Click here to close now.

Welcome!

Wireless Authors: Yeshim Deniz, Liz McMillan, Carmen Gonzalez, Pat Romanski, Elizabeth White

Related Topics: Cloud Expo, Java, XML, Wireless, Microservices Journal, Virtualization, SDN Journal

Cloud Expo: Article

Accelerate Mobile Application Development within Healthcare

Using API Management and Governance

Slide Deck from Gene Dragotta and Sachin Agarwal's Cloud Expo Presentation: A Peek into the Future of Mobile-Enabled Health Care

While unprecedented technological advances have been made in healthcare in areas such as genomics, digital imaging and Health Information Systems, access to this information has not been easy for both the healthcare provider and the patient themselves. Regulatory compliance and controls, information lock-in in proprietary Electronic Health Record systems and security concerns have made it difficult to share data across health care providers.

The opportunities inherent in mobile technology are dramatically changing the way healthcare business gets done. Healthcare provider professionals are adopting mobile devices and tablets as an alternative to desktops/laptops and using mobile applications to augment gaps in existing patient management system capabilities. Developing mobile applications for the healthcare industry has some unique challenges, particularly protecting your backend data services while making them available to mobile application frameworks and SDKs.

Mobile applications utilize messaging patterns similar to the client/server and AJAX patterns, however unlike desktop clients, mobile devices have to minimize client side processing to maximize battery life and also keep network chatter to a basic minimum. This is achieved by using RESTful APIs with machine-readable formats like JSON. The availability, reliability and performance of these API-based services are critical to the successful deployment and operating of your application.  Now add some healthcare domain requirements (encryption, security, etc.,) to this environment and there is a lot of work to do in addition to the actual coding of your mobile application.  An API management system will simplify exposing and consuming backend healthcare services through a variety of different channels. To successfully implement an API, you will need a tool that will enable simple enforcement of API controls, continuous monitoring capabilities, performance management, and assurance of high availability.

An API management system will typically provide capabilities for creating and registering service as follows:

  • Secure API Services
  • Manage API Lifecycles
  • Mediate and Virtualize Services
  • Govern Access to Services
  • Integrate Services and their Data
  • Support Authentication and Authorization for all APIs and Services, including OAuth, OpenID, SAML, Kerberos, WS-Security, LDAP and XACML
  • Support for all Major Security Standards, including WS*and WS-I

The focus of this article is to discuss how a unified API management and SOA governance platform can accelerate your organization's ability to deliver reliable, scalable and secure mobile applications for healthcare providers. First we will begin with the major technical challenges encountered when deploying healthcare-based mobile applications. Then we will discuss API management and governance platform expectations that can help you overcome these challenges such as the following:

  • Data Encryption
  • Access Control - Role and Application-based Access
  • Integration / Orchestration of data from Multiple Provider Systems
  • Mediation
  • Quality of Service Control
  • Usage Analytics / Event Management

Security - Encryption, Authentication and Authorization
A PKI facilitates users, applications and systems to exchange insecure data safely by encrypting it prior to transmission. Unlike traditional cryptography that uses private keys also known as symmetric cryptography, the public key infrastructure utilizes public key cryptography or asymmetric cryptography. This is used to authenticate a user or manage message encryption.

With asymmetrical cryptography, a public and private key are created simultaneously using the same algorithm (such as RSA) by the certificate authority. The private key is given to the requesting party and the public key is made publicly available (embedded within the certificate) in a location that all parties can access. The private key is used to decrypt text that has been encrypted with the public key. The certificate is used to authenticate the user.

Typically a PKI provides:

  • A certificate authority (CA) who issues and verifies the digital certificate. A certificate includes the public key or information about the public key
  • A registration authority (RA) acts as the verifier for the certificate authority before a digital certificate is issued to a requestor
  • Persistent storage of the certificates and keys
  • A certificate management system (creation, import, export, revocation, etc.)

In addition to authenticating with a validated digital certificate, using SAML, an SSO token, basic HTTP authentication, an X.509 certificate, an application token or a third-party IAM system are all popular approaches that can be used to securely connect your mobile application to back-end systems and data services residing with the HIE enterprise.

When health provider personnel authenticate themselves on systems that access patient health records; it's likely that different employees will require and qualify for various levels of data access based on their job description. For this reason, a role-based authentication / authorization framework is recommended. For example, the front office personnel may only have a need to see basic information such as patient demographics, insurance and medication information and a nurse might be required to have access to the entire patient's medical record. Having a framework for implementing role-based access will easily help filter and mask patient data attributes from un-authorized use.

Mediation and Service Orchestration
Where are your patient's medical records, how many sources of data needed to be aggregated, transformed and merged to assemble them, what formats of data do these sources of patient record fragments support etc.? Architects and developers typically face these questions when working with multiple systems both internally and externally to assemble a patient's holistic and contiguous health history or continuity of care document (HL7 CCD). Often developer are using integration engines such as Rhapsody, Mirth, etc., to transform HL7 messages, legacy EDI messages, database data, along with other source of patient information into in XML and usually exposed via a SOAP service.

Most mobile UX frameworks support some form of a model-view-controller runtime design pattern or at a minimum provide a way to perform an XMLHttpRequest to retrieve data. Whether using an MVC pattern or a lower-level URL request, REST is the preferred method (over SOAP) primarily for the simplicity of setting up the request. A SOAP service will return an XML document. When using a JavaScript-based framework such as Sencha Touch, using JSON for data objects is usually preferred. The mobile app framework's data store component prefers the use of a REST service and the data it returns to be in JSON format. With this approach, the integration engine is providing a SOAP/XML service, unless we re-write and convert the SOAP service to a REST service, the mobile application will need to mediate between the SOAP and REST protocols and XML and JSON object formats.

In addition to mediation, service orchestration and the creation of compound services are a common requirement for health care oriented mobile applications. As an example, in order to create a patient's HL7 CCD, patient data usually resides within multiple systems, data service requests (primitives) to these systems will need to be orchestrated to form the resulting CCD dataset. In some cases, data returned from some of the primitive service requests may require some transformation or may be used as input to a subsequent request. Encapsulating and abstracting multiple primitive requests and any associated logic into a single composite service operation will reduce overall mobile application implementation complexity and message traffic between the mobile device and the HIE data center.

Policy-based Governance Controls for API Services
In most cases, we probably want different licenses with different levels of service (and access) to the backend APIs that enable our mobile applications. The levels of service could be measured in throughput, the bandwidth consumed over time, concurrency and availability.

Within the realm of health care you might want to have some specific controls or governance policies regarding the use of the HIE's back-end system services or APIs. Below are some QoS and SLA examples.

  • Allow APIs to be called no more than 10 times per minute per device
  • Allow devices to consume no more than 100MB per hour
  • Prevent devices from outside the trusted country list (user-defined)
  • Allow devices with this IP address range x.x.x.x-x.x.x.x to access the service layer
  • Prevent Denial-of-Service attacks with quota management and white/blacklisting
  • Only allow certain APIs to be called by specific user roles

The back-end services within the HEI should be deployed within an infrastructure that can provide a similar level of API governance.

Usage Analytics
In order to understand how your HEI back-end service layer is performing and being utilized by its application consumers, the API management platform should provide access to real-time API usage statistics, API status and event and SLA violation monitoring. These analytics can be used for troubleshooting, performance tuning, threat detection and various usage reports.

Most enterprises utilize a dashboard and reporting system that ingests telemetry data from a variety of systems within the enterprise. Data from these systems are combined to create a complete picture of enterprise system activity. Therefore it may become important to have a capability that can export or publish API management system telemetry data to an enterprise activity monitoring system or reporting data warehouse.

Conclusion
Healthcare-focused mobile applications contain complex use cases and have strict operational requirements. Security models, message protocol mediation services, service usage statistic collection, data transformations and service orchestration functions are all features that can easily be added to your mobile application by leveraging and integrating an API management and governance system with your service oriented architecture.

More Stories By Gene Dragotta and Sachin Agarwal

Gene Dragotta is a senior software developer and architect with 20 years of experience building distributed systems for the finance, insurance, government, military and the health care sector domains. Mr. Dragotta recently completed and deployed a mobile solution that utilizes the HL7 messaging protocol to remotely manage emergency battlefield dialysis treatments from a mobile device. Additionally Gene spent 3 years as a Tibco / Data Synapse Cloud Computing solutions architect building private and hybrid cloud computing infrastructures and migrating applications to those environments.

Sachin Agarwal is Vice President of Product Marketing and Strategy at SOA Software. He possesses more than 17 years of enterprise and startup experience focussing on using disruptive technologies to drive business growth. His expertise spans from infrastructure technologies like security and middleware to business centric applications like social, digital marketing, and analytics. At SOA Software he drives product marketing, strategy and customer adoption for API Management solutions. Prior to SOA Software, he held senior management roles in Product Management and Development at Oracle, Oblix and Infosys.

Comments (0)

Share your thoughts on this story.

Add your comment
You must be signed in to add a comment. Sign-in | Register

In accordance with our Comment Policy, we encourage comments that are on topic, relevant and to-the-point. We will remove comments that include profanity, personal attacks, racial slurs, threats of violence, or other inappropriate material that violates our Terms and Conditions, and will block users who make repeated violations. We ask all readers to expect diversity of opinion and to treat one another with dignity and respect.


@ThingsExpo Stories
Chuck Piluso will present a study of cloud adoption trends and the power and flexibility of IBM Power and Pureflex cloud solutions. Speaker Bio: Prior to Data Storage Corporation (DSC), Mr. Piluso founded North American Telecommunication Corporation, a facilities-based Competitive Local Exchange Carrier licensed by the Public Service Commission in 10 states, serving as the company's chairman and president from 1997 to 2000. Between 1990 and 1997, Mr. Piluso served as chairman & founder of International Telecommunications Corporation, a facilities-based international carrier licensed by t...
There are lots of challenges in IoT around secure, scalable and business friendly infrastructure for enterprises. For large corporations, IoT implementations are one of the top priorities of the decade. All industries are seeing a competitive need to sustain by investing in IoT initiatives. The value addition comes from improved customer service, innovative product and additional revenue streams. The data from these IP-connected devices can be leveraged for a variety of business applications as well as responsive action controls. The various architectural building blocks of an IoT ...
“In the past year we've seen a lot of stabilization of WebRTC. You can now use it in production with a far greater degree of certainty. A lot of the real developments in the past year have been in things like the data channel, which will enable a whole new type of application," explained Peter Dunkley, Technical Director at Acision, in this SYS-CON.tv interview at @ThingsExpo, held Nov 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA.
SYS-CON Events announced today that Ciqada will exhibit at SYS-CON's @ThingsExpo, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. Ciqada™ makes it easy to connect your products to the Internet. By integrating key components - hardware, servers, dashboards, and mobile apps - into an easy-to-use, configurable system, your products can quickly and securely join the internet of things. With remote monitoring, control, and alert messaging capability, you will meet your customers' needs of tomorrow - today! Ciqada. Let your products take flight. For more inform...
WebRTC is an up-and-coming standard that enables real-time voice and video to be directly embedded into browsers making the browser a primary user interface for communications and collaboration. WebRTC runs in a number of browsers today and is currently supported in over a billion installed browsers globally, across a range of platform OS and devices. Today, organizations that choose to deploy WebRTC applications and use a host machine that supports audio through USB or Bluetooth can use Plantronics products to connect and transit or receive the audio associated with the WebRTC session.
The best mobile applications are augmented by dedicated servers, the Internet and Cloud services. Mobile developers should focus on one thing: writing the next socially disruptive viral app. Thanks to the cloud, they can focus on the overall solution, not the underlying plumbing. From iOS to Android and Windows, developers can leverage cloud services to create a common cross-platform backend to persist user settings, app data, broadcast notifications, run jobs, etc. This session provides a high level technical overview of many cloud services available to mobile app developers, includi...
SYS-CON Media announced today that @WebRTCSummit Blog, the largest WebRTC resource in the world, has been launched. @WebRTCSummit Blog offers top articles, news stories, and blog posts from the world's well-known experts and guarantees better exposure for its authors than any other publication. @WebRTCSummit Blog can be bookmarked ▸ Here @WebRTCSummit conference site can be bookmarked ▸ Here
Health care systems across the globe are under enormous strain, as facilities reach capacity and costs continue to rise. M2M and the Internet of Things have the potential to transform the industry through connected health solutions that can make care more efficient while reducing costs. In fact, Vodafone's annual M2M Barometer Report forecasts M2M applications rising to 57 percent in health care and life sciences by 2016. Lively is one of Vodafone's health care partners, whose solutions enable older adults to live independent lives while staying connected to loved ones. M2M will continue to gr...
Dave will share his insights on how Internet of Things for Enterprises are transforming and making more productive and efficient operations and maintenance (O&M) procedures in the cleantech industry and beyond. Speaker Bio: Dave Landa is chief operating officer of Cybozu Corp (kintone US). Based in the San Francisco Bay Area, Dave has been on the forefront of the Cloud revolution driving strategic business development on the executive teams of multiple leading Software as a Services (SaaS) application providers dating back to 2004. Cybozu's kintone.com is a leading global BYOA (Build Your O...
As enterprises move to all-IP networks and cloud-based applications, communications service providers (CSPs) – facing increased competition from over-the-top providers delivering content via the Internet and independently of CSPs – must be able to offer seamless cloud-based communication and collaboration solutions that can scale for small, midsize, and large enterprises, as well as public sector organizations, in order to keep and grow market share. The latest version of Oracle Communications Unified Communications Suite gives CSPs the capability to do just that. In addition, its integration ...
The IoT Bootcamp is coming to Cloud Expo | @ThingsExpo on June 9-10 at the Javits Center in New York. Instructor. Registration is now available at http://iotbootcamp.sys-con.com/ Instructor Janakiram MSV previously taught the famously successful Multi-Cloud Bootcamp at Cloud Expo | @ThingsExpo in November in Santa Clara. Now he is expanding the focus to Janakiram is the founder and CTO of Get Cloud Ready Consulting, a niche Cloud Migration and Cloud Operations firm that recently got acquired by Aditi Technologies. He is a Microsoft Regional Director for Hyderabad, India, and one of the f...
The 17th International Cloud Expo has announced that its Call for Papers is open. 17th International Cloud Expo, to be held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, brings together Cloud Computing, APM, APIs, Microservices, Security, Big Data, Internet of Things, DevOps and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding business opportunity. Submit your speaking proposal today!
While not quite mainstream yet, WebRTC is starting to gain ground with Carriers, Enterprises and Independent Software Vendors (ISV’s) alike. WebRTC makes it easy for developers to add audio and video communications into their applications by using Web browsers as their platform. But like any market, every customer engagement has unique requirements, as well as constraints. And of course, one size does not fit all. In her session at WebRTC Summit, Dr. Natasha Tamaskar, Vice President, Head of Cloud and Mobile Strategy at GENBAND, will explore what is needed to take a real time communications ...
SYS-CON Media announced today that @ThingsExpo Blog launched with 7,788 original stories. @ThingsExpo Blog offers top articles, news stories, and blog posts from the world's well-known experts and guarantees better exposure for its authors than any other publication. @ThingsExpo Blog can be bookmarked. The Internet of Things (IoT) is the most profound change in personal and enterprise IT since the creation of the Worldwide Web more than 20 years ago.
The world's leading Cloud event, Cloud Expo has launched Microservices Journal on the SYS-CON.com portal, featuring over 19,000 original articles, news stories, features, and blog entries. DevOps Journal is focused on this critical enterprise IT topic in the world of cloud computing. Microservices Journal offers top articles, news stories, and blog posts from the world's well-known experts and guarantees better exposure for its authors than any other publication. Follow new article posts on Twitter at @MicroservicesE
SYS-CON Events announced today that robomq.io will exhibit at SYS-CON's @ThingsExpo, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. robomq.io is an interoperable and composable platform that connects any device to any application. It helps systems integrators and the solution providers build new and innovative products and service for industries requiring monitoring or intelligence from devices and sensors.
Containers and microservices have become topics of intense interest throughout the cloud developer and enterprise IT communities. Accordingly, attendees at the upcoming 16th Cloud Expo at the Javits Center in New York June 9-11 will find fresh new content in a new track called PaaS | Containers & Microservices Containers are not being considered for the first time by the cloud community, but a current era of re-consideration has pushed them to the top of the cloud agenda. With the launch of Docker's initial release in March of 2013, interest was revved up several notches. Then late last...
Wearable technology was dominant at this year’s International Consumer Electronics Show (CES) , and MWC was no exception to this trend. New versions of favorites, such as the Samsung Gear (three new products were released: the Gear 2, the Gear 2 Neo and the Gear Fit), shared the limelight with new wearables like Pebble Time Steel (the new premium version of the company’s previously released smartwatch) and the LG Watch Urbane. The most dramatic difference at MWC was an emphasis on presenting wearables as fashion accessories and moving away from the original clunky technology associated with t...
SYS-CON Events announced today that Litmus Automation will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. Litmus Automation’s vision is to provide a solution for companies that are in a rush to embrace the disruptive Internet of Things technology and leverage it for real business challenges. Litmus Automation simplifies the complexity of connected devices applications with Loop, a secure and scalable cloud platform.
In 2015, 4.9 billion connected "things" will be in use. By 2020, Gartner forecasts this amount to be 25 billion, a 410 percent increase in just five years. How will businesses handle this rapid growth of data? Hadoop will continue to improve its technology to meet business demands, by enabling businesses to access/analyze data in real time, when and where they need it. Cloudera's Chief Technologist, Eli Collins, will discuss how Big Data is keeping up with today's data demands and how in the future, data and analytics will be pervasive, embedded into every workflow, application and infra...