Orion Health

Amadeus

The Platform for Population Health Management and Precision Medicine

Amadeus delivers a comprehensive approach to acquiring, measuring, analyzing, and presenting actionable clinical and claims data, as well as non-traditional data.

The scalable and open platform supports population health management, alternative payment models, and provides healthcare professionals with real-time cognitive support at the point of care.

Amadeus is a highly scalable and open platform built on modern technology that aggregates all types of health data, from both traditional (e.g., claims, clinical, medical devices, etc.) and non-traditional (e.g., behavioral, social, multi-omics, etc.) sources.

Read about our customer success, or about how you can navigate the journey to Integrated Care here.

Benefits of Amadeus

Highly Scalable

Amadeus combines Orion Health’s extensive data integration experience with the scalability and performance of Cassandra™, Spark™, and Elasticsearch™ and a distributed architecture to handle massive volumes of high velocity data, combining a comprehensive range of data models including clinical, claims, consumer, and genomic, with powerful custom data modelling capability.
Intelligent

Amadeus enables predictive modeling that identifies and stratifies risks in a population and drives rapid decision-making. Additionally, Amadeus will incorporate machine learning, enabling predictions based on its immense data.
Supports Open APIs

Amadeus provides streaming access to all its data via Open APIs to Orion Health or third party applications. This helps clinicians to turn valuable insights into actions and deliver precise and personalized care, treatment, and prevention plans for every individual. Third-party developers can build new specialty applications for the management of chronic diseases and all episodes of care.
Advanced Privacy

Advanced privacy granular capability provides controlled access to patient information based on user roles and the sensitivity of patient data. The privacy module provides a single, and simple, user interface that helps organizations easily create advanced privacy rules even in the most complex healthcare environments.
Software as a Service

Amadeus can be deployed in a Software as a Service (SaaS) model where it can be configured, and managed within the Amazon Web Services (AWS) cloud. The SaaS service allows Amadeus to dynamically scale to meet any increase or decrease in data volumes, automatically. This allows users to pay for capacity as required and eliminate the need for on-premise infrastructure investment and management.
Move to New Payment Models

Drawing patient-centric to data Amadeus enables healthcare organizations to make informed decisions regarding the move from traditional payment to alternative payment models. Payers, ACOs, and other organizations involved in value-based models can support their participating providers with value-added services.
Foundation for Population Health & Precision Medicine

Health determinants, in isolation, are interesting. In combination, they're powerful. Aggregating huge volumes of different data and surfacing it in a complete patient record is what Amadeus does best, and precision medicine is only possible when we have the complete picture of an individual's health. Through seamless integration with our care management and patient-engagement applications, Amadeus allows you to pro-actively identify, manage, and transition at-risk patients in real time, closing gaps, increasing satisfaction, and lowering costs while improving care quality.
Future-Proof

While it provides the platform to deliver population health management, Amadeus also future-proofs organizations for emerging models of care, as well as the ability to deliver precision medicine.

Key Features

Store and manage big health data

Built using the latest storage technologies and a distributed processing architecture, Amadeus is unparalleled in its ability to extract maximum value from today's data and prepare organizations for tomorrow's exponential data growth. Purpose-built for scale, Amadeus capitalizes on three of the leading frameworks from the open source, distributed computing revolution that ensure high-performance processing and query capability over massive data sets.

Integrate non-traditional data

Amadeus integrates numerous forms of data – including claims, clinical, and non-traditional data such as genomic, social, and behavioral - into the patient record. This provides clinicians with real-time patient-centric information enabling strong diagnostic and treatment decisions. These decisions can be based on a deeper understanding of a patient’s particular illnesses and the likely effectiveness of specific treatments, all taken from data collated by Amadeus. Furthermore, layering genome data over other forms of patient data will help accelerate the ability of researchers to identify links between particular variants and patient conditions/outcomes.

Gain real-time insights

Streaming data from the Data Engine to the Analytics Engine in real-time, Amadeus converts already aggregated and normalized data into well-structured patient registries that help identify pain points in a population and drive proactive care initiatives. The intuitive Population Health Explorer in Amadeus is an analytics tool that lets users interactively explore data sets, discover meaningful insights and identify gaps in care.

Drive innovation and discovery

Amadeus has a comprehensive approach to acquiring, measuring, analyzing, and presenting actionable clinical and claims data. The platform allows third-party developers to access the rich data and services in real-time, and leverage a superior patient-centric record, through its API Management layer and Open REST-based APIs. Organizations can develop specialty applications through which users can securely interact with authorized records, improving the delivery of care and creating a competitive advantage in new market models.

Components

Rhapsody Integration Engine
The Data Engine
Data Access
Clinical Services
Core Services

Designed to offer rapid and reliable integration, Rhapsody provides a comprehensive set of tools to simplify complex healthcare interoperability. It is the first integration engine to implement the HL7® FHIR® standard. Orion Health has over 20 years of experience in healthcare integration and understands what is required to integrate numerous sources of data as needed for a precision medicine platform.

Through Rhapsody, Orion Health Amadeus sources patient information from numerous third-party systems, whether from transactional messages (HL7) or bulk file exchanges for presentation in lists. We have integrated thousands of different systems and we typically leverage work completed from previous integrations. Integration to source systems is enabled at the portal-level and through electronic messaging.

Raw Data Store

A massively scalable message and document archive for storing and indexing all data received from source systems in its raw form.

Data Processing Pipeline

A distributed processing engine that provides the bridge between the Raw Data Store and the Data Spaces. Processing routes retrieves data from the Raw Data Store and processes it through a series of configurable validation, mapping, enrichment and normalization tasks before updating the target Data Space.

Data Spaces:

Clinical Data Spaces

A rich set of structured data models for processing clinical messages such as HL7® and C-CDA and capturing core clinical concepts such as encounter, diagnosis, procedure, problem, allergy, lab, radiology and microbiology results. The data models are securely accessible through FHIR-compliant REST APIs.

Genome Data Spaces

We store a patient’s variant cell data from whole or partial genome sequencing and provide access to that data via APIs using genetic summary dashboards. The variant data is available to the the decision support system using pharmacogenetic information to provide support in drug prescribing and other activities.

Payer Data Spaces

A range of data models derived from medical claim, pharmacy claim and membership data. Each of the models is accessible through privacy and security enabled REST APIs.

Consumer Data Spaces

Designed around the FHIR Observation resource, Consumer Data Spaces enable the processing and storage of data from consumer devices and apps and unlocks the significant potential of remote patient monitoring initiatives. The data models are securely accessible through FHIR-compliant REST APIs.

Custom Data Spaces

Provides customers with the ability to deploy custom data models solely through configuration, allowing for rapid prototyping of new domain models and the capture of customer specific data sets. In addition to providing the storage infrastructure for these custom models, Custom Data Spaces automatically generate REST APIs that apply the required security, privacy, auditing, patient matching and enrichment functionality, enabling both Orion Health and third party applications to consume the captured data.

Open APIs

Amadeus assists with innovation in healthcare by providing third-party developers with the ability to harness its rich data and services. This access is provided via open REST-based APIs that enable third-party organizations to develop specialty applications that allow healthcare workers, scientists, or patients to securely interact with authorized records. This gives developers the ability to build innovative applications to create competitive advantage for their organization in new market models.

Bulk Download

Bulk Download allows organizations to maximize their existing investment in analytics by integrating data from the Patient Registries directly into their data warehouse and analytics platforms. Extracts can filtered by configurable access rules to ensure that recipients are only provided with the data that they both need and are entitled to access.

Clinical Portal

Amadeus provides an all-encompassing precision medicine platform that can aggregate and manage all types of data. This aggregated record is immensely valuable to clinical users (and care coordinators) and is made available via the rich, simple user interface of the Clinical Portal. The web-based portal provides access to a timeline view that summarizes the patient’s record based on all sources – clinical, genomic, behavioral or other source.

Clinical Companion

Clinical Companion is a mobile application that empowers clinical staff in hospitals to view vital patient information while conducting ward rounds. The app provides the functionality to view a list of patients, search for a patient across the hospital, view a single patient's demographic information, view their lab results, write notes and create personal tasks to be completed.

Clinical Notifications

With patients visiting multiple healthcare organizations throughout their community, it is important to keep relevant parties informed about a patient’s ongoing care and treatment. Notification and subscription management is a clinical feature of Amadeus that enables real-time messaging of critical information, ensuring that providers know about patient events outside their organization. The notifications tool distributes relevant alerts and clinical information about pre-defined events such as a hospital admission, discharge or finalized laboratory results available for review.

EMR Connect

Amadeus often holds important clinical information not available to a user’s traditional EMR system. EMR Connect brings this important information to the attention of the clinical user with the use of a lightweight desktop component. This component integrates with the EMR system to detect when a patient record is viewed, and displays relevant information from the Amadeus platform – thus saving time and increasing patient safety.

Patient Matching

The ability to match patient information from numerous, and varied, source systems of data is key to creating a valuable patient-centric record. Amadeus manages this with an advanced master patient index (MPI) to facilitate patient matching, data quality management and interoperability.

Privacy and Consent

Amadeus includes an advanced privacy implementation that provides granular access to data elements based on the user’s role and the sensitivity of the data. The privacy module provides a unique and simplified user interface that enables advanced privacy rules to be implemented in today’s complex healthcare environments.

Semantic Normalization

The Amadeus precision medicine platform creates a patient centric record based on data from numerous sources. However, with the inclusion of new data sources from non-clinical settings, we find that our source systems speak different languages and use different dialects. Our advanced Terminology Services simplifies and normalizes the different languages to create an intelligent aggregated record where the information can be analyzed and understood by those who need it.

Amadeus is a horizontally scalable platform built on distributed DBMS technology for maximum scalability to meet customers growth needs, making it the platform to deliver Precision Medicine. The architecture of the platform has been specifically designed to handle large amounts of highly variable data coming from many different sources, taking advantage of the scalability, performance, and flexibility of Apache’s Cassandra distributed database system. This database is used by some of the largest consumers of data in the world, including Apple, Instagram, Comcast, and Disney.

IAN MCCRAE

CEO, Orion Health
Orion Health is one of the first healthcare IT companies to take advantage of it in anticipation of the exponential growth in healthcare data that is about to emerge from new data sources, such as high frequency telemetry data, and genomic sequencing data, combined with the generalization of complete electronic medical records.

IAN MCCRAE

CEO, Orion Health