Safe Harbor Provisions/Legal Disclaimer

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2 Safe Harbor Provisions/Legal Disclaimer This presentation may contain forward-looking statements within the meaning of the federal securities laws, including statements concerning future prospects, events, developments, the Company s future performance, management s expectations, intentions, estimates, beliefs, projections and plans, business outlook and product availability. These forwardlooking statements do not represent a commitment, promise or legal obligation to deliver any material, code or functionality. The development, release and timing of any features or functionality described for our products remains at our sole discretion. Future products developed beyond what is contemplated by existing maintenance agreements, will be priced separately. This roadmap does not constitute an offer to sell any product or technology. We believe that these forward-looking statements are reasonable and are based on reasonable assumptions and forecasts, however, undue reliance should not be placed on such statements that speak only as of the date hereof. Moreover, these forward-looking statements are subject to a number of risks and uncertainties, some of which are outlined below. As a result, actual results may vary materially from those anticipated by the forward-looking statements. Among the important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are: the volume and timing of systems sales and installations; the possibility that products will not achieve or sustain market acceptance; the impact of incentive payments under The American Recovery and Reinvestment Act on sales and the ability of the Company to meet continued certification requirements; the development by competitors of new or superior technologies; the timing, cost and success or failure of new product and service introductions, development and product upgrade releases; undetected errors or bugs in software; changing economic, political or regulatory influences in the healthcare industry or applicable to our business; changes in product-pricing policies; availability of third-party products and components; competitive pressures including product offerings, pricing and promotional activities; the Company's ability or inability to attract and retain qualified personnel; uncertainties concerning threatened, pending and new litigation against the Company; general economic conditions; and the risk factors detailed from time to time in the Company s periodic reports and registration statements filed with the Securities and Exchange Commission.

3 Presenter(s): David Schramm Topic Achieving Advanced Interoperability Level 200

4 What is advanced interoperability? HL7v2 has been common place for a long time. While it does great things it has limitations. Today we will learn about other technologies that can be used to bring you to a new level of interoperability.

5 Specifications IHE XDS.b and PIX/PDQ XCA/XCPD Direct Projects and Initiatives The Sequoia Project DirectTrust Agenda

6 Specifications

7 What is IHE? Integrating the Healthcare Enterprise International organization whose goal is to improve the way computer systems in healthcare share information.

8 XDS.b and PIX/PDQ Secure authenticated exchange Standard lends to minimal time to implement Document exchange/identity feed

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10 Mirth Results and XDS.b Webservice consumption setup via the UI View and consume received documents

11 XCA and XCPD Enforced secure authenticated exchange Centralized gateway as opposed to federated repositories

12 Mirth Results and XCA Able to query and pull documents from multiple external gateways Able to view retrieved documents

13 Direct Specifications The Applicability Statement for Secure Health Transport (aka Direct) Based on SMTP, DNS, S/MIME XDR/XDM Webservice for connecting EHRs to HISPs

14 Projects and Initiatives

15 XCA/XCPD and the broader context Nationwide Health Information Exchange (NwHIN) Started as ONC funded initiative Transitioned to management under Healtheway rebranded to become: The Sequoia Project

16 XCA/XCPD and the broader context The Sequoia Project s ehealth Exchange 107 Participants Mirth as a founding member

17 XCA/XCPD and the broader context CONNECT Open Source combined with the Mirth platform (Mirth Results, Mirth Match) allows for inbound and outbound queries.

18 Direct Mirth s Involvement and The Direct Project Mirth Mail is Mirth s Direct Solution

19 Direct DirectTrust is a collaborative non-profit association... to support secure, interoperable health information exchange via the Direct message protocols. DirectTrust has created a trust framework

20 DirectTrust 45,878 Organizations 960,958 Direct Addresses Mirth is: a DirectTrust Member part of the Fully Accredited Trust Anchor bundle.

21 Direct DirectTrust solves the problem of Trust at Scale. Mirth OpenPD is Mirth s solution to solve the problem of address discovery at scale. OpenPD is a Provider Directory allowing discovery of over 400,000 providers (and growing)

22 Wrap Up

23 How we are solving problems moving forward Continued investment in current technologies Roadmap items Supporting new technologies FHIR Growth of Direct REST APIs

24 For more information, come see our other talks Call out to FHIR and other relevant talks here

25 Thank you!