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CitiusTech is a specialist provider of healthcare technology
services and solutions to healthcare IT vendors, providers, ACOs
and health plans. CitiusTech offers a wide range of healthcare
technology services including healthcare software development,
healthcare interoperability, Meaningful Use compliance, BI / ana-
lytics, care management and consumer health.
CitiusTechs BI-Clinical platform is a market leader in healthcare
BI/analytics. CitiusTech brings strong healthcare expertise across
technologies, applications and standards. Our ability to provide
this expertise, together with world-class service quality and a
global resource base, enables us to deliver best-in-class solu-
tions and an unmatched cost advantage to clients worldwide.
About CitiusTech
Seattle | Sarasota | Princeton | London | Mumbai | Airoli | Singapore
Client Requirements
Client is a leading Health Information Exchange (HIE)
application vendor providing interoperability solutions to
share clinical data over distributed networks. CitiusTech
was selected to develop a module for real-time
conguration of systems to facilitate information exchange
using the XCA and XDS IHE proles.
Some of the key requirements for the real-time
conguration module were:
To be platform independent in order to build a solution
which uses open standards like XML and web services
To be usable on older systems
Adaptable to newer technologies, while maintaining
backward compatibility with the existing systems
Support distribution of conguration information to
enable participating systems to access the information
through an automated mechanism
CitiusTech Solution
CitiusTech established a comprehensive approach
for the design and development of the conguration
management system. CitiusTech deployed a strong team
comprising of development and domain specialists with
an extensive background in IHE prole deployment and
CitiusTech understood client requirements and identied
the primary conguration information that needed to be
Case Study: Dynamic Conguration Management for HIEs
shared across the participating systems. CitiusTech also
analyzed several existing technologies to identify the
mechanism that would be used to share the conguration
The CitiusTech team designed the overall solution with the
following features:
Created a centralized repository for maintaining
conguration information
Identied specic transactional information which was
required for IHE proles supported by the system
Used XML based messages and web services as
the underlying technologies to provide access to the
conguration information
Created a web-based UI which provided real time
access to the conguration information with a secure
Ensured that the conguration data was accessed and
shared securely to prevent unauthorized access
Value Delivered
The CitiusTech team successfully completed the
development of the product and provided the following
benets to the client:
Signicantly reduced the setup time for new systems.
Enabled effective participation of mobile devices
(phones, tablets) through dynamic conguration
Reduced the number of interoperability issues faced in
cross-enterprise communication
Leveraged CitiusTechs expertise in interoperability and
HIE networks to design a robust and scalable solution
Modified XCA Workflow
Document Consumer
XDS Repository XDS Registry
Registry Stored
Document Set
Registry Stored
Document Set
Initiating Community
Responding Gateway
Responding Gateway
Responding Gateway
Responding Community
Cross Gateway Query [ITI-38]
Cross Gateway Retrieve [ITI-39]
Initiating Gateway