Mirth AMIA 2007a - Minformaticsminformatics.com/kb/amia/MirthAMIA2007.pdfMirth Project Open Source Healthcare Integration Engine Gerald Bortis [email protected] Lead Software

Mirth ProjectOpen Source Healthcare Integration Engine

Gerald [email protected] Software EngineerWebReach, Inc.

November 10, 2007

Copyright ©2007 WebReach, Inc. www.mirthproject.org

Agenda

• Mirth Overview• Mirth Demo• Mirth Appliances• Upcoming WebReach Projects


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


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


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


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


Channels

Source Connector

Destination Connectors

Filters

Transformers

Chan

nelHL7 System

Application

Mirth


Supported Protocols

•MLLP•HTTP•HTTPS•FTP•SFTP•JDBC•PDF

•RTF•SMTP•POP3•JMS•Files•Web services•And more…


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


DICOM Support



Mirth Extensions

• Download and install updates to connectorsautomatically

• Plug-ins extend server and client with newfunctionality• Message pruning• Connection monitoring



Connection Monitoring



MSH|^~¥&|Mirth|1|||2006044535||ADTÂ04|603340|D|2.3.1EVN|A04|20060404090742PID|1|800888^^^Mirth^PN|999945682^^ÂccMgr^MR^1||TEST^PATIENTMF||19570414|M||W|1234 WEST SAMPLE STREET^ÊMERALDCITYÔZ^123456789^^M|31|||E|M||6635130^^^Mirth^VN^1|000987655|||2|||||NOT A VETERAN|||NPD1||||1335^LION^COWARDLY^^^^^ÂccMgr^^^^CI|||INK1|1|TEST^DOROTHY|W|1234 WEST SAMPLE STREET^ÊMERALDCITYÔZ^123456789|||YPV1|1|E|ED^^^1|1|||1281^LION^COWARDLY^^^^^ÂccMgr^^^^CI|1281^LION^C^^^^^^Mirth^^^^CI||ED||||7|S|||62|6635130^^ÂccMgr^VN^1|865^SPKOPP|||||||||||||||||||1||A|||20060404090500PV2||^NO||||||20060404090500||||||||||||||||||||||||||||||SDG1|1||^HEADACHE|HEADACHE||A|||||||||0GT1|1|382582|TEST^PATIENT MF||1234 WEST SAMPLE STREET^ÊMERALDCITYÔZ^130570000|||19570414|M|||000987655||||||||11IN1|1|SELF PAY NYS|734|SELF PAY NYS|||||||||||5|TEST^PATIENTMF|1|19570414|1234 WEST SAMPLE STREET^ÊMERALDCITYÔZ^130570000|||||||||||||||||||||||11|M||||||382582IN1|2|SELF PAY|705|SELFPAY|||||||||||5||1IN2|1||000987655


Sample HL7 v2.x Message


Demo

• Creating a channel• Writing a transformer• Monitoring channels


Mirth Appliances

• Ready-to-run• Optimized configuration• Simple management• Extended functionality• High-availability• Commercial support• Secure


Upcoming WebReach Projects

• MirthResults: Result dissemination

• MirthMPI: Master patient index

• MirthSentry: Infection control/surveillance

• MirthTribes: Patient registry system


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


MirthResults

Mirth Pico

Mirth

C CTF

C

MirthLabs

MirthResultsApplication

Data

PDFReports

Hospital

HL7

Physician Office/Pharmacy

Physician Pharmacist Back Office

CTF ToxHR

ReferenceLab


MirthResults


Thank You!

Presentation available at:http://www.webreachinc.com/amia

Mirth AMIA 2007a - Minformaticsminformatics.com/kb/amia/MirthAMIA2007.pdfMirth Project Open Source Healthcare Integration Engine Gerald Bortis [email protected] Lead Software

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