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caCIS Design

caCIS Design. A Collaboration and Component View of the caCIS Deployment. Decomposing caCIS. E H R. Native E H R Business Capability Adapter Clinical Information System Enterprise Business Logic Trading Partners. Tolven. caCIS. caCIS vEHR Scaffold. caCIS Trading Partner.

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caCIS Design

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  1. caCIS Design A Collaboration and Component View of the caCIS Deployment

  2. Decomposing caCIS E H R • Native E H R • Business Capability Adapter • Clinical Information System • Enterprise Business Logic • Trading Partners Tolven caCIS caCISvEHR Scaffold caCIS Trading Partner • Each Layer is described in terms of the services that it exposes • The Deployment Plan should reflect these Layers

  3. caCIS Deployment (Logical Overview) Tolven 2 Clinical Service Layer Tolven 1 Business Service Layer Virtual EHR Scaffold Integration Layer ESB ESB Tolven Referral Generation Tolven Referral Generation Choreography Tolven Referral Acceptance Tolven Referral Acceptance Complete Patient Profile Controlled Communication Environment Order Management E H R Clinical Systems Analytics

  4. caCIS Deployment w Tolven only, including other Clinical Systems Clinical Service Layer Tolven Clinical Systems Business Service Layer Virtual EHR Scaffold Tolven Bus caGRID 2.0 Vital Signs Immunizations Outcomes History Choreography Problem List Referral Medication List Allergy Complete Patient Profile PACS Lab Systems Analytics Orders Systems

  5. caCIS Deployment w Tolven and other EHR Clinical Components, as well as other Clinical Systems Clinical Service Layer Business Service Layer Tolven Clinical Systems Virtual EHR Scaffold Tolven Bus Immunizations caGRID 2.0 History Problem List Outcomes E H R Clinical Systems Referral Choreography Vital Signs History Medication List Complete Patient Profile Allergy PACS Analytics Lab Systems Orders

  6. caCIS Deployment woTolven, but with other Clinical Systems Clinical Service Layer E H R Clinical Systems Business Service Layer Virtual EHR Scaffold caGRID 2.0 Vital Signs Outcomes Immunizations History Referral Choreography Problem List Medication List Allergy Complete Patient Profile PACS Lab V2 Messages Analytics Orders

  7. caCIS Deployment w Tolven Preserving Encapsulation Boundaries Clinical Service Layer Tolven Clinical Systems Business Service Layer Virtual EHR Scaffold Tolven Bus Vital Signs Immunizations Outcomes History Choreography Problem List Referral Medication List Allergy Complete Patient Profile Analytics

  8. caCIS Specification Adoption Specification Stacks with Implementation Guidance Live Deployment Clinical Service Layer Business Service Layer Virtual EHR Scaffold E H R Clinical Systems Local Bus Structure Vital Signs Immunizations Outcomes Specifies History Choreography Referral Problem List Medication List Allergy Complete Patient Profile PACS Analytics Lab V2 Messages Orders

  9. caCIS Deployment Phase 1

  10. caCIS Service Unit • The caCIS Architecture Specification defines a unit of service architecture as • Specifications – CFSS, PIM, Models • Ports - WSDL(s)+ Schema • Parts, optionally including choreography, persistence, and / or business logic; and connectors • In the POC, these Parts are stubs hinting at full functionality • In Deployed caCIS, these must be real units of work • This Service unit may be deployed anywhere to expose information or functionality • The same service specification may be deployed as an adapter against • Persistence • Business Logic

  11. caCIS and Tolven • Tolven is the Platform to build Business Capability Adapters • Extension of native E H R functionality along particular lines • Tolven is an extensible, semantically specific, form-based toolkit to generate business functionality • It is self contained, but can be extended to support externally defined interfaces, like caCIS • POC reflects and leverages this extensible technical design • seeks to build simple business capabilities to prove integration

  12. caCIS Deployment w Tolven and other EHR Clinical Components, as well as other Clinical Systems Tolven Clinical Systems Clinical Service Layer Virtual EHR Scaffold Business Service Layer Tolven Bus Immunizations caGRID 2.0 iHub ServiceMix History Problem List Outcomes E H R Clinical Systems Referral iHub Mirth Connect Choreography Vital Signs History Medication List Complete Patient Profile Allergy PACS Analytics Lab Systems Orders

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