InterSystems HealthShare

InterSystems HealthShare is the strategic medical information platform for data exchange and analytical decision making support system in the local, regional and national hospital area networks. The platform is developed especially for creation of uniform medical information space within the region or the country. HealthShare is used as the virtual data bus via which all participants can communicate. HealthShare also includes a full-function development environment of client solutions.

2014

InterSystems Caché and InterSystems HealthShare are certified by FSTEC

On December 4, 2014 the branch of InterSystems corporation in Russia, CIS and Baltic countries announced obtaining certificates of the Federal Service for Technical and Export Control (FSTEC) by the Russian Federation on security tools of information of the platform of data of InterSystems Caché 2014.1 and the medical integration InterSystems HealthShare 2014.1 platform.

The received certificates of conformity No. 3257 of October 31, 2014 (InterSystems Caché 2014.1) and No. 3264 of November 7, 2014 (InterSystems HealthShare 2014.1) certify that security tools of the specified software products functioning in operating systems Microsoft Windows and RedHat Linux successfully passed compliance tests to requirements:

• regulating document of FSTEC of Russia "Protection against unauthorized access to information. Part 1. Information security software. Classification by the level of absence control of not declared opportunities" (State Technical Commission of Russia, 1999) — on the 4th level of control;
• the specifications (S) attached to certificates.

Specification requirements are developed on the basis of the following documents of FSTEC:

• Order No. 17 of 2/11/2013. "About the approval of Requirements about the data protection which is not the state secret, contained in the state information systems";
• Order No. 21 of 2/18/2013. "About the approval of Structure and the maintenance of organizational and technical measures for security of personal data at their processing in personal data information systems".

According to certificates, security tools of the InterSystems Caché 2014.1 database management system and platform of creation of the medical information networks HealthShare 2014.1 are the software tools of protection against unauthorized access to information which is not containing the data which are the state secret, implementing the following functions:

• identification and authentication of subjects of access to access objects,
• access control of subjects of access to access objects,
• registration of events of security,
• control (analysis) of security of information,
• ensuring availability of information,
• ensuring integrity of an information system and information,
• information system protection, its means, communication systems and data transmission.

InterSystems Caché 2014.1 and InterSystems HealthShare 2014.1 can be used:

• in the state information systems certified up to the 1st class of security;
• in the personal data information systems certified up to the 1st level of security.

"Certificates certify that the data protection mechanisms implemented in Caché and HealthShare are checked and can be used during the developing and operation of the state information systems and ISPDN any class of security. Existence of the certificate confirms compliance of the built-in means of protecting of these products of the most part of requirements of orders of FSTEC to the IC security tool as these requirements are included in the specification. It allows to simplify certification of the information systems which are based on our products on compliance to requirements of orders No. 17 and No. 21. InterSystems HealthShare is the only medical integration platform certified on absence of NDV" — Dmitry Zasypkin, the leading technical adviser of InterSystems corporation notes.

Check of interaction with the IEMK federal service

On April 16, 2014 the InterSystems corporation reported that according to "The report on connection to IEMK" of 4/4/2014, in five regions of Russia using the InterSystems HealthShare platform for creation of the regional bus of exchange of medical data integration with the IEMK federal service is tested. In four regions were tested within the existing projects. In the fifth — the Samara region — within testing of a prototype of the RIEMK system. In the middle of November, 2013 in four subjects of the Russian Federation — Kamchatka Krai, Krasnoyarsk Krai, the Penza region and in the Republic of Kalmykia — projects on integration of regional medical information systems with the IEMK federal service started. Participate in projects InterSystems corporation and its partners.

In the Samara region integration with IEMK based on InterSystems HealthShare was carried out within testing of a prototype of a system of regional IEMK (RIEMK). At the end of March, 2014 the staff of regional medical information and analytical centers received MIAC from the Russian Ministry of Health of the notification on successful passing of testing of integration with IEMK.

In Krasnoyarsk Krai the centralized architecture of a regional Uniform State Health Information System segment was implemented: uniform regional MIS (RMIS) and a regional integration bus based on HealthShare are placed in DPC. HealthShare provides data transmission and the documents received from RMIS in federal IEMK. Besides, HealthShare is responsible for data exchange with the federal electronic registry (FER) and the regional portal of making an appointment, the module "Queue on Hospitalization" of TFCMI of Krasnoyarsk Krai. Works on integration of HealthShare with other MIS used in the region, with FER2 are at the moment conducted and also creation of a uniform managerial and analytical health care system of edge is discussed.

In Kamchatka Krai, in the Penza region and the Republic of Kalmykia the decentralized architecture is implemented: the HealthShare platform is set in regional DPC and interacts with the decentralized installations of medical information systems in health facilities. The choice of architecture was caused, in particular, by a high probability of interruptions in work of data transmission channels. At failures of network of the message, subject to sending, collect in HealthShare. As soon as communication is reestablished, these messages automatically are sent to addressees.

In the Samara region within creation of a prototype of the RIEMK system on the HealthShare platform the ability to integrate the diverse MIS working in health facilities of area is provided.

During creation of a regional segment of a Unified State Health Information System EGISZ treat advantages of use of InterSystems HealthShare as the platform:

• existence of ready components of integration with the FER, IEMK and SMEV federal services;
• several tens of the built-in integration adapters simplifying integration with MIS and also convenient tools and ready components for work with messages of HL7 within transactions of IHE;
• mechanisms of safe delivery of messages between the connected systems;
• the developed instruments of monitoring of operability of integration solutions, convenient mechanisms of identification of failures and their elimination;
• built-in analytical subsystem of real time, etc.

2012

HealthShare platform components

HealthShare Foundation platform The basic component of our software product (Foundation) represents service - the focused platform developed for support of integration of information systems of the medical organizations. It includes all our basic technology practices in data storage area, intersystem integration and information analysis. This platform supports standards and profiles of ensuring compatibility at information exchange and electronic documents with other medical institutions, physicians and public organizations, including:

• IHE standard profiles, including XDSb, XCA, XCPD, PIX, and PDQ;
• documents in the CDA and CCD formats;
• standard of transmission of messages NwHIN Direct;
• transfer protocols of messages HL7v2 and HL7v3;
• transfer protocol of messages of DICOM;
• standard of Electronic Data Interchange X12;
• etc.

Repository of summary EMRs Provides collecting, normalization and streamlining of clinical and demographic data and also the medical documents arriving from different sources. The data entered in the EMR can be taken in different formats, including all main interchange formats by medical data. Collected information is stored in a DB using the generic data model which proved the efficiency. Means of document registration and also the module providing information exchange with other IEMK systems is a part of a repository of summary EMRs.

Portal of the doctor The portal of the doctor (Clinician Viewer) can be adapted to needs of health workers of different specialties from different health facilities and for other user groups.

Master index of patients Exact identification of patients is performed using means of maintaining the master index of patients using modern methods of probabilistic comparison which can be applied as it is autonomous, and in combination with the systems of cataloguing and registration from other suppliers.

Register of suppliers of medical services The register of suppliers of medical services (Provider Directory) contains identification data of the different organizations and also technical data on possible methods of transfer of information messages and medical documents to them.

Terminology management The management tool terminology (Terminology Engine) allows to configure support of widely recognized terminology standards (the structured dictionaries of medical terminology), such as LOINC, SNOMED or ICD and also the internal terminology used in the medical organization.

Access control HealthShare includes the access control module to medical data (Consent Management) – the flexible configured means for determination of rules of access to the EMR, collection of data on the consent of patients to providing access to sections of their medical record and ensuring confidentiality of personal data of patients. This means supports rules of access with necessary detailing, including a possibility of blocking of separate information types or data sources in relation to the specific patient.

Service of data casting Means of mailing of medical data (Clinical Message Delivery) provide forward channels of safe information exchange among medical personnel (for example, between the attending physician and the consulting physician who received it who sent a request) and also between information systems. Sending the message can be caused by a certain action of the user or approach of some event. Messages can be sent as to different external systems, for example to the EMK system which the attending physician, and directly on e-mail of the doctor, or in the special portal of messages of HealthShare (Clinical Message Center) uses.

Analytics The analytical module (Active Analytics) which is built in HealthShare uses a repository of summary EMRs as a source of primary information. He allows to carry out the complete analysis on all divisions integrated by this system for determination of the general trends, results of medical care and level of effective management of providing medical services. This tool includes a data model which main object is the patient and also the preset pivot tables, charts and dashboards.

Application of a repository of summary EMRs, one of the major modules HealthShare, for aggregation and streamlining of medical data allows to reduce considerably the risks connected with problems of collecting of primary information at accomplishment of analytical projects.

Architecture of the HealthShare platform

Having selected suitable components, it is possible to configure the HealthShare platform for satisfaction of specific requirements of the medical organization. HealthShare gives a wide range of possibilities: from ensuring sharing of medical documents with authorized users and before support of completely integrated exchange of medical information in networks of private or public medical institutions.

About the HealthShare platform. Components

InterSystems HealthShare is a technology platform for exchange of medical data.

According to information for December, 2012 using HealthShare it is possible to adjust information exchange between treatment and prevention facilities, insurance companies, the Ministry of Health, drugstores and all possible participants of information exchange in the region or the country. HealthShare is used as the virtual data bus via which all participants can communicate.

The HealtShare platform can be configured according to specific requirements of the medical organizations. HealthShare gives a wide range of possibilities: from ensuring sharing of medical documents with authorized users before support of completely integrated exchange of medical information in networks of private or public medical institutions. The HealthShare platform is developed on a modular basis: its components, reliably and effectively functioning as a part of single solution, provide the current accomplishment of functions, necessary for health facilities, and a possibility of adding of the necessary tools and mechanisms in the future.

As a part of the HealthShare platform components:

• Reference platform of HealthShare Foundation
• Repository of summary EMRs
• Portal of the doctor
• Master index of patients
• Register of suppliers of medical services
• Terminology management
• Access control
• Service of data casting
• Analytics