ACHA Interop Center

ACHA Health Interoperability Technology Center offers a comprehensive set of consultancy services to optimize the implementation of healthcare applications.

About Interoperability

Interoperability in healthcare refers to timely and secure access, integration and use of electronic health data so that it can be used to optimize health outcomes for individuals and populations.

More information

Health data has always been challenging to access and share in a secure manner. The nature of health data creates a paradox: It’s difficult to share because it’s sensitive and requires a high level of privacy and security, yet the inability to access it when it’s needed has potential to cause significant harm. A lack of interoperability can result in an incomplete understanding of an individual’s or population’s health needs, which can lead to poorer outcomes and higher costs.

As populations around the world age and people live longer, interoperability and data sharing are going to become increasingly critical for delivering effective healthcare. In the United States, the Agency for Healthcare Research and Quality has estimated that two out of three older Americans have at least two chronic behavioral or physical conditions.

Services

The following are specific services along with the technical products and solutions from InterSystems that can be leveraged:

Implementation of Health Information System (HIS)

InterSystems IRIS for Health is a robust health information system that can be integrated for efficient data management and sharing. We have the knowledge to explain a custom implementation of IRIS for Health, configuring its modules according to the specific needs of your startup.

Data Integration

The InterSystems IRIS for Health platform provides robust tools for data integration in healthcare environments. We are able to address the implementation of interfaces and channels using IRIS for Health, ensuring efficient interoperability between systems.

Performance Optimization

Consultants will work on optimizing architecture and configuration using technologies like InterSystems IRIS, which offers advanced real-time data processing and efficient storage capabilities.

Data Analysis and Business Intelligence

InterSystems IRIS BI provides advanced data analysis capabilities. The consultancy will focus on the implementation and optimization of IRIS BI to extract valuable insights from large healthcare datasets.

Interoperability with External Services

InterSystems IRIS for Health supports standards like HL7 and facilitates interoperability with external services, including seamless integration with the FHIR sandbox of EPIC. FHIR (Fast Healthcare Interoperability Resources) is a modern standard for healthcare data exchange, and the consultancy will focus on designing robust interfaces and standard protocols to ensure efficient communication. As an illustrative example, our team will work on creating a secure HL7 interface that harmoniously interacts with the EPIC FHIR sandbox, allowing for the exchange of standardized healthcare information. This not only strengthens interoperability but also underscores our commitment to providing cutting-edge solutions for seamless communication in the healthcare ecosystem.

Integration with Other FHIR Servers

InterSystems IRIS for Health facilitates integration with other FHIR servers through standards. The consultancy will focus on designing and implementing efficient interfaces, establishing standards for smooth interoperability.

Persistent Class Modeling

The consultancy will review data storage requirements using InterSystems IRIS technology for efficient modeling of persistent classes, ensuring quick and secure retrieval of health information.

OAuth 2.0 Clients and Servers Configuration

InterSystems IRIS for Health can be configured for secure authentication using OAuth 2.0. The consultancy will focus on precise implementation to ensure secure authentication and proper authorization.

Data Security

The InterSystems IRIS for Health platform includes advanced security features. InterSystems IRIS® data platform provides a simple, unified security architecture with the following features:

  • It provides a security infrastructure that makes it easy for developers to build strong, high-performance security features into applications.
  • It places a minimal burden on performance and operations.
  • It ensures that InterSystems IRIS can operate effectively as part of a secure environment and that other applications and InterSystems IRIS can seamlessly work together.
  • It provides infrastructure for policy management and enforcement.

InterSystems security has a number of major features and supports popular technologies:

  • System security provides tools to protect and harden instance-level security.
  • Auditing keeps a log of predefined system and application-specific events.
  • Authentication verifies the identity of all users.
  • Authorization ensures that users can access the resources that they need, and no others.
  • Encryption protects stored data from unauthorized access.
  • TLS (the Transport Layer Security protocol) creates protected channels for communications and data transmission.

The consultancy will focus on implementing robust security measures, such as access management and data encryption, using the built-in security capabilities of IRIS for Health.

Facade FHIR, Repository FHIR, and Hybrid FHIR

InterSystems IRIS for Health includes specific modules for the FHIR standard, such as the implementation of a Repository FHIR. The detailed consultancy will address the configuration of Facade FHIR and explore hybrid solutions using the FHIR capabilities of IRIS for Health.

Facade FHIR:

  • Definition: An InterSystems Facade FHIR acts as an intermediary layer that simplifies and abstracts the complexity of accessing health data through FHIR.
  • Function: It provides a unified and user-friendly interface for interacting with health data stored in various systems, hiding the underlying complexity.

FHIR Repository:

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  • Definition: An InterSystems FHIR Repository is a storage system that manages and stores health data in FHIR format.
  • Function: It enables the persistence, retrieval, and efficient management of structured health information according to the FHIR standard. It facilitates interoperability by providing a centralized point for accessing data.

Hybrid FHIR:

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  • Definition: A Hybrid FHIR approach in InterSystems combines features of Facade and FHIR Repository to offer a comprehensive solution.
  • Function: It provides both the simplified abstraction layer (Facade) to ease access and the centralized, structured data storage (Repository). This combination optimizes interoperability and health data management.

FHIR Synchronization with Relational Databases

Effective synchronization can be achieved using advanced techniques of InterSystems IRIS, including query optimization and stored procedure optimization in relational databases (MS SQL, Postgre, MySQL, Oracle) or relational databases service (RDS), ensuring data consistency.

Effective synchronization is achieved between a FHIR Repository or Facade and a relational database using advanced techniques within InterSystems IRIS. These strategies are crucial for ensuring data consistency across both systems, ultimately enhancing overall system performance.

For instance, let’s consider a scenario where the FHIR Repository stores patient data in the FHIR (Fast Healthcare Interoperability Resources) format, while the relational database holds additional information such as detailed medical histories. Query optimization in InterSystems IRIS facilitates efficient cross-referencing between these two repositories.
Furthermore, stored procedure optimization in the relational database ensures that critical operations, such as updating patient records, are executed swiftly and accurately.

In summary, by implementing these advanced techniques in InterSystems IRIS, not only is effective synchronization achieved between a FHIR Repository or Facade and a relational database, but the coherence and efficiency of system operations are significantly improved.

Artificial Intelligence

InterSystems IRIS includes capabilities to integrate artificial intelligence. The consultancy will analyze specific use cases, exploring solutions for predictive analysis and machine-assisted diagnosis using the AI capabilities of IRIS.

InterSystems IRIS stands out for its advanced integration capabilities with artificial intelligence, opening up opportunities across various domains. Our consultancy conducts a thorough analysis of specific use cases, exploring innovative solutions in machine learning, business intelligence, and integration with RServe for Queralt.

For instance, in the realm of machine learning, we can implement predictive models to enhance resource management in the healthcare sector, leveraging IRIS capabilities to streamline processes and provide valuable predictive insights.

 

In the field of business intelligence, our focus is on customizing reporting systems and dashboards for companies, such as developing a robust analytics system for a logistics company. Utilizing IRIS BI features, we deliver key insights to optimize business decision-making and provide a comprehensive strategic view.

Furthermore, our integration with RServe for Queralt facilitates a robust connection between data and advanced statistical analysis, empowering data-driven decision-making.

Test Environments Similar to Sandbox

Configuring secure test environments is achieved by accurately replicating production environments using technologies like InterSystems IRIS Sandbox. The consultancy will ensure faithful reproduction for comprehensive testing.

InterSystems IRIS stands out for its advanced integration capabilities with artificial intelligence, opening up opportunities across various domains. Our consultancy conducts a thorough analysis of specific use cases, exploring innovative solutions in machine learning, business intelligence, and integration with RServe for Queralt.

For instance, in the realm of machine learning, we can implement predictive models to enhance resource management in the healthcare sector, leveraging IRIS capabilities to streamline processes and provide valuable predictive insights.

In the field of business intelligence, our focus is on customizing reporting systems and dashboards for companies, such as developing a robust analytics system for a logistics company. Utilizing IRIS BI features, we deliver key insights to optimize business decision-making and provide a comprehensive strategic view.

Furthermore, our integration with RServe for Queralt facilitates a robust connection between data and advanced statistical analysis, empowering data-driven decision-making.

Tailored Healthcare Technology Solutions Assessment and Implementation Service

At ACHA , we recognize that each client possesses unique needs within the realm of healthcare technology. Our new service, the “Tailored Healthcare Technology Solutions Assessment and Implementation Program,” is designed to identify the specific needs of each client and deliver customized solutions from our industry-leading service offerings.

Service Steps:

  • Needs Assessment:
    • We commence with a thorough evaluation of your healthcare organization’s technological needs.
    • We identify critical areas and opportunities for enhancing efficiency, interoperability, and data security.
  • Expert Consultation:
    • Our team of specialized consultants will guide you through the options available in our service portfolio, including:
      • Implementation of Health Information System (HIS)
      • Data Integration
      • Performance Optimization
      • Data Security
    • Customized Service Selection:
      • We collaboratively work with you to select and implement one or more of our services, tailoring them to your specific requirements.
    • FHIR Standards Integration:
      • We assess the need for implementing solutions such as Facade FHIR, Repository FHIR, or Hybrid FHIR based on your unique specifications.
      • We offer FHIR Synchronization with Relational Databases to ensure coherence and efficiency in data management.
    • Enhanced Security and Interoperability:
      • We implement advanced security measures, including configuring OAuth 2.0 Clients and Servers, to ensure the integrity of your data.
      • We ensure interoperability with External Services and other FHIR servers.

Empowered with Artificial Intelligence:

  • We explore opportunities to integrate Artificial Intelligence and Data Analysis and Business Intelligence, providing valuable insights for decision-making and enhancing operational efficiency.
  • We create secure test environments, similar to the Sandbox, to ensure a seamless implementation and reduce the risk of disruptions.
  • Test Environment Configuration:
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  • Persistent Class Modeling:
  • We review your data storage requirements and apply advanced Persistent Class Modeling techniques for swift and secure retrieval of health information.

With our “Tailored Healthcare Technology Solutions Assessment and Implementation Program,” we guarantee that your organization maximizes the benefits of our leading technologies, customized to meet your objectives, and significantly enhances healthcare service delivery.

Join us on our mission

At the ACHA Technology Center, we are committed to driving technological advancement in the health sector and contributing to improving the quality of life of people around the world. Join us on our mission to transform health through innovation and international collaboration!

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