Perspecta Digital Health Solutions concourse Interoperability Accelerated Bo Dagnall, CTO and Strategist Healthcare Provider Segment and Digital Health Team Health Care Group

The Problem: Fragmented, Unstandardized Healthcare Data PCP Clinic Urgent Care Care Manager Home Care Hospital Specialist The Problem: Fragmented, Unstandardized Healthcare Data Systems of Engagement API Gateway The Conceptual Solution: A Systems of Insight  Aggregation Standardization Enrichment Systems of Insight Systems of Record Perspecta Proprietary Information

An Open Platform, Service-Oriented, FHIR Based Approach Systems of Engagement Enriched Data for Analysis Clinical Portal Patient Portal Business UIs Dashboards Mobile Apps SMART on FHIR apps Systems of Insight Public API FHIR Knowledge Data Management Layer FHIR Resources Storage Queries Consent FHIR Knowledge Enrichment/Knowledge Service Wrapper Service Wrapper Service Wrapper Enrichment COTS, Open Source or Internal Solution Service Wrapper Data Pipeline Orchestration Engine FHIR Resources Canonical Data Model (FHIR Resources) Standardization FHIR Resources Data ETL Service Wrapper Service Wrapper Service Wrapper COTS, Open Source or Internal Solution Service Wrapper Aggregation Variable Data Systems of Record Fragmented Data from Various Sources EMRs HIEs Business Systems Mobile Apps Patient Portals Data Warehouse Devices Perspecta Proprietary Information

A Digital Health Platform (DHP) Reference Architecture Systems of Engagement Enriched Data for Analysis Clinical Portal Patient Portal Business UIs Dashboards Mobile Apps SMART on FHIR apps Systems of Insight Data Access Management API Management Business Process Services Context-Awareness Security Services Other services can be added as needed Data Utilization Services Query Services Consent Visualization Data Management Services Data Indexing Cache (Persistence) Data Lake (Persistence) Knowledge Services Clinical Decision Support Clinical Quality Measures Calculators Record Semantics De-duplication Service Enrichment Data Enhancement Services Labeling & Tagging FHIR Conformance Metadata Services Data Profiling and Quality Data Provenance Canonical Data Model Standardization Data Normalization Services Terminology Services Transform Services Identity Matching Directory Services Natural Language Processing (NLP) Aggregation Data Integration Services Data Adapters Listeners Data Processing Pipeline Systems of Record Fragmented Data from Various Sources EMRs HIEs Business Systems Mobile Apps Patient Portals Data Warehouse Devices Perspecta Proprietary Information

HealthConcourse – the Perspecta Digital Health Platform Implementation Clinical Portal Clinician Patient Record Navigator Patient UI (PatientAide) Patient Consent Manager Patient Record Viewer Patients Like Me Dashboard Perspecta Apps Diabetes + me (Rimidi) Patient ASCVD Risk Calculator (Cerner) Maestro (Care Innovations) Care Manager CareHub (expanded Apps) Industry/Partner Apps Systems of Engagement Perspecta & Industry Apps Open Health Connect Systems of Insight Data Access Management Security Services Microsoft API Manager Process Services (future) Context Services (future) API Services Microsoft API Manager Data Utilization Services Consent Redaction OHC FHIR Server Query Services OHC FHIR Server Visualization Kibana Visualization Microsoft PowerBI Consent Authority Hyperledger Fabric Data Management Services Data Indexing Elastic Search Data Cache Cassandra Data Lake Azure Data Lake Knowledge Services CDS Evaluation ClinIQ Clinical Quality Measures CQF-Ruler Calculators (future) Record Semantics (future) De-duplication Service (future) Enrichment Data Enhancement Services Pt. Profile Service Viaduct Metadata Services Viaduct Labeling & Tagging HLI FHIR Conformance HL7 FHIR Validator Data Profiling and Quality (future) Data Provenance (future) Canonical Data Model FHIR STU3 cTAKES (UIMA Framework) U of U FastContext U of U RuSH Standardization Data Normalization Services Transform Services Viaduct Identity Matching Viaduct Terminology Services HLI CDA to FHIR Transformation MDMI NLP cTAKES/ FastContext/ RuSH Directory Services (future) Aggregation Data Integration Services Data Adapters Viaduct Listeners Viaduct Data Processing Pipeline EMRs & HIEs Health Assessments (Google PA) Patient Portal (PatientAide) Patient Generated Consumer Device Repo (Validic) Devices (e.g. Fitbit) HTH Devices (e.g., BP Cuff) Medical Devices VA EMR (VistA) Private EMR (AllScripts) MHS EMR (AHLTA) (Future) Systems of Record Fragmented Data from Various Sources MHS/VA EMR (Cerner) HIE (Future) Perspecta Proprietary Information Perspecta Proprietary Information Synthea (Mitre) VistA FHIR Ingestion

HealthConcourse – Coalition of Partners Perspecta Proprietary Information

Perspecta Proprietary Information Links: Viewer: https://ehr-demo1.openplatform.healthcare/#/search Consent: https://consent-manager-demo1.openplatform.healthcare/#/ Dashboard example: https://msit.powerbi.com/view?r=eyJrIjoiZDc3MGYxMDQtMWExNi00MzcxLWE2Y2ItZWM5YWE4MDc1Y2Q4IiwidCI6IjcyZjk4OGJmLTg2ZjEtNDFhZi05MWFiLTJkN2NkMDExZGI0NyIsImMiOjV9 Perspecta Proprietary Information

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Bo Dagnall bo.dagnall@perspecta.com HealthConcourse Sandbox Bo Dagnall bo.dagnall@perspecta.com Perspecta Proprietary Information