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CONNECT 4.0 Enhancing Health Information Exchange for Interoperability Success

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CONNECT 4.0 Enhancing Health Information Exchange for Interoperability Success February 12, 2013 * * Introduction Greg Turner CONNECT Product Manager Brian Humphrey ... – PowerPoint PPT presentation

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Title: CONNECT 4.0 Enhancing Health Information Exchange for Interoperability Success


1
CONNECT 4.0Enhancing Health Information Exchange
for Interoperability Success
  • February 12, 2013

2
Introduction
  • Greg Turner
  • CONNECT Product Manager
  • Brian Humphrey
  • CONNECT Architect

3
Webinar Technical Details
4
What is CONNECT ?
4
5
What is CONNECT?
  • CONNECT is a software platform that supports
    health information exchange
  • CONNECT uses Nationwide Health Information
    Network standards and governance to ensure HIEs
    interoperate with other current and future
    exchanges
  • CONNECT is a low cost open source solution that
    is designed to be flexible to support an evolving
    health data exchange environment

6
Why CONNECT?
  • CONNECT can be used to
  • Set up a health information exchange within an
    organization
  • Set up a Direct health information service
    provider (HISP)
  • Tie a health information exchange into other HIEs
    including the eHealth Exchange, CMS esMD or
    Direct
  • Support patients by providing the technology that
    allows them to electronically carry their
    health record as they traverse the healthcare
    system.
  • Support providers by enabling a more complete
    picture of a patients medical record increasing
    quality of care

7
CONNECT Building Blocks
  • CONNECT sits between the HIE implementation
    system, or EMR, and exchange partners
  • CONNECT sends and receives NwHIN Exchange and
    NwHIN Direct messages to other practices,
    hospitals, and HIEs
  • A CONNECT adopter is required to create or
    implement services called adapter services that
    allow for processing the messages to and from
    CONNECT
  • CONNECT provides reference adapters that include
    sample code on how to connect back-end systems to
    CONNECT using adapter services

8
(No Transcript)
9
CONNECT 4.0 Direct Overview
10
CONNECT is Open Source Software
  • Open source license
  • Open release planning, sprint review and planning
    sessions
  • Community contributions welcomed
  • Bug reports fixes
  • Features requests implementations
  • Testing and requirements
  • FHA-sponsored Product
    Management, Curation, Development

11
CONNECT 4.0 Release Overview
11
12
CONNECT 4.0Release Features
  1. Increased throughput targeting increased numbers
    of PD, QD, RD, AD, and DS transactions
  2. Exchange and process large payload sizes of up to
    1 GB
  3. Run CONNECT on additional application servers
    such as IBM WebSphere and Oracle WebLogic to meet
    their environment needs
  4. More comprehensive event logging and metric data
  5. Ability to determine the state of a transaction
    across messages in order to better review and
    analyze the operation of CONNECT and adopters
    trading partners
  6. Minimize deployment load by supporting a
    lightweight gateway which allows smaller server
    footprint and use of system resources
  7. Support Direct messages to allow for greater
    adoption and exchange

13
1 Increase Throughput for CONNECT
  • BENEFITS
  • FEATURE
  • More efficiency of gateway at higher volumes
  • Support more widespread or national rollout plans
    for health data exchange
  • Better utilization of adopter infrastructure
  • 1600 messages/minute
  • Increase throughput, targeting increased numbers
    of PD, QD, RD, AD and DS transactions

Test Plan and Test Report https//developer.connec
topensource.org/display/CONNECT40/PerformanceTest
ing
14
1 Increased Throughput for CONNECTIncreasing
CONNECTs throughput and efficiency
  • Achieving Gains
  • Reduction in memory usage
  • ApacheCXF OpenSAML
  • Reduced number of static classes
  • Fewer number of Webservices running
  • Removed redundant and duplicative code flows

These numbers are based on the
same testing methodology performed during the
CONNECT benchmark testing for release 3.3.
15
2 Large Payload Support
  • BENEFITS
  • FEATURE
  • Increased ability to support the data exchange
    needs of more adopters
  • Enable additional use cases that require the
    exchange of larger file sizes
  • Positive impact on performance of gateway when
    handling larger payloads
  • Provide the ability to exchange and process large
    payload sizes of up to 1 GB

16
2 Large Payload Support
  • Large Payload (Combinations of Messages with
    payloads totaling 1 Gigabyte)

  Document Submission Document Submission Deferred Req Document Retrieve
1 - GB Message    119 s      143 s     63 s
2 - 500 MB Messages      84 s        87 s     29 s
10 - 100 MB Messages      48 s        45 s     25 s
20  - 50 MB Messages      45 s        48 s     24 s
50 - 20 MB Messages      50 s        50 s     25 s
100 - 10 MB Messages      54 s        55 s     30 s
  • Seconds

17
3 Support for Multiple App Servers
  • BENEFITS
  • FEATURE
  • More deployment options
  • Remove any tech stack waivers
  • Model for the community to add support for other
    app servers
  • Adopters can use their preferred app servers and
    take advantage of internal sys admin expertise
    for things like security, scalability, etc.
  • Run CONNECT on additional application servers
    such as WebSphere and WebLogic to meet expanded
    environment needs

18
CONNECT Deployment Diagram
19
4 Event Logging
  • BENEFITS
  • Allows adopters to better understand usage and
    performance
  • Supports better planning and management of
    deployment
  • Provides opportunity for automated monitoring
  • Provides opportunity for dynamic scaling based on
    load
  • FEATURE
  • Provide more comprehensive event logging and
    metric data (counts and duration) using improved
    logging in CONNECT

20
4 Event Logging
  • Goals and Data Points
  • Two formal high level business goals
  • CONNECT provides the ability to count and produce
    durations for the following values
  • Number of a given transaction type (PD, QD,
    RD, etc.)
  • Number of a given transaction group
  • Number of transactions from a specific
    gateway
  • Total duration for given transaction type
  • Total duration for a given transaction group
  • CONNECT can track and report on the following
    data points
  • Error
  • Performance
  • Transaction Type
  • Payload
  • Error Messages log (without PHI data)

21
5 Transaction Logging
  • BENEFITS
  • FEATURE
  • Provides a more holistic view of a complete
    transaction with any given exchange partner
  • Increased insight for troubleshooting and issue
    resolution
  • More input for transaction management and planning
  • Provide the ability to determine the state of a
    transaction across messages in order to better
    analyze the operation of CONNECT and adopters
    trading partners

22
5 Transaction Logging
  • Transaction Logging Example

Database and log output for a related transaction
chain (Patient Discovery, Document Query, and
Document Retrieve messages as a single
transaction)
Note that there are two transaction entries
logged for each service The response Nhin
message ID was logged based on its RelatesTo
message ID
23
6 Lightweight Gateway
  • BENEFITS
  • FEATURE
  • Minimize deployment load by supporting a
    lightweight gateway which allows smaller server
    footprint and use of system resources and allows
    the adopters to maximize the use of custom-built
    adapters
  • Adopters with capable back-end systems can have a
    more lightweight deployment footprint
  • Allows for more economical allocation and use of
    infrastructure resources
  • Paves ground for community-contributed adapter
    layers to EMRs etc.

24
7 Direct Integration with CONNECT
  • BENEFITS
  • FEATURE
  • Include ability to support Direct messages to
    allow for greater adoption and exchange
  • Tool for Meaningful Use (Stage 2)
  • Provides a means to support both NwHIN Exchange
    and Direct spec transactions through one
    deployment
  • Offers a built-in growth or migration path for
    additional use cases
  • Supports expanding federal, commercial, and state
    and regional HIE needs

25
Direct Deployment
26
Upcoming Events

  • February 11, 2013CONNECT Release 4.0
  • February 19, 2013 (2pm ET) CONNECT 4.0 Technical
    Deep-Dive webinar https//www1.gotomeeting.com/reg
    ister/749358937
  • February 25, 2013 (10am ET)Next Sprint Review
    Planning meeting
  • March 4 -7, 2013 HIMSS
    Interoperability Showcase demo
  • Spring 2013 (date to come, D.C. area)CONNECT
    User Group Meeting

4.0
27
Join Us for Sprint Review Planning
Join us for sprint review and planning sessions,
every other Monday, 10am-noon ET. The CONNECT
product team will share the work of the last
sprint for community review and feedback. Well
then transition into a high-level planning
session to set the themes for the coming sprint,
in the context of the product roadmap. Community
input and insights are welcome, so please join
us! The meeting will start with a review of the
work accomplished during the past sprint which
leads into a planning discussion for the upcoming
sprint, we flow from one topic to another based
on content, questions and conversation. Sprint
Review Planning Every other Monday 10am-12pm
ETTel 646-216-4772 866-946-0485 Participant
Code 922 914 63Web https//arkadin.webex.com/ark
adin/j.php?J703876882 (meeting id 703 876 882)
28
More Details on CONNECT
  • https//developer.connectopensource.org/display/CO
    NNECT40
  • https//developer.connectopensource.org/display/CO
    NNECTWIKI/RequirementsArtifacts
  • https//github.com/CONNECT-Solution/CONNECT
  • http//issues.connectopensource.org
  • http//www.connectopensource.org/developer-resour
    ces/forums/developer-forum

Release info Requirements artifacts GitHub
JIRA Forums
29
Useful Links
  • Community Resources
  • www.connectopensource.org
  • https//developer.connectopensource.org
  • mailtoconnect_at_hhs.gov
  • Contributing codehttps//developer.connectopenso
    urce.org/display/CONNECTWIKI/ContributingCode
  • Sprint infohttps//developer.connectopensource.o
    rg/display/NHINProgress/ProgressSummaryPage

30
Questions and Discussion
30
31
Webinar Technical Details
During discussion time, raise hand to speak
What is the largest file size I can stream
usingCONNECT 4.0?
Type questions in advance click send
Questions answers appear in chat window
32
Thank you for watching!
  • Please post questions to the community forums on
    connectopensource.orgor email to
    connect_at_hhs.gov
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