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MarkLogic in Action: Big Data Search
M*Modal Patient Analytics

                                     The leading provider of interactive clinical
                                     documentation, speech and Natural
   Situation                         Language technology needed a database
                                     that could handle the complexity of medical
                                     documents without sacrificing performance


                                     MarkLogic provides a content repository,
                                     search and analytics capabilities that enable
  Solution                           M*Modal to provide sophisticated patient
                                     analytics that combine full-text, metadata
                                     and medical concepts, all in one platform

                                     A flexible, cloud-based clinical platform to
                                     enable hospitals & clinics to address critical
                                     issues in the healthcare industry today –
  Results                            from EHR adoption to accurate ICD-10
                                     coding to enhanced business analytics.




Slide 1   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
MModal




Slide 2   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
MarkLogic Healthcare Solutions Architecture
                                                                                          Patient
                                                                                         Analytics

                 Healthcare
                 Publishing

                                                                  Data Integration
                                                                     Solutions
                                                                                                                SNOMED
                                                                                                                 MESH

                                                         App Server
                                                                              Search
                                  Data                             5424181074651469                           Classification
                                 Retrieval                                                                 Concept Extraction
                                                                                                            Entity Enrichment
                                                                                 Unified Index
                        Transactional                                        For all data structures
                          Database
                                                                Repository




                ETL
                                              Web Services                Social Media       RDBMS
            Connector (*)                                                Connector (*)      connector




Copyright © 2009 Mark Logic Corporation. All rights reserved.                                        (*) Third-party Partner   Slide 3
MarkLogic in Action: Informatics Corporation of America
Healthcare Interoperability


                                         ICA was established to take innovative
                                         technology healthcare market, and now
       Situation                         delivers a comprehensive HIE solution to
                                         hospitals, IDNs, communities and states.



                                     MarkLogic is a key component embedded
                                     within the ICA CareAlign Health
      Solution                       Information Exchange (HIE) solution. ICA’s
                                     CareAlign® solution captures complete data
                                     to enhance the decision-making process.


                                         The CareAlign clinical intelligence engine
                                         empowers HIEs to leverage existing core
      Results                            systems and construct a longitudinal patient
                                         record. It is unmatched in its ability to yield
                                         cost effectiveness & improved patient care




    Slide 4   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
ICA Solution




Slide 5   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
Advantages with MarkLogic

 Large Volume
    Millions of patients
    Tens of Millions of documents
    Terabyte scale


 Real-time Transactions
    Performance, High Availability


 Reporting and Bio-surveillance
    Over terabyte scale with real-time performance


 Future-proof & Feature rich
    Primed for Reporting, Compliance, Research

    Slide 6   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
MarkLogic in Action: Health Forum
ICD-9 Medical Coding Research

                                     The official clearinghouse on medical coding
                                     for ICD-9-CM systems and CPT-4 codes for
   Situation                         hospitals, physicians and other health
                                     professionals needed a world-class search
                                     solution for its complex coding content


                                     MarkLogic provides a searchable knowledge
                                     base for their primary core business
  Solution                           (medical coding). With MarkLogic, Health
                                     Forum customers can obtain better coding
                                     information for their customers.


                                     Health Forum achieved operational
                                     efficiencies in their internal workflows and
  Results                            provides better coding responses to all its
                                     members.




Slide 7   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
Elsevier Science

 MarkLogic is used to consolidate all of Elsevier’s content archives
    E.g. Scopus: World’s largest science abstract library with over 200 sources


 Rapidly build and deliver a variety of new online applications such as
  RadConsult, ImagingConsult, MD Consult, etc
    Rapid multi-application development on top of single MarkLogic database
    MarkLogic providing aggregation, DBMS storage search, and delivery for all
     apps


 Enable high-value functionality
    Mobile deliver
    Citation Tracker


    Slide 8   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
Scopus Citation Tracker




                              For any set of articles:
                              -   Find the most highly cited authors in a field
                              -   Find and track hot topics in specific subject areas
                              -   Check the most recent citation data on authors and articles
                              -   Track and evaluate research trends.
Slide 9   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
Elsevier PathCONSULT

Diagnostic decision support for Pathologists at point of work



                                                                               Differential
                                                                                diagnosis tool
                                                                               Over 25 reference
                                                                                texts




   Slide 10   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
Elsevier ImagingCONSULT

Crawl / slice / content, informational, navigational, and next-step va




   Slide 11   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
MarkLogic Server




  Slide 12   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
MarkLogic Server




  Slide 13   Copyright © 2011 MarkLogic® Corporation. All rights reserved.
Ingenuity Systems

 Leveraging semantic search, ontologies, and analytics to analyze
  biological and chemical findings related to genes, proteins, and drugs


 Ingest peer-reviewed papers in the area of bioinformatics


 Aggregate the relationships between pathogens, genes, etc.


 Create hypotheses such as “activating INS1 would counteract Ebola
  pathogenesis" with supporting details, relationships and bibliography


 Domain expert scientists rate the various hypotheses and determine
  which ones should be prioritized for drug development




    Slide 14   Copyright © 2011 MarkLogic® Corporation. All rights reserved.

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MarkLogic Applications in Healthcare

  • 1. MarkLogic in Action: Big Data Search M*Modal Patient Analytics The leading provider of interactive clinical documentation, speech and Natural Situation Language technology needed a database that could handle the complexity of medical documents without sacrificing performance MarkLogic provides a content repository, search and analytics capabilities that enable Solution M*Modal to provide sophisticated patient analytics that combine full-text, metadata and medical concepts, all in one platform A flexible, cloud-based clinical platform to enable hospitals & clinics to address critical issues in the healthcare industry today – Results from EHR adoption to accurate ICD-10 coding to enhanced business analytics. Slide 1 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 2. MModal Slide 2 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 3. MarkLogic Healthcare Solutions Architecture Patient Analytics Healthcare Publishing Data Integration Solutions SNOMED MESH App Server Search Data 5424181074651469 Classification Retrieval Concept Extraction Entity Enrichment Unified Index Transactional For all data structures Database Repository ETL Web Services Social Media RDBMS Connector (*) Connector (*) connector Copyright © 2009 Mark Logic Corporation. All rights reserved. (*) Third-party Partner Slide 3
  • 4. MarkLogic in Action: Informatics Corporation of America Healthcare Interoperability ICA was established to take innovative technology healthcare market, and now Situation delivers a comprehensive HIE solution to hospitals, IDNs, communities and states. MarkLogic is a key component embedded within the ICA CareAlign Health Solution Information Exchange (HIE) solution. ICA’s CareAlign® solution captures complete data to enhance the decision-making process. The CareAlign clinical intelligence engine empowers HIEs to leverage existing core Results systems and construct a longitudinal patient record. It is unmatched in its ability to yield cost effectiveness & improved patient care Slide 4 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 5. ICA Solution Slide 5 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 6. Advantages with MarkLogic  Large Volume  Millions of patients  Tens of Millions of documents  Terabyte scale  Real-time Transactions  Performance, High Availability  Reporting and Bio-surveillance  Over terabyte scale with real-time performance  Future-proof & Feature rich  Primed for Reporting, Compliance, Research Slide 6 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 7. MarkLogic in Action: Health Forum ICD-9 Medical Coding Research The official clearinghouse on medical coding for ICD-9-CM systems and CPT-4 codes for Situation hospitals, physicians and other health professionals needed a world-class search solution for its complex coding content MarkLogic provides a searchable knowledge base for their primary core business Solution (medical coding). With MarkLogic, Health Forum customers can obtain better coding information for their customers. Health Forum achieved operational efficiencies in their internal workflows and Results provides better coding responses to all its members. Slide 7 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 8. Elsevier Science  MarkLogic is used to consolidate all of Elsevier’s content archives  E.g. Scopus: World’s largest science abstract library with over 200 sources  Rapidly build and deliver a variety of new online applications such as RadConsult, ImagingConsult, MD Consult, etc  Rapid multi-application development on top of single MarkLogic database  MarkLogic providing aggregation, DBMS storage search, and delivery for all apps  Enable high-value functionality  Mobile deliver  Citation Tracker Slide 8 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 9. Scopus Citation Tracker For any set of articles: - Find the most highly cited authors in a field - Find and track hot topics in specific subject areas - Check the most recent citation data on authors and articles - Track and evaluate research trends. Slide 9 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 10. Elsevier PathCONSULT Diagnostic decision support for Pathologists at point of work  Differential diagnosis tool  Over 25 reference texts Slide 10 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 11. Elsevier ImagingCONSULT Crawl / slice / content, informational, navigational, and next-step va Slide 11 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 12. MarkLogic Server Slide 12 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 13. MarkLogic Server Slide 13 Copyright © 2011 MarkLogic® Corporation. All rights reserved.
  • 14. Ingenuity Systems  Leveraging semantic search, ontologies, and analytics to analyze biological and chemical findings related to genes, proteins, and drugs  Ingest peer-reviewed papers in the area of bioinformatics  Aggregate the relationships between pathogens, genes, etc.  Create hypotheses such as “activating INS1 would counteract Ebola pathogenesis" with supporting details, relationships and bibliography  Domain expert scientists rate the various hypotheses and determine which ones should be prioritized for drug development Slide 14 Copyright © 2011 MarkLogic® Corporation. All rights reserved.