Mirth Project Open Source Healthcare Integration Engine
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1 Mirth Project Open Source Healthcare Integration Engine Gerald Bortis Lead Software Engineer WebReach, Inc. November 10, 2007
2 Agenda Mirth Overview Mirth Demo Mirth Appliances Upcoming WebReach Projects
3 About WebReach, Inc. Founded in 1993 and based in Irvine, CA Develops and hosts secure, highavailability health IT systems for leading healthcare organizations Developing series of open source HIT projects Commercial support, professional services, appliances and hosted solutions based on healthcare-focused open source projects Key customers: Pfizer, McKesson, Philips, Cedars-Sinai
4 Mirth Project Background Standards-based, healthcare messaging middleware Supports: HL7, X12, NCPDP, DICOM, EDI, XML Open source integration engine and interface development environment Open source online library for interfaces Released under MPL 1.1 v1.0 Released July, 2006; v1.6 August, 2007 Active global community of users and developers Numerous clinic, lab and hospital production rollouts Mirth commercial support, custom engineering, appliances Over 22,000 Downloads
5 The Healthcare Interoperability Problem Health Information Systems... Lab Pharmacy Radiology Clinic Hospital Different protocols Mismatched versions Incompatible data HIPAA privacy and security Diverse connectivity Lack of control Lack of flexibility Expensive proprietary solutions...applications, protocols, connectivity, etc. Legacy App Reporting Web Service Database
6 The Integration Solution Health Information Systems... Lab Pharmacy Radiology Clinic Hospital ESB-based general purpose integration Standards-based messaging: HL7, X12, XML, DICOM Multiple transports and protocols Filters, transforms, routes Easy to use/deploy...applications, protocols, connectivity, etc. Legacy App Reporting Web Service Database
7 Channels HL7 System Mirth Source Connector Filters Transformers Channel Destination Connectors Application
8 Supported Protocols MLLP HTTP HTTPS FTP SFTP JDBC PDF RTF SMTP POP3 JMS Files Web services And more
9 Supported Databases MySQL PostgreSQL Oracle Microsoft SQL Server Microsoft Access Apache Derby And more
10 DICOM Support Using Dcm4che open source library Header information available in filters and transformers Route messages and store images locally View images in message browser Future development includes support for: Dcmsend Dcmrcv Dcmmwl Dcmqpwl Dcmqr
11 DICOM Support
12 Mirth Extensions Download and install updates to connectors automatically Plug-ins extend server and client with new functionality Message pruning Connection monitoring
13 Connection Monitoring
14 Sample HL7 v2.x Message MSH ^~ & Mirth ADT^A D EVN A PID ^^^Mirth^PN ^^^AccMgr^MR^1 TEST^PATIENT MF M W 1234 WEST SAMPLE STREET^^EMERALD CITY^OZ^ ^^M 31 E M ^^^Mirth^VN^ NOT A VETERAN N PD1 1335^LION^COWARDLY^^^^^^AccMgr^^^^CI I NK1 1 TEST^DOROTHY W 1234 WEST SAMPLE STREET^^EMERALD CITY^OZ^ Y PV1 1 E ED^^^ ^LION^COWARDLY^^^^^^AccMgr^^^^CI 1281^LION^C ^^^^^^Mirth^^^^CI ED 7 S ^^^AccMgr^VN^1 865^SP KOPP 1 A PV2 ^NO S DG1 1 ^HEADACHE HEADACHE A 0 GT TEST^PATIENT MF 1234 WEST SAMPLE STREET^^EMERALD CITY^OZ^ M IN1 1 SELF PAY NYS 734 SELF PAY NYS 5 TEST^PATIENT MF WEST SAMPLE STREET^^EMERALD CITY^OZ^ M IN1 2 SELF PAY 705 SELFPAY 5 1 IN
15 Demo Creating a channel Writing a transformer Monitoring channels
16 Mirth Appliances Ready-to-run Optimized configuration Simple management Extended functionality High-availability Commercial support Secure
17 Upcoming WebReach Projects MirthResults: Result dissemination MirthMPI: Master patient index MirthSentry: Infection control/surveillance MirthTribes: Patient registry system
18 MirthResults Mirth-based lab result dissemination and reporting system Physician Office Public Network Pharmacy Role-based, secure, audited access to results Clinic Hospital Flexible provisioning, branding and deployment Extending to support Meds, DICOM, etc. Lab/Hospital Firewall Message Hub
19 MirthResults Physician Office/Pharmacy Physician Pharmacist Back Office Reference Lab Mirth Pico Mirth MirthLabs HL7 C F T C C PDF Reports Data MirthResults Application Hospital F T C To xhr
20 MirthResults
21 MirthResults
22 MirthResults
23 Thank You! Presentation available at:
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