Mirth AMIA 2007a - Minformaticsminformatics.com/kb/amia/MirthAMIA2007.pdfMirth Project Open Source Healthcare Integration Engine Gerald Bortis geraldb@webreachinc.com Lead Software
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Mirth ProjectOpen Source Healthcare Integration Engine
Gerald Bortisgeraldb@webreachinc.comLead Software EngineerWebReach, Inc.
November 10, 2007
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Agenda
• Mirth Overview• Mirth Demo• Mirth Appliances• Upcoming WebReach Projects
Copyright ©2007 WebReach, Inc. www.mirthproject.org
About WebReach, Inc.
• Founded in 1993 and based in Irvine, CA• Develops and hosts secure, high-
availability health IT systems for leadinghealthcare organizations
• Developing series of open source HITprojects
• Commercial support, professional services,appliances and hosted solutions based onhealthcare-focused open source projects
• Key customers: Pfizer, McKesson, Philips,Cedars-Sinai
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Mirth Project Background
• Standards-based, healthcare messaging middleware• Supports: HL7, X12, NCPDP, DICOM, EDI, XML
• Open source integration engine and interfacedevelopment 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
Copyright ©2007 WebReach, Inc. www.mirthproject.org
The Healthcare Interoperability Problem
Health Information Systems...
Pharmacy HospitalClinicLab
...applications, protocols, connectivity, etc.
Reporting Web Service DatabaseLegacy App
• Different protocols• Mismatched versions• Incompatible data• HIPAA privacy and
security
• Diverse connectivity• Lack of control• Lack of flexibility• Expensive
proprietary solutions
Radiology
Copyright ©2007 WebReach, Inc. www.mirthproject.org
The Integration Solution
Health Information Systems...
Pharmacy HospitalClinicLab
...applications, protocols, connectivity, etc.
Reporting Web Service DatabaseLegacy App
• ESB-based generalpurpose integration
• Standards-basedmessaging: HL7,X12, XML, DICOM
• Multiple transportsand protocols
• Filters, transforms,routes
• Easy to use/deploy
Radiology
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Channels
Source Connector
Destination Connectors
Filters
Transformers
Chan
nelHL7 System
Application
Mirth
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Supported Protocols
•MLLP•HTTP•HTTPS•FTP•SFTP•JDBC•PDF
•RTF•SMTP•POP3•JMS•Files•Web services•And more…
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Supported Databases
• MySQL• PostgreSQL• Oracle• Microsoft SQL Server• Microsoft Access• Apache Derby• And more…
Copyright ©2007 WebReach, Inc.
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
www.mirthproject.org
Copyright ©2007 WebReach, Inc.
DICOM Support
www.mirthproject.org
Copyright ©2007 WebReach, Inc.
Mirth Extensions
• Download and install updates to connectorsautomatically
• Plug-ins extend server and client with newfunctionality• Message pruning• Connection monitoring
www.mirthproject.org
Copyright ©2007 WebReach, Inc.
Connection Monitoring
www.mirthproject.org
Copyright ©2007 WebReach, Inc.
MSH|^~¥&|Mirth|1|||2006044535||ADT^A04|603340|D|2.3.1EVN|A04|20060404090742PID|1|800888^^^Mirth^PN|999945682^^^AccMgr^MR^1||TEST^PATIENTMF||19570414|M||W|1234 WEST SAMPLE STREET^^EMERALDCITY^OZ^123456789^^M|31|||E|M||6635130^^^Mirth^VN^1|000987655|||2|||||NOT A VETERAN|||NPD1||||1335^LION^COWARDLY^^^^^^AccMgr^^^^CI|||INK1|1|TEST^DOROTHY|W|1234 WEST SAMPLE STREET^^EMERALDCITY^OZ^123456789|||YPV1|1|E|ED^^^1|1|||1281^LION^COWARDLY^^^^^^AccMgr^^^^CI|1281^LION^C^^^^^^Mirth^^^^CI||ED||||7|S|||62|6635130^^^AccMgr^VN^1|865^SPKOPP|||||||||||||||||||1||A|||20060404090500PV2||^NO||||||20060404090500||||||||||||||||||||||||||||||SDG1|1||^HEADACHE|HEADACHE||A|||||||||0GT1|1|382582|TEST^PATIENT MF||1234 WEST SAMPLE STREET^^EMERALDCITY^OZ^130570000|||19570414|M|||000987655||||||||11IN1|1|SELF PAY NYS|734|SELF PAY NYS|||||||||||5|TEST^PATIENTMF|1|19570414|1234 WEST SAMPLE STREET^^EMERALDCITY^OZ^130570000|||||||||||||||||||||||11|M||||||382582IN1|2|SELF PAY|705|SELFPAY|||||||||||5||1IN2|1||000987655
www.mirthproject.org
Sample HL7 v2.x Message
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Demo
• Creating a channel• Writing a transformer• Monitoring channels
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Mirth Appliances
• Ready-to-run• Optimized configuration• Simple management• Extended functionality• High-availability• Commercial support• Secure
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Upcoming WebReach Projects
• MirthResults: Result dissemination
• MirthMPI: Master patient index
• MirthSentry: Infection control/surveillance
• MirthTribes: Patient registry system
Copyright ©2007 WebReach, Inc. www.mirthproject.org
MirthResults
• Mirth-based labresult disseminationand reportingsystem
• Role-based, secure,audited access toresults
• Flexible provisioning,branding anddeployment
• Extending to supportMeds, DICOM, etc.
Lab/Hospital
Public Network
Firewall
Clinic
PhysicianOffice
Hospital
Pharmacy
Message Hub
Copyright ©2007 WebReach, Inc. www.mirthproject.org
MirthResults
Mirth Pico
Mirth
C CTF
C
MirthLabs
MirthResultsApplication
Data
PDFReports
Hospital
HL7
Physician Office/Pharmacy
Physician Pharmacist Back Office
CTF ToxHR
ReferenceLab
Copyright ©2007 WebReach, Inc. www.mirthproject.org
MirthResults
Copyright ©2007 WebReach, Inc. www.mirthproject.org
MirthResults
Copyright ©2007 WebReach, Inc. www.mirthproject.org
MirthResults
Copyright ©2007 WebReach, Inc. www.mirthproject.org
Thank You!
Presentation available at:http://www.webreachinc.com/amia
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