Oracle Embedded Technology for the Healthcare Industry

Oracle Embedded Technology for the Healthcare Industry
Oracle Embedded Technology
for the Healthcare Industry
Improving Patient Care—From the Inside
Oracle Embedded Technology:
Proven Power, Less Complexity
Oracle offers the industry’s broadest selection
of embeddable technology to ISV and OEM
partners, so you can choose the technical fit
that best matches your requirements.
Many healthcare systems today are deployed outside the datacenter or hospital network—
in mobile locations, community clinics, and even in patients’ homes. Increasingly, these
are special-purpose healthcare applications, devices, and equipment that must run
unattended and manage data in a self-contained manner. To stand up to the demands
placed on them, these systems must be always on, highly scalable, able to handle
massive data volumes, and provide real-time performance. Oracle embedded technology
delivers these capabilities and provides many other benefits—not only for independent
software vendors (ISVs) and original equipment manufacturers (OEMs) developing
healthcare applications, but also for your customers.
Oracle embedded solutions let you build critical technology directly into your products
for higher cost savings, improved management control, and greater efficiency. Oracle’s
leading position in the healthcare industry lets you offer turnkey applications that are
easier to use and deliver increased interoperability and data-sharing capabilities that
foster better collaboration within healthcare teams.
Oracle’s commitment to providing solutions for healthcare has never been stronger.
Our customers experience it, our ISV and OEM partners share in it, and analysts
recognize the scope and strength of offerings that have been carefully developed with
the input of thousands of valued customers. By embedding proven Oracle technology,
you can get to market faster and gain a competitive advantage by focusing on delivering
value-added services.
FACT: Oracle is # 1 in embedded databases, with more than double the share of the
next competitor.
(Source: IDC, Worldwide Embedded Database Management Systems 2007 Vendor Shares,
Doc # 215446, December 2008.)
Focus on Innovative Healthcare Solutions—
Not Data Management
As developers of information technology (IT) solutions used by healthcare organizations,
you must address numerous issues such as interoperability, patient privacy, security,
and regulatory compliance. An additional healthcare priority is to broaden the use of
electronic health records to reduce costs, decrease medical errors, and improve the
quality of patient care.
The healthcare technology ecosystem has evolved to include new services that are
delivered outside the hospital or datacenter—even in patients’ homes. Additionally, care
is often provided by geographically dispersed, cross-discipline disease management
teams. This decentralization of patient care is driving the need for information-capture
and knowledge-exchange capabilities that are full functioned yet easy to use. Embedded
Oracle technology solutions fill a vital role in meeting these requirements because they
are designed to be self-managing and invisible to end users.
Build or Buy?
Oracle embedded technology can
increase the functionality and
benefits of healthcare applications
such as the following:
Practice management solutions
such as automated processes
for patient and insurance billing,
reporting, and scheduling, to
reduce costs
Electronic medical records/
electronic health records that
document full patient information
such as demographics, medication
lists, and allergies, to provide safer
care and better coordination and
continuity of care
Support for short- and long-term
monitoring equipment such as
cardiac equipment, fetal monitors,
and vital signs monitoring systems,
to help caregivers provide followup care in a patient’s home
Digital imaging systems with
enhanced capabilities and easy,
secure viewing using Web services,
to streamline the process of cap­
turing medical images, reduce
costs over traditional systems,
improve clinical diagnosis, and
foster professional collaboration
There is no reason to build embedded data management capabilities yourself—a range
of proven, cost-effective, commercial off-the-shelf, technology products are available
from Oracle. Building highly available, reliable systems that can gracefully survive failures
requires deep expertise and years of field deployments. Oracle’s embedded products
have been proven through millions of mission-critical deployments and can greatly
reduce your engineering cycle time, costs, and risk, while allowing you to focus your
resources on your solution and the unique value it brings to your users.
As developers, you need technical flexibility to push the boundaries of innovation. That’s
why Oracle’s strategy is to offer the broadest selection of embeddable technology for a
diverse range of healthcare applications. Oracle embeddable solutions can deliver
Advanced relational database capabilities for maximum performance, minimal
management, and lower total cost of ownership
Extremely fast response times and high transaction rates by keeping data in memory
Very high performance for applications that have static, predictable access patterns
A small footprint for mobile devices in the field and synchronization with enterprise
database servers
“The ability to store DICOM image files directly in Oracle Database represents
a major technological advancement to those of us involved in the development
of enterprise image data management systems. It comes at a time when
medical image data is becoming increasingly important as a clinical end
point and when the need to bring control, organization, and process to
medical image data management is greater than ever.”
Tony O’Sullivan, VP Operations, Impact Business Information Solutions (IBIS)
The data management infrastructure used in healthcare must be able to manage large amounts of data, ensure data security and integrity, maintain regulatory compliance, and interoperate with internal and external systems. You can use the power of Oracle embedded technology to develop applications and devices that solve these problems for your customers.
Manage Large Data Volumes
Many healthcare applications must manage very large amounts of complex data, such as that generated by diagnostic image scanners or patient monitoring systems. Oracle embedded technology can help your solutions cost-effectively provide fast, secure access to this data and deliver superior system availability to meet the need for 24/7 healthcare operations.
Oracle Database Delivers the Features to Cut Data Down to Size
With the release of Oracle Database 11g, Oracle delivers features that bring the benefits
of a high-performance relational database to the problem of storing vast quantities of
unstructured data. The Oracle SecureFiles feature combines the security of a relational
database with the speed of a file system to provide fast, secure access to content
traditionally stored in a separate file system. With access times equal to or faster than
file systems on the same hardware, you no longer need specialized hardware, so your
costs are reduced. And by moving unstructured data into databases, your customers can
better track and secure important data that is currently spread around their enterprise.
Oracle Real Application Clusters and Oracle Grid Computing deliver powerful data man­
agement capabilities, scale to manage data volumes of many terabytes, and lower total
cost of ownership by using less-costly server and storage devices to optimize resource
utilization. These solutions require no application changes and support the deployment
of a single database across a cluster of servers—delivering unbeatable fault tolerance,
performance, and scalability that is designed to run in a “lights out” environment.
You can further improve performance and storage efficiency using Oracle Partitioning to
split tables into smaller, more-manageable components, lowering query times from minutes
to seconds. To better use data management resources, Oracle Advanced Compression
works with any application to compress structured and unstructured data, such as docu­
ments, images, and multimedia, as well as network traffic and data in the backup process.
Diagnostic images are key com­
ponents of patient information, so
efficient image storage and rapid
delivery are important features of
electronic health record systems.
Oracle Multimedia delivers full
support for DICOM, the format
universally recognized as the
standard for medical imaging, with
extensible metadata extraction
to satisfy any institution’s image
storage requirements. Oracle
Facilitates large repositories of
DICOM-format content (data
from CT, MRI, X-ray, and ultra­
sound equipment, pathology
images, and more) that are
managed and secured using
Oracle Database tools
Provides a rich set of security,
privacy, conformance, and vali­
dation features to enable open,
scalable healthcare applications
Includes application program­
ming interfaces, JavaServer
Page servlets, and PL/SQL
procedures and functions to
simplify development
Automatically copies and
reformats DICOM images into
standard image formats such
FACT: 70 percent of the top multihospital systems in the U.S. run Oracle technology.
Ensure Data Security and Integrity
Data safety and security are major concerns affecting the healthcare industry. With
Oracle embedded technology, you can deliver security your customers can count on.
Data security is not just another line of business for Oracle—it is strategic to Oracle’s
entire product portfolio. Oracle pioneered many of the database security technologies
in widespread use today, including network encryption, row-level security, and transpar­
ent data encryption. Moreover, Oracle databases have undergone the greatest number
of internationally recognized security evaluations and have been expressly designed for
embedded use, ensuring overall system security.
Guard Against Unauthorized Access
A complete healthcare IT solution
must address challenges, con­
cerns, and requirements from a
variety of sources. With Oracle
SecureCARE, Oracle brings together
its best-of-class applications into
a total healthcare information
management solution that’s
integrated, innovative, and built
by a company that has provided
leading-edge information manage­
ment solutions for more than 30
years. Oracle SecureCARE provides
total healthcare solutions that let
healthcare providers
Keep data secure and private
Access and share information
and knowledge
Generate reports and alerts
Capture and maintain medical
records at the point of care
Exchange comprehensive clinical
information or records
By providing organizations with
healthcare IT solutions that are
comprehensive, secure, and costeffective, Oracle SecureCARE
helps organizations improve the
quality and effectiveness of their
healthcare delivery systems,
reduce redundancies, and provide
better outcomes for their patients.
Global directives typically call for separation of duties and other real-time preventive
controls to ensure data integrity and patient-data privacy. With Oracle Database Vault,
you can proactively safeguard application data stored in Oracle Database from being
accessed by unauthorized users and even privileged database users. Policies use built-in
factors such as time of day, IP address, application name, and authentication method to
prevent application bypass and unauthorized, ad hoc access.
Oracle Database technologies also provide fine-grain access control and support the
auditing, querying, and reporting of all metadata changes. Oracle Audit Vault automates
audit collection, monitoring, and reporting—turning audit data into a key security
resource for detecting unauthorized activity. Oracle Advanced Security and Oracle
Label Security ensure that only properly authenticated users are allowed access to data
designated as highly sensitive.
Deliver Data Protection and High Availability
You can help your customers reduce downtime and meet performance expectations by
leveraging Oracle Database capabilities in your applications and devices. Oracle Active
Data Guard allows users to run real-time queries on a physical standby system—delivering
faster business results and a greater optimization of resources. By continuously mirroring
production systems, it also provides high availability and disaster protection against
planned or unplanned outages.
Oracle’s unique grid computing technologies offer advanced levels of reliability and
availability. These technologies protect data and optimize performance by automatically
mirroring and balancing data across all available storage devices. Database maintenance
and synchronization is coordinated across local and remote servers for rapid recovery
from disaster or site failure.
Make Regulatory Compliance Simply Part of the Process
Regulatory compliance is an important factor influencing the evolution of the healthcare
technology market. Audit and reporting requirements strain these organizations and
require secure and solid data management. With Oracle embedded technology, you can
provide best-of-breed solutions to address all regulatory compliance requirements while
also delivering a high-performance, scalable solution. Compliance becomes nonintrusive—
a natural outcome of the data management process—as Oracle technologies help ensure
that your customers can control access to data, audit changes, safeguard security, and
retain and retrieve data as needed. By using Oracle embedded technology in your hard­
ware or software, your customers can capture rich metadata as well as secure the data
at its source.
Oracle Advanced Security helps healthcare organizations comply with privacy and regu­
latory mandates such as the Health Insurance Portability and Accountability Act, as well
as numerous security-breach-notification laws. With Oracle Advanced Security, you can
transparently encrypt all application data or specific sensitive columns, such as social
security numbers and personally identifiable information. By encrypting data in the data­
base as well as whenever it leaves the database over the network or during backups, it
provides the most cost-effective solution for comprehensive data protection.
For added compliance support, Oracle Total Recall allows you to essentially “rewind” a
database—to take it back to before a change was made, an error occurred, or a transaction
was completed. This is helpful for auditing and compliance situations in which an
organization needs to find out what a hacker or a DBA was doing at a certain time.
Using Oracle Total Recall, you can very easily go back in time—six months or a year or
to whatever period you need—and track down exactly which changes were made to the
database and who made them.
Patient privacy regulations allow only certain classes of users to view image metadata
that contains personally identifying information. For example, a clinician will need full
access, while a researcher should have only partial access to this metadata. Oracle
Database provides anonymity services directly in the database, ensuring that roleappropriate access is granted for different classes of users of a Digital Imaging and
Communications in Medicine (DICOM) archive, regardless of the application used to
access the archive. Captured metadata can also be a valuable source of information
about quality control and the audit measures needed to comply with regulations. For
example, your applications can tag rejected images, prompting later analysis and followup, and they can collect proof of archival of imaging studies as mandated by regulations.
Fujifilm is a full-service diagnostic
imaging company with 40 years
of expertise in the radiology market.
It developed Fujifilm Synapse
Radiology as an integrated family
of products that covers all areas
of radiology, from radiology infor­
mation systems (RIS) and picture
archiving and communication
systems (PACS), to communica­
tions and teleradiology. Oracle
Database is embedded in Synapse
products, delivering the power of
two industry-leading technologies
within a single license. Fujifilm
Synapse Radiology
Provides secure access to RIS,
PACS, mammography, and
cardiovascular images and data,
with a single sign-on from any
internet-connected computer
Reduces training costs and
ensures rapid acceptance with a
consistent Web-based interface
for all users
Improves diagnostic accuracy
with multiple viewing options
for patient images and data
Scales to support imaging
centers that run from 30,000
to more than a million exams
a year
Supports the global HL7 data
standard for integration with
electronic health records
FACT: 20 of the top 20 U.S. health insurers run Oracle Applications.
Interoperate with Internal and External Systems
Developers of healthcare solutions face growing requirements to integrate data from
various devices and multiple systems into electronic health records. However, these
systems and devices often do not send data in a standard format or filter the enormous
amounts of data they generate. As the number of devices and applications on the market
increases, you need a scalable solution for device management and data integration.
Service-Oriented Architectures and Web Services Increase Connections
Oracle Fusion Middleware is a compelling offering for the healthcare industry. Based
on industry standards, it helps you build and enhance services, and it minimizes your
development efforts by including healthcare standards such as DICOM and Health Level
7 (HL7). Supporting many hardware and software platforms—including Java 2 Platform,
Enterprise Edition application servers and directory servers, as well as Microsoft, IBM, and
SAP software—it lets you adopt a service-oriented architecture (SOA) in heterogeneous
computing environments. SOAs are based on loosely coupled services with interfaces
that are independent of the implementation. You can build, use, and reuse services
according to changing business needs, and easily integrate across dissimilar platforms.
Cerner Corporation, a leading
worldwide supplier of healthcare
information technology, is taking
the paper chart out of healthcare.
Cerner Millennium is a comprehen­
sive solution suite that connects
consumers, clinicians, and health­
care organizations into a stream­
lined, unified process. When Cerner
planned a major upgrade in the
application technology, they devel­
oped a best practice methodology.
The business goals were to
Minimize application downtime
Perform system migration with
minimal infrastructure impact and
ability to fall back if necessary
Ensure application accuracy to
support high-quality patient care
Cerner leveraged Oracle GoldenGate
high-availability software with
Cerner’s best practices approach.
As a result, the actual “planned
outage” amounted to about 30
minutes, with 90 minutes for
testing, data validation, and start
up with the new database. The
total downtime was two hours—
a significant improvement from
previous practices, which often
took a weekend.
Oracle’s comprehensive suite of SOA-enabled IT infrastructure applications boost
interoperability by providing a complete solution for publishing, consuming, securing,
and managing Web services. In addition, these applications are supported with business
process management tools you can use to develop, deploy, and manage integrated,
cross-organization processes, as well as to orchestrate system services and workflows
that facilitate a higher-quality, unified delivery of healthcare services.
Data Wherever and Whenever You Need It
New mobile devices and wireless technologies are significantly changing the way
healthcare is provided and how healthcare information is accessed. Data can be
captured remotely from a tablet PC used by a doctor during hospital rounds, a laptop
computer used by a nurse in a mobile clinic, or directly from sensors worn by patients
during their daily activities at home. Equipment and applications that run Oracle
embedded technology can securely transmit real-time data to both hospital and
departmental information systems.
To ensure that critical information is available with subsecond latency and 24/7
availability, Oracle GoldenGate provides real-time change-data capture and delivery
between heterogeneous systems, with transactional integrity and minimal overhead
on existing infrastructures.
FACT: More than 350 leading healthcare providers run Oracle Applications.
This technology lets you build cost-effective and low-impact solutions for real-time business
intelligence, query offloading, zero-downtime upgrades and migrations, disaster recovery,
and high availability. Your customers gain improved business insight, lowered integration
costs, continuous system availability, and increased data integrity and reliability with
reduced risk.
Interfaces between multiple systems provide more-reliable data because there is less
risk at each step of entering incorrect patient information. Additionally, patient data can
be tagged with a unique patient identifier that can be used to merge data from multiple
healthcare providers—even if they use different identification numbers within their own
systems. Interoperability also helps coordinate the workflow of a decentralized healthcare
team, leading to greater efficiencies and better quality of care. Oracle technology solutions
can provide an end-to-end infrastructure to manage devices throughout an application’s
lifecycle, letting clinicians access shared data wherever and whenever they need it.
Pervasive Insight Improves Strategic Healthcare Initiatives
In order to gain the greatest benefit from business intelligence (BI), healthcare
organizations need BI products that inform all their processes: financial, clinical, and
operational. Embedding Oracle technology solutions into your application lets you
fast-track your development efforts by taking advantage of a highly scalable, prebuilt BI
foundation that can power both analysis tools and reporting applications. Your BI solution
can distill intelligence from multiple datasources to act as a shared data repository for
your customers’ internal and external systems. Insight is delivered across the enterprise
using presentation methods that are easy to access and understand, such as proactive
detection and alerts, dashboards, and Web services.
With the BI foundation your application delivers through embedded Oracle technology,
your customers gain a single, standardized BI architecture that can manage and ma­
nipulate massive amounts of data and improve data quality. They can develop strategic
healthcare initiatives to cut administrative costs; increase reimbursement rates; identify
fraudulent claims; optimize their supply chain; utilize cost-effective, positive-outcome
treatments; and more. When you deliver BI solutions that distribute high-quality, real-time
insight, you let your customers make informed decisions when and where they have the
greatest impact.
“We chose Oracle as the
embedded database
technology in Fujifilm
Synapse PACS because of
its robustness, its reliability,
and its scalability. Oracle
offers five-nines uptime,
which is essential for patient
care systems in hospitals
and trauma centers. It was
also the only commercial
database capable of running
multiple sites from one
single instance, supporting
enormous volumes of
remote users with no loss
of performance, and scaling
seamlessly as our customers’
requirements grow.”
Jim Morgan, Executive Director of
Marketing, Network Systems,
Fujifilm Medical Systems USA
FACT: 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications.
Oracle Is Committed to Partner Success
Oracle embedded technology runs behind the scenes, so the innovative capabilities you
develop take center stage. Oracle understands the challenges involved in incorporating
embedded technology and offers technical assistance via support, training, and consulting
during your development process. After you deploy, you can deliver superior service to
your customers by being their primary point of contact, while Oracle supports you with
global, 24/7 support in local languages. The cost for this support will be far lower than
maintaining your own homegrown solution. You also benefit from Oracle’s continued
engineering investment in new product enhancements.
Oracle has an ecosystem of more than 370,000 customers and 30,000 partners—
more than 3,000 of these with a focus on Oracle embedded technology. The Oracle
PartnerNetwork offers a number of programs that can extend your marketing reach and
help your business succeed. Your marketing efforts can leverage the strength of the
Oracle brand to increase confidence in your product, giving you a competitive advantage.
Partnering with Oracle adds to your bottom line by integrating the power of Oracle tech­
nology, marketing, and sales, helping you better meet the needs of your customers.
“Our efforts at IBIS to provide
a comprehensive enterprise
image data management
solution have been greatly
facilitated by the emergence
of Oracle Database 11g.
This technology has enabled
us to define a single, secure,
stable, scalable repository
for all DICOM data, providing the future-proof platform on which the IBISimg repository is now built. This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML/
XSL-based data extraction.“
Tony O’Sullivan, VP Operations, Impact Business Information Solutions (IBIS)
Oracle’s strategy for healthcare is to reduce the complexity of healthcare informatics;
lower total cost of ownership; and improve the scalability, security, and availability of
healthcare applications. Oracle is committed to helping the healthcare industry leverage
information technology and deliver next-generation patient care with minimum costs.
The bottom line: Oracle embedded technology can help ISV and OEM partners that
target the healthcare industry decrease development time, reduce integration costs,
increase quality, minimize risk, and speed time to market.
Gain a competitive edge by building your application on proven Oracle embedded
technology. Learn more about our products at and about
our partner program at
For more information on how your organization can
benefit from Oracle embedded technology, please
or call +1.800.ORACLE1 to speak to an Oracle
to find the phone number for your local Oracle office.
Oracle Corporation
500 Oracle Parkway,
Redwood Shores,
CA 94065
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