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 – – – – – • • • • 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 • • • • Pharmacy Radiology Clinic Different Protocols Mismatched Versions Expense of Proprietary Solutions HIPAA Privacy & Security • • • • 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 • • • • Pharmacy Radiology Clinic Routing Filtering Transformation OSS Based Hospital • • • • 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 – – – – – – – Graphical administration tools – Simple channel-based interface • Powerful – Filters – Transforms – Routes • Flexible • Supported Connectors – – – – – – – – – – – 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 • • • • • • • 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: – – – – 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 – – – – 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 • • • • • • 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 – – – – • 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 – – – – 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 – – – – • 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 – – – – – – Monitoring Dashboard Local File Management System Configuration User Management Certificate Management Software Updates • Extended Functionality – – – – 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: – – – – 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 – – – – • 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: – – – – Training 40 Engineering Hours Engineering Support (for included Engineering Hours) Mirth Support • Bundle Options: – – – – 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: – – – – 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
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