Tag Archives: Healthcare IT

Polyglot VS RDMS VS NoSQL… Which is RIGHT???

In doing work for a local healthcare product venture, I was asked to look at the network and database requirements to support mixed content transactions, video streaming all while conforming to HIPAA compliance standards.  As a part of this work, I developed a Web Services Cloud-based architecture that took into account, ERH, HL7, document management and provider notation.

Polyglot DB for the Web
Polyglot DB used  for the Web


This tasking led me to a deep dive on the data architecture and DB requirements analysis that was required to develop the architecture.

The question of utilizing standard RDBMS (SQL) VS NoSQL was an immediate consideration.  My conclusion…. It depends on a large number of technical, business and regulatory factors to derive the appropriate architectural answers. For example, what other external systems are interfaced to the applications and how do they require interaction? In general with the prolific growth in web services, mobile and cloud computing today’s enterprise will require a polyglot data architecture to satisfy all stakeholders.

anette-ashertrend-in-medical-informatics-24-1024 trusted health clouds
See www.2gls.com/ceo.php posted by Anette Asher


A look at Healcareinformatics provides an operational insight into some of the complexities.

“Healthonomics” can be the key driving factor to trigger enterprise decisions to support multiple types of DB solutions woven together in a heterogeneous way delivering a network of web services that affect healthcare outcomes.

OPs considerations for Healthcareinformatics
OPs considerations for Healthcareinformatics
Share Button

HIIPA/HITECH Compliant Cloud Services

HIPAA Network Architecture Using MSFT Azure

An example of leveraging Cloud Services is to  deploy an application that services the healthcare industry by ultilizing the Infrastructure as  Service(IaaS) model E.G., Azure:

  • To deploy a Cloud-based Azure Platform meeting HIPAA regulations, all application code segments must be designed using a web-services model where database elements and application code running in the cloud publish secure streams
  • Windows Azure allows an organization to create virtual machines (VMs) that run in Microsoft datacenters. Suppose the organization wants to use those VMs to run enterprise applications or other software that will be used by customers. We can create a SharePoint farm in the cloud, for example, or run HIIPA data management enterprise HITECH applications. To make life as easy as possible for our users, these applications would be accessible just as if they were running in an cost intensive local datacenter.
  • The Enterprise offering the Cloud Services must follow these five rules in order to stay comliant with HIIPA:
      1. Privacy
      2. Security
      3. Transaction & Code Set
      4. Unique Identifiers (Admin Simplification)
      5. Enforcement/Compliance


Share Button