|By Gene Dragotta and Sachin Agarwal||
|January 13, 2014 01:15 PM EST||
Slide Deck from Gene Dragotta and Sachin Agarwal's Cloud Expo Presentation: A Peek into the Future of Mobile-Enabled Health Care
While unprecedented technological advances have been made in healthcare in areas such as genomics, digital imaging and Health Information Systems, access to this information has not been easy for both the healthcare provider and the patient themselves. Regulatory compliance and controls, information lock-in in proprietary Electronic Health Record systems and security concerns have made it difficult to share data across health care providers.
The opportunities inherent in mobile technology are dramatically changing the way healthcare business gets done. Healthcare provider professionals are adopting mobile devices and tablets as an alternative to desktops/laptops and using mobile applications to augment gaps in existing patient management system capabilities. Developing mobile applications for the healthcare industry has some unique challenges, particularly protecting your backend data services while making them available to mobile application frameworks and SDKs.
Mobile applications utilize messaging patterns similar to the client/server and AJAX patterns, however unlike desktop clients, mobile devices have to minimize client side processing to maximize battery life and also keep network chatter to a basic minimum. This is achieved by using RESTful APIs with machine-readable formats like JSON. The availability, reliability and performance of these API-based services are critical to the successful deployment and operating of your application. Now add some healthcare domain requirements (encryption, security, etc.,) to this environment and there is a lot of work to do in addition to the actual coding of your mobile application. An API management system will simplify exposing and consuming backend healthcare services through a variety of different channels. To successfully implement an API, you will need a tool that will enable simple enforcement of API controls, continuous monitoring capabilities, performance management, and assurance of high availability.
An API management system will typically provide capabilities for creating and registering service as follows:
- Secure API Services
- Manage API Lifecycles
- Mediate and Virtualize Services
- Govern Access to Services
- Integrate Services and their Data
- Support Authentication and Authorization for all APIs and Services, including OAuth, OpenID, SAML, Kerberos, WS-Security, LDAP and XACML
- Support for all Major Security Standards, including WS*and WS-I
The focus of this article is to discuss how a unified API management and SOA governance platform can accelerate your organization's ability to deliver reliable, scalable and secure mobile applications for healthcare providers. First we will begin with the major technical challenges encountered when deploying healthcare-based mobile applications. Then we will discuss API management and governance platform expectations that can help you overcome these challenges such as the following:
- Data Encryption
- Access Control - Role and Application-based Access
- Integration / Orchestration of data from Multiple Provider Systems
- Quality of Service Control
- Usage Analytics / Event Management
Security - Encryption, Authentication and Authorization
A PKI facilitates users, applications and systems to exchange insecure data safely by encrypting it prior to transmission. Unlike traditional cryptography that uses private keys also known as symmetric cryptography, the public key infrastructure utilizes public key cryptography or asymmetric cryptography. This is used to authenticate a user or manage message encryption.
With asymmetrical cryptography, a public and private key are created simultaneously using the same algorithm (such as RSA) by the certificate authority. The private key is given to the requesting party and the public key is made publicly available (embedded within the certificate) in a location that all parties can access. The private key is used to decrypt text that has been encrypted with the public key. The certificate is used to authenticate the user.
Typically a PKI provides:
- A certificate authority (CA) who issues and verifies the digital certificate. A certificate includes the public key or information about the public key
- A registration authority (RA) acts as the verifier for the certificate authority before a digital certificate is issued to a requestor
- Persistent storage of the certificates and keys
- A certificate management system (creation, import, export, revocation, etc.)
In addition to authenticating with a validated digital certificate, using SAML, an SSO token, basic HTTP authentication, an X.509 certificate, an application token or a third-party IAM system are all popular approaches that can be used to securely connect your mobile application to back-end systems and data services residing with the HIE enterprise.
When health provider personnel authenticate themselves on systems that access patient health records; it's likely that different employees will require and qualify for various levels of data access based on their job description. For this reason, a role-based authentication / authorization framework is recommended. For example, the front office personnel may only have a need to see basic information such as patient demographics, insurance and medication information and a nurse might be required to have access to the entire patient's medical record. Having a framework for implementing role-based access will easily help filter and mask patient data attributes from un-authorized use.
Mediation and Service Orchestration
Where are your patient's medical records, how many sources of data needed to be aggregated, transformed and merged to assemble them, what formats of data do these sources of patient record fragments support etc.? Architects and developers typically face these questions when working with multiple systems both internally and externally to assemble a patient's holistic and contiguous health history or continuity of care document (HL7 CCD). Often developer are using integration engines such as Rhapsody, Mirth, etc., to transform HL7 messages, legacy EDI messages, database data, along with other source of patient information into in XML and usually exposed via a SOAP service.
In addition to mediation, service orchestration and the creation of compound services are a common requirement for health care oriented mobile applications. As an example, in order to create a patient's HL7 CCD, patient data usually resides within multiple systems, data service requests (primitives) to these systems will need to be orchestrated to form the resulting CCD dataset. In some cases, data returned from some of the primitive service requests may require some transformation or may be used as input to a subsequent request. Encapsulating and abstracting multiple primitive requests and any associated logic into a single composite service operation will reduce overall mobile application implementation complexity and message traffic between the mobile device and the HIE data center.
Policy-based Governance Controls for API Services
In most cases, we probably want different licenses with different levels of service (and access) to the backend APIs that enable our mobile applications. The levels of service could be measured in throughput, the bandwidth consumed over time, concurrency and availability.
Within the realm of health care you might want to have some specific controls or governance policies regarding the use of the HIE's back-end system services or APIs. Below are some QoS and SLA examples.
- Allow APIs to be called no more than 10 times per minute per device
- Allow devices to consume no more than 100MB per hour
- Prevent devices from outside the trusted country list (user-defined)
- Allow devices with this IP address range x.x.x.x-x.x.x.x to access the service layer
- Prevent Denial-of-Service attacks with quota management and white/blacklisting
- Only allow certain APIs to be called by specific user roles
The back-end services within the HEI should be deployed within an infrastructure that can provide a similar level of API governance.
In order to understand how your HEI back-end service layer is performing and being utilized by its application consumers, the API management platform should provide access to real-time API usage statistics, API status and event and SLA violation monitoring. These analytics can be used for troubleshooting, performance tuning, threat detection and various usage reports.
Most enterprises utilize a dashboard and reporting system that ingests telemetry data from a variety of systems within the enterprise. Data from these systems are combined to create a complete picture of enterprise system activity. Therefore it may become important to have a capability that can export or publish API management system telemetry data to an enterprise activity monitoring system or reporting data warehouse.
Healthcare-focused mobile applications contain complex use cases and have strict operational requirements. Security models, message protocol mediation services, service usage statistic collection, data transformations and service orchestration functions are all features that can easily be added to your mobile application by leveraging and integrating an API management and governance system with your service oriented architecture.
SYS-CON Events announced today that SOA Software, an API management leader, will exhibit at SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. SOA Software is a leading provider of API Management and SOA Governance products that equip business to deliver APIs and SOA together to drive their company to meet its business strategy quickly and effectively. SOA Software’s technology helps businesses to accelerate their digital channels with APIs, drive partner adoption, monetize their assets, and achieve a...
Oct. 31, 2014 07:15 PM EDT Reads: 2,117
SYS-CON Events announced today that Aria Systems, the recurring revenue expert, has been named "Bronze Sponsor" of SYS-CON's 15th International Cloud Expo®, which will take place on November 4-6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Aria Systems helps leading businesses connect their customers with the products and services they love. Industry leaders like Pitney Bowes, Experian, AAA NCNU, VMware, HootSuite and many others choose Aria to power their recurring revenue business and deliver exceptional experiences to their customers.
Oct. 31, 2014 06:30 PM EDT Reads: 2,191
SYS-CON Events announced today that AgilePoint, the leading provider of Microsoft-centric Business Process Management software, will exhibit at SYS-CON's 2nd International @ThingsExpo which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. AgilePoint is the leading provider of Microsoft-based Business Process Management (BPM) software products, has 1,300+ on-premise and cloud deployments in 25+ countries and provides the same advanced BPM feature set as J2EE vendors like IBM and Appian for the Microsoft .NET native environment. AgilePoint customer...
Oct. 31, 2014 05:00 PM EDT Reads: 1,335
The Internet of Things (IoT) promises to evolve the way the world does business; however, understanding how to apply it to your company can be a mystery. Most people struggle with understanding the potential business uses or tend to get caught up in the technology, resulting in solutions that fail to meet even minimum business goals. In his session at Internet of @ThingsExpo, Jesse Shiah, CEO / President / Co-Founder of AgilePoint Inc., will show what is needed to leverage the IoT to transform your business. He will discuss opportunities and challenges ahead for the IoT from a market and tec...
Oct. 31, 2014 04:00 PM EDT Reads: 1,624
SYS-CON Events announced today that Utimaco will exhibit at SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Utimaco is a leading manufacturer of hardware based security solutions that provide the root of trust to keep cryptographic keys safe, secure critical digital infrastructures and protect high value data assets. Only Utimaco delivers a general-purpose hardware security module (HSM) as a customizable platform to easily integrate into existing software solutions, embed business logic and build s...
Oct. 31, 2014 03:00 PM EDT Reads: 1,978
One of the biggest challenges when developing connected devices is identifying user value and delivering it through successful user experiences. In his session at Internet of @ThingsExpo, Mike Kuniavsky, Principal Scientist, Innovation Services at PARC, will describe an IoT-specific approach to user experience design that combines approaches from interaction design, industrial design and service design to create experiences that go beyond simple connected gadgets to create lasting, multi-device experiences grounded in people’s real needs and desires.
Oct. 31, 2014 02:00 PM EDT Reads: 1,845
Samsung VP Jacopo Lenzi, who headed the company's recent SmartThings acquisition under the auspices of Samsung's Open Innovaction Center (OIC), answered a few questions we had about the deal. This interview was in conjunction with our interview with SmartThings CEO Alex Hawkinson. IoT Journal: SmartThings was developed in an open, standards-agnostic platform, and will now be part of Samsung's Open Innovation Center. Can you elaborate on your commitment to keep the platform open? Jacopo Lenzi: Samsung recognizes that true, accelerated innovation cannot be driven from one source, but requires a...
Oct. 31, 2014 09:00 AM EDT Reads: 3,393
The Internet of Things will greatly expand the opportunities for data collection and new business models driven off of that data. In her session at Internet of @ThingsExpo, Esmeralda Swartz, CMO of MetraTech, will discuss how for this to be effective you not only need to have infrastructure and operational models capable of utilizing this new phenomenon, but increasingly service providers will need to convince a skeptical public to participate. Get ready to show them the money! Speaker Bio: Esmeralda Swartz, CMO of MetraTech, has spent 16 years as a marketing, product management, and busin...
Oct. 31, 2014 09:00 AM EDT Reads: 2,350
SYS-CON Events announced today that TeleStax, the main sponsor of Mobicents, will exhibit at Internet of @ThingsExpo, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. TeleStax provides Open Source Communications software and services that facilitate the shift from legacy SS7 based IN networks to IP based LTE and IMS networks hosted on private (on-premise), hybrid or public clouds. TeleStax products include Restcomm, JSLEE, SMSC Gateway, USSD Gateway, SS7 Resource Adaptors, SIP Servlets, Rich Multimedia Services, Presence Services/RCS, Diame...
Oct. 31, 2014 09:00 AM EDT Reads: 1,714
Things are being built upon cloud foundations to transform organizations. This CEO Power Panel at 15th Cloud Expo, moderated by Roger Strukhoff, Cloud Expo and @ThingsExpo conference chair, will address the big issues involving these technologies and, more important, the results they will achieve. How important are public, private, and hybrid cloud to the enterprise? How does one define Big Data? And how is the IoT tying all this together?
Oct. 31, 2014 08:45 AM EDT Reads: 2,017
We certainly live in interesting technological times. And no more interesting than the current competing IoT standards for connectivity. Various standards bodies, approaches, and ecosystems are vying for mindshare and positioning for a competitive edge. It is clear that when the dust settles, we will have new protocols, evolved protocols, that will change the way we interact with devices and infrastructure. We will also have evolved web protocols, like HTTP/2, that will be changing the very core of our infrastructures. At the same time, we have old approaches made new again like micro-services...
Oct. 31, 2014 07:00 AM EDT Reads: 1,680
The only place to be June 9-11 is Cloud Expo & @ThingsExpo 2015 East at the Javits Center in New York City. Join us there as delegates from all over the world come to listen to and engage with speakers & sponsors from the leading Cloud Computing, IoT & Big Data companies. Cloud Expo & @ThingsExpo are the leading events covering the booming market of Cloud Computing, IoT & Big Data for the enterprise. Speakers from all over the world will be hand-picked for their ability to explore the economic strategies that utility/cloud computing provides. Whether public, private, or in a hybrid form, clo...
Oct. 30, 2014 05:30 PM EDT Reads: 1,495
SYS-CON Events announces a new pavilion on the Cloud Expo floor where WebRTC converges with the Internet of Things. Pavilion will showcase WebRTC and the Internet of Things. The Internet of Things (IoT) is the most profound change in personal and enterprise IT since the creation of the Worldwide Web more than 20 years ago. All major researchers estimate there will be tens of billions devices--computers, smartphones, tablets, and sensors – connected to the Internet by 2020. This number will continue to grow at a rapid pace for the next several decades.
Oct. 30, 2014 05:30 PM EDT Reads: 2,226
SYS-CON Events announced today that Gridstore™, the leader in software-defined storage (SDS) purpose-built for Windows Servers and Hyper-V, will exhibit at SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Gridstore™ is the leader in software-defined storage purpose built for virtualization that is designed to accelerate applications in virtualized environments. Using its patented Server-Side Virtual Controller™ Technology (SVCT) to eliminate the I/O blender effect and accelerate applications Gridsto...
Oct. 30, 2014 02:00 PM EDT Reads: 2,629
SYS-CON Events announced today that Red Hat, the world's leading provider of open source solutions, will exhibit at Internet of @ThingsExpo, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Red Hat is the world's leading provider of open source software solutions, using a community-powered approach to reliable and high-performing cloud, Linux, middleware, storage and virtualization technologies. Red Hat also offers award-winning support, training, and consulting services. As the connective hub in a global network of enterprises, partners, a...
Oct. 30, 2014 12:15 PM EDT Reads: 2,092
As the Internet of Things unfolds, mobile and wearable devices are blurring the line between physical and digital, integrating ever more closely with our interests, our routines, our daily lives. Contextual computing and smart, sensor-equipped spaces bring the potential to walk through a world that recognizes us and responds accordingly. We become continuous transmitters and receivers of data. In his session at Internet of @ThingsExpo, Andrew Bolwell, Director of Innovation for HP’s Printing and Personal Systems Group, will discuss how key attributes of mobile technology – touch input, senso...
Oct. 30, 2014 12:00 PM EDT Reads: 1,787
The Internet of Things (IoT) is making everything it touches smarter – smart devices, smart cars and smart cities. And lucky us, we’re just beginning to reap the benefits as we work toward a networked society. However, this technology-driven innovation is impacting more than just individuals. The IoT has an environmental impact as well, which brings us to the theme of this month’s #IoTuesday Twitter chat. The ability to remove inefficiencies through connected objects is driving change throughout every sector, including waste management. BigBelly Solar, located just outside of Boston, is trans...
Oct. 30, 2014 11:00 AM EDT Reads: 2,206
Connected devices and the Internet of Things are getting significant momentum in 2014. In his session at Internet of @ThingsExpo, Jim Hunter, Chief Scientist & Technology Evangelist at Greenwave Systems, will examine three key elements that together will drive mass adoption of the IoT before the end of 2015. The first element is the recent advent of robust open source protocols (like AllJoyn and WebRTC) that facilitate M2M communication. The second is broad availability of flexible, cost-effective storage designed to handle the massive surge in back-end data in a world where timely analytics...
Oct. 30, 2014 08:00 AM EDT Reads: 1,651
Internet of @ThingsExpo Silicon Valley announced on Thursday its first 12 all-star speakers and sessions for its upcoming event, which will take place November 4-6, 2014, at the Santa Clara Convention Center in California. @ThingsExpo, the first and largest IoT event in the world, debuted at the Javits Center in New York City in June 10-12, 2014 with over 6,000 delegates attending the conference. Among the first 12 announced world class speakers, IBM will present two highly popular IoT sessions, which will take place November 4-6, 2014 at the Santa Clara Convention Center in Santa Clara, Calif...
Oct. 30, 2014 07:30 AM EDT Reads: 2,320
From a software development perspective IoT is about programming "things," about connecting them with each other or integrating them with existing applications. In his session at @ThingsExpo, Yakov Fain, co-founder of Farata Systems and SuranceBay, will show you how small IoT-enabled devices from multiple manufacturers can be integrated into the workflow of an enterprise application. This is a practical demo of building a framework and components in HTML/Java/Mobile technologies to serve as a platform that can integrate new devices as they become available on the market.
Oct. 29, 2014 02:15 PM EDT Reads: 2,090