  HIBs based on flexible, interoperable and manageable standards should be developed leveraging cloud-based environments for both ease of integration across many partners and dynamic scaling that keeps up with national health care processing demands.

References
1) Implementing Web Services in Dutch Health

2) Electronic Medical Records and Obama's Economic Plan

3) http://www.hl7.org/

4) Web Service Enablement of HL7 v3

5) An Introduction to Schematron

6) Crosscheck Networks SOAPSonar and SOAPSimulator

 

 

More Stories By Mamoon Yunus

Mamoon Yunus is an industry-honored CEO and visionary in Web Services-based technologies. As the founder of Forum Systems, he pioneered XML Security Gateways & Firewalls and was granted a patent for XML Gateway Appliances. He has spearheaded Forum's direction and strategy for eight generations of award-winning XML Security products. Prior to Forum Systems, Yunus was a Global Systems Engineer for webMethods (NASD: WEBM) where he developed XML-based business integration and architecture plans for Global 2000 companies such as GE, Pepsi, Siemens, and Mass Mutual. He has held various high-level executive positions at Informix (acquired by IBM) and Cambridge Technology Group.

He holds two Graduate Degrees in Engineering from MIT and a BSME from Georgia Institute of Technology. InfoWorld recognized Yunus as one of four "Up and coming CTOs to watch in 2004." He is a sought-after speaker at industry conferences such as RSA, Gartner, Web Services Edge, CSI, Network Interop, and Microsoft TechEd. Yunus has the distinction of showcasing Forum Systems' entrepreneurial leadership as a case study at the MIT Sloan School of Management. He has also been featured on CNBC as Terry Bradshaw's "Pick of the Week."

@ThingsExpo Stories
Coca-Cola’s Google powered digital signage system lays the groundwork for a more valuable connection between Coke and its customers. Digital signs pair software with high-resolution displays so that a message can be changed instantly based on what the operator wants to communicate or sell. In their Day 3 Keynote at 21st Cloud Expo, Greg Chambers, Global Group Director, Digital Innovation, Coca-Cola, and Vidya Nagarajan, a Senior Product Manager at Google, will discuss how from store operations...
Nordstrom is transforming the way that they do business and the cloud is the key to enabling speed and hyper personalized customer experiences. In his session at 21st Cloud Expo, Ken Schow, VP of Engineering at Nordstrom, will discuss some of the key learnings and common pitfalls of large enterprises moving to the cloud. This includes strategies around choosing a cloud provider(s), architecture, and lessons learned. In addition, he’ll go over some of the best practices for structured team migrat...
With major technology companies and startups seriously embracing Cloud strategies, now is the perfect time to attend 21st Cloud Expo October 31 - November 2, 2017, at the Santa Clara Convention Center, CA, and June 12-14, 2018, at the Javits Center in New York City, NY, and learn what is going on, contribute to the discussions, and ensure that your enterprise is on the right path to Digital Transformation.
SYS-CON Events announced today that Datera will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Datera offers a radically new approach to data management, where innovative software makes data infrastructure invisible, elastic and able to perform at the highest level. It eliminates hardware lock-in and gives IT organizations the choice to source x86 server nodes, with business model option...
Recently, REAN Cloud built a digital concierge for a North Carolina hospital that had observed that most patient call button questions were repetitive. In addition, the paper-based process used to measure patient health metrics was laborious, not in real-time and sometimes error-prone. In their session at 21st Cloud Expo, Sean Finnerty, Executive Director, Practice Lead, Health Care & Life Science at REAN Cloud, and Dr. S.P.T. Krishnan, Principal Architect at REAN Cloud, will discuss how they bu...
Infoblox delivers Actionable Network Intelligence to enterprise, government, and service provider customers around the world. They are the industry leader in DNS, DHCP, and IP address management, the category known as DDI. We empower thousands of organizations to control and secure their networks from the core-enabling them to increase efficiency and visibility, improve customer service, and meet compliance requirements.
Digital transformation is changing the face of business. The IDC predicts that enterprises will commit to a massive new scale of digital transformation, to stake out leadership positions in the "digital transformation economy." Accordingly, attendees at the upcoming Cloud Expo | @ThingsExpo at the Santa Clara Convention Center in Santa Clara, CA, Oct 31-Nov 2, will find fresh new content in a new track called Enterprise Cloud & Digital Transformation.
SYS-CON Events announced today that N3N will exhibit at SYS-CON's @ThingsExpo, which will take place on Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. N3N’s solutions increase the effectiveness of operations and control centers, increase the value of IoT investments, and facilitate real-time operational decision making. N3N enables operations teams with a four dimensional digital “big board” that consolidates real-time live video feeds alongside IoT sensor data a...
SYS-CON Events announced today that NetApp has been named “Bronze Sponsor” of SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. NetApp is the data authority for hybrid cloud. NetApp provides a full range of hybrid cloud data services that simplify management of applications and data across cloud and on-premises environments to accelerate digital transformation. Together with their partners, NetApp emp...
Smart cities have the potential to change our lives at so many levels for citizens: less pollution, reduced parking obstacles, better health, education and more energy savings. Real-time data streaming and the Internet of Things (IoT) possess the power to turn this vision into a reality. However, most organizations today are building their data infrastructure to focus solely on addressing immediate business needs vs. a platform capable of quickly adapting emerging technologies to address future ...
SYS-CON Events announced today that Avere Systems, a leading provider of hybrid cloud enablement solutions, will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Avere Systems was created by file systems experts determined to reinvent storage by changing the way enterprises thought about and bought storage resources. With decades of experience behind the company’s founders, Avere got its ...
SYS-CON Events announced today that Avere Systems, a leading provider of enterprise storage for the hybrid cloud, will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 - Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Avere delivers a more modern architectural approach to storage that doesn't require the overprovisioning of storage capacity to achieve performance, overspending on expensive storage media for inactive data or the overbui...
SYS-CON Events announced today that IBM has been named “Diamond Sponsor” of SYS-CON's 21st Cloud Expo, which will take place on October 31 through November 2nd 2017 at the Santa Clara Convention Center in Santa Clara, California.
SYS-CON Events announced today that Ryobi Systems will exhibit at the Japan External Trade Organization (JETRO) Pavilion at SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Ryobi Systems Co., Ltd., as an information service company, specialized in business support for local governments and medical industry. We are challenging to achive the precision farming with AI. For more information, visit http:...
High-velocity engineering teams are applying not only continuous delivery processes, but also lessons in experimentation from established leaders like Amazon, Netflix, and Facebook. These companies have made experimentation a foundation for their release processes, allowing them to try out major feature releases and redesigns within smaller groups before making them broadly available. In his session at 21st Cloud Expo, Brian Lucas, Senior Staff Engineer at Optimizely, will discuss how by using...
In this strange new world where more and more power is drawn from business technology, companies are effectively straddling two paths on the road to innovation and transformation into digital enterprises. The first path is the heritage trail – with “legacy” technology forming the background. Here, extant technologies are transformed by core IT teams to provide more API-driven approaches. Legacy systems can restrict companies that are transitioning into digital enterprises. To truly become a lead...
SYS-CON Events announced today that Daiya Industry will exhibit at the Japanese Pavilion at SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Ruby Development Inc. builds new services in short period of time and provides a continuous support of those services based on Ruby on Rails. For more information, please visit https://github.com/RubyDevInc.
SYS-CON Events announced today that CAST Software will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 - Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. CAST was founded more than 25 years ago to make the invisible visible. Built around the idea that even the best analytics on the market still leave blind spots for technical teams looking to deliver better software and prevent outages, CAST provides the software intelligence that matter ...
As businesses evolve, they need technology that is simple to help them succeed today and flexible enough to help them build for tomorrow. Chrome is fit for the workplace of the future — providing a secure, consistent user experience across a range of devices that can be used anywhere. In her session at 21st Cloud Expo, Vidya Nagarajan, a Senior Product Manager at Google, will take a look at various options as to how ChromeOS can be leveraged to interact with people on the devices, and formats th...
SYS-CON Events announced today that Yuasa System will exhibit at the Japan External Trade Organization (JETRO) Pavilion at SYS-CON's 21st International Cloud Expo®, which will take place on Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Yuasa System is introducing a multi-purpose endurance testing system for flexible displays, OLED devices, flexible substrates, flat cables, and films in smartphones, wearables, automobiles, and healthcare.