Webinar Setup
• Audio available:
(605) 772-3434, access code 412-861-926
• Webinar screen cast and slides will be available
shortly after presentation @
– http://www.webreachinc.com
• Poll Question 1
1/11/2017, slide 1
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Mirth 1.7 Webinar
1/11/2017, slide 2
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
WebReach Overview
• Designs and develops health information solutions
• Performs HIT systems integration
• Hosts secure, high-availability health IT systems
for leading healthcare organizations
• Founded in 1993 and based in Irvine, CA
• 40 employees and contractors
1/11/2017, slide 3
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Mirth Project Overview
• Healthcare integration engine and admin tool
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Open source
Cross-platform
Standards-based
HL7 v2 & v3, EDI, X12, XML, NCPDP, and DICOM
Feature comparable to top proprietary systems
Open source repository for interfaces
v1.0 Released July, 2006
Active global community
Numerous production rollouts
1/11/2017, slide 4
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
The Integration Dilemma
Problems with Healthcare Interoperability
Health Information Systems…
Lab
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Pharmacy
Radiology
Clinic
Different Protocols
Mismatched Versions
Expense of Proprietary Solutions
HIPAA Privacy & Security
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Hospital
Incompatible Data
Diverse Connectivity
Lack of Control
Lack of Flexibility
…applications, protocols, connectivity, etc.
Legacy
Applications
1/11/2017, slide 5
Reporting
Web
Services
Copyright © 2007 WebReach, Inc.
Database
www.webreachinc.com
The Integration Solution
Mirth Healthcare Messaging
Health Information Systems…
Lab
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Pharmacy
Radiology
Clinic
Routing
Filtering
Transformation
OSS Based
Hospital
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Extensible
Powerful
Flexible
Reliable
…applications, protocols, connectivity, etc.
Legacy
Applications
1/11/2017, slide 6
Reporting
Web
Services
Copyright © 2007 WebReach, Inc.
Database
www.webreachinc.com
Mirth HIT Interface Engine
• Standards-based Messaging
• Easy to Use
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– Graphical administration tools
– Simple channel-based interface
• Powerful
– Filters
– Transforms
– Routes
• Flexible
• Supported Connectors
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– Multiple routes and
transformations
– Extensible via JavaScript
– Plug-in architecture
• Cost Effective
– Open source engine
– No license fees
– Commercial support
1/11/2017, slide 7
HL7 v2 & v3
NCPDP
X12
EDI
XML
DICOM
Copyright © 2007 WebReach, Inc.
File system
HTTP
FTP/SFTP
Database
Email
JMS
TCP
LLP/MLLP
SOAP
PDF/RTF
www.webreachinc.com
Mirth 1.7
• Over 100 fixes and improvements
• DICOM Support
• Increased pass-through performance
>800 messages/second throughput
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Improved filter rule builder
Drag and drop auto-mappings
Message attachment and viewer support
JavaScript Reader/Writer
Searchable message browser
Numerous UI enhancements
Expanded connection status monitoring
1/11/2017, slide 8
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
DICOM (DCM4CHE)
• Open source Implementation of DICOM standard
– http://www.dcm4che.org/
• Mirth currently uses dcm4che to:
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Read and write DICOM messages
Parse DICOM into XML
Parse XML into DICOM
Route DICOM messages
• Thanks to Damien @ DCM4CHE for support and
ideas!
• Future inclusion of Mirth in DCM4CHE solution
1/11/2017, slide 9
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Mirth DICOM capabilities
• Read in DICOM messages
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View DICOM header as XML
Add, modify, and remove header elements
Route and filter messages
View processed DICOM images
• Future Development
– Dedicated DICOM sender/receiver connector plugin
1/11/2017, slide 10
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Mirth 1.7
• Hands-on demo
– Mapping and filtering example
– Status monitoring
– DICOM & Attachments
1/11/2017, slide 11
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Mirth Appliances
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Ready to Run
Optimized Configuration
Simple Management
Extended Functionality
High Availability
Commercial Support
1/11/2017, slide 12
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Appliance Security
• Privacy and Security Drivers
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• Secure Sockets Layer
HIPAA
SOX
FIPS
CMS Requirements
– SSL Works With Any ListenerBased Channel
• HTTP, LLP/MLLP, SOAP, TCP
– Supports Basic Authentication
with Encryption
– Includes Local Certificate
Authority
– Supports Third-Party Server
Certificates
• Appliance Security Features
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Hardened OS Configuration
SFTP Server
Secure Sockets Layer
Virtual Private Networking
• Virtual Private Networking
• SFTP Server
– Encrypted and Authenticated
Connections
– Based on SSH Protocol
– User Isolated File System “Jails”
– SFTP Folders Feed Mirth
Channels
1/11/2017, slide 13
Copyright © 2007 WebReach, Inc.
– Secures All Traffic Between Two
Points
– Software-Based
– Firewall Compatible
– Works With Address Translation
(NAT/PAT)
– Individual Client CertificateBased Authentication
www.webreachinc.com
P1000 Pico Mirth Appliance
Small Form-Factor Edge Server
• Applications
• Specifications
– Point-of-care HL7
interface
– Interface to
legacy devices
– Low message
volume
– End-point filter,
anonymization,
normalization
1/11/2017, slide 14
– 2 lbs.
– 2.3” (W) x 4.9” (D) x
6.7” (H)
– <25W Power
Consumption
– 20GB Data Storage
– Dual 10/100 Ethernet
– 4 msg/sec maximum
processing rate
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
E1000 Enterprise Mirth Appliance
Performance and Availability for the Enterprise
• Applications
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• Specifications
Connectivity to multiple sites
Large message volumes
Data center deployments
Highly available messaging hub
1/11/2017, slide 15
Copyright © 2007 WebReach, Inc.
– 1U Rack-Mount Form
Factor
– Dual CPU Performance
– Dual 10/100/1000
Ethernet
– 120GB RAID 1 Data
Storage
– Redundant Power
Supplies and Cooling
Fans
– 85 msg/sec maximum
processing rate
www.webreachinc.com
Appliance Features
• Web-Based Management
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Monitoring Dashboard
Local File Management
System Configuration
User Management
Certificate Management
Software Updates
• Extended Functionality
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Database Access
VPN Client Access
SFTP Server
SSL Tunnels
QuickTime™ and a
TIFF (LZW) decompressor
are needed to see this picture.
• High Availability
– Failover Clustering
1/11/2017, slide 16
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Mirth Deployment Scenarios
Hub and Spoke Messaging System
• E1000 central
messaging hub
• Diverse spokes
– Departmental P1000s
– Mirth software
installations
– Direct from HL7
compliant applications
– From external systems
– Connect to other
messaging hubs
RHIO
Hospital
Public Network
Clinic
Firewall
E1000 Message Hub
Private Network
HL7 EMR
1/11/2017, slide 17
Outside
Lab
Copyright © 2007 WebReach, Inc.
Billing
Radiology
Mirth
Software
www.webreachinc.com
Mirth Deployment Scenarios
Tap Into Existing Data Feeds
• Transparent to end
point applications
• Feed one or more
additional destinations
(e.g. split feeds)
• Transform data in
route
• Capture and correct
errors and malformed
data
Before
Application
Application
After
Application
Application
Intermediate
Aggregation Point
1/11/2017, slide 18
Copyright © 2007 WebReach, Inc.
Data Warehouse
www.webreachinc.com
Mirth Deployment Scenarios
Message Bridge to Isolated Network
• P1000 connected to
isolated network
• Use second network
port for Internet
access
• Only messages
controlled by Mirth
channels get passed
• All other network
traffic blocked
1/11/2017, slide 19
Internet
DSL
Message Bridge
Isolated Network
Firewall
Central Infrastructure
Users
Copyright © 2007 WebReach, Inc.
Message Hub
www.webreachinc.com
Mirth Deployment Scenarios
Network Enable Medical Devices and Equipment
• P1000 front-end
• Connect via legacy
interfaces:
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FTP
RS232 serial
Database direct
File system
• Allow “old”
equipment to
speak HL7
1/11/2017, slide 20
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Mirth Deployment Scenarios
Scaling for High Message Volume
• E1000 appliances
maximize device
throughput
• Hardware load
balancing spreads the
traffic across multiple
appliances
• Import and export
message channels to
ensure identical
configurations
Public Network
Firewall
Network Load Balancer
Server Pool
E1000
1/11/2017, slide 21
Copyright © 2007 WebReach, Inc.
E1000
E1000
www.webreachinc.com
Mirth Deployment Scenarios
High Availability Message Gateway
• E1000 cluster for high
availability with high
message volume
• P1000 cluster for high
availability with low
message volume
• Automatic channel
synchronization
• Fails over on
hardware failure, loss
of connectivity or nonresponsive software
Cluster
Virtual IP
Primary P1000
Firewall
Public Network
Firewall
Cluster
Virtual IP
Primary E1000
1/11/2017, slide 22
Backup P1000
Copyright © 2007 WebReach, Inc.
Backup E1000
www.webreachinc.com
Mirth Deployment Scenarios
Multiple Environments Supporting Production
• Controlled production
environment
Public Network
Production DMZ
Primary E1000
Staging DMZ
Backup E1000
Firewall
• Functionally equivalent
staging environment
• Dedicated QA and
development
environments
1/11/2017, slide 23
Primary P1000 Backup P1000
Private Network
Development
QA
Mirth
Administrator
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Services and Support
• Custom Engineering
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• Training
Hourly
Project Based
Channel Development
Architecture/Infrastructure
Review
– Half Day
– Full Day
– Remote and Onsite
• Appliance Support
• Engineering Support
– Custom channel support
– Certification and support of
customer-developed
channels
– Hardware
– Software updates
– Mirth application
• Mirth Application Support
– E-mail
– Telephone, M-F, 5a-5p
PST/PDT
1/11/2017, slide 24
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
JumpStart Bundles
• All JumpStart Bundles include:
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Training
40 Engineering Hours
Engineering Support (for included Engineering Hours)
Mirth Support
• Bundle Options:
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JumpStart: Free Pico Promotion
Pico Cluster JumpStart: (2) P1000
Enterprise JumpStart: P1000, E1000
Enterprise Cluster JumpStart: (2) P1000, (2) E1000
1/11/2017, slide 25
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Q&A
• Poll Question 2
• Use webinar interface to ask questions
• Additional information can be found:
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www.mirthproject.org
www.webreachinc.com
(949) 255-5090
[email protected]
1/11/2017, slide 26
Copyright © 2007 WebReach, Inc.
www.webreachinc.com
Thanks!
• Thanks for attending!
• Screen casts and slides available soon @
www.webreachinc.com
1/11/2017, slide 27
Copyright © 2007 WebReach, Inc.
www.webreachinc.com