Cerner Millennium

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Cerner is a supplier of health information technology (HIT) solutions.


It was founded in 1979 by Neal Patterson, Cliff Illig, and Paul Gorup who respectively serve as the CEO, Vice Chairman, and Vice President of the Knowledge & Content Team. The vision of these three founders was to create a patient-centered system that would be an alternative to paper processes or financially oriented systems. Cerner was initially known as a laboratory information system (LIS) developer, and its first product, PathNet, was installed in 1984. Besides automating general lab processes, PathNet encompassed microbiology, anatomic pathology and blood bank. Cerner was commercially successful early on, having been profitable in its second year following the introduction of PathNet, as it was so well received by the industry. Having incorporated in 1980, Cerner was the market leader in LIS and by 1986 it had 30 client placements. Growth continued with 70 clients in 1987, reaching 250 installations by 1990. While competitors focused on narrower domain, best of breed systems, Cerner's architecture allowed for integration across domains and it rolled out MedNet, RadNet and PharmNet beginning in 1987. Cerner added more modules in the 1990s with SurgiNet, MRNet for records management and Open Management Foundation [1].

Cerner's mission is to connect the appropriate persons, knowledge and resources at the appropriate time and location to achieve optimal health outcomes. This mission is achieved in part as Millenium 'organizes and proactively delivers patient information' in support of patient care delivery [2]. As a result, the founders created Cerner Millennium, the industry's first person-centric integrated architecture. Cerner Millennium is a partnership of Cerner and HP. The architecture of Millennium allows caregivers and supporting providers the ability to view results, problems, diagnosis, medications, and other pertinent information in real-time. This architecture has been referred to as Health Network Architecture, providing 12 major system applications operating by this means, fitting into 4 interrelated groups [3]. In a continued effort to reduce waste and friction in healthcare, Cerner has developed many solutions including employee health, life sciences, medical devices, clinical trial management, and biosurveillance. The Millenium + upgrade enables care givers to work via desktop, tablet or smartphone and reportedly requires minimal orientation to begin usage [4].

Organizations ranging from single-doctor practices, to hospitals, to corporations, to local regional and national government agencies use Cerner solutions. The company is headquartered in Kansas City, MO and as of 2013, works with more than 9,300 clients worldwide, including 2,650 hospitals, 3,750 physician practices and 500 ambulatory clinics [5]. Associates span 7,300 worldwide with offices in Malaysia, Australia, India, United Arab Emirates, and many others.

Cerner’s use of Oracle’s Database Technology

Cerner Millennium applications use an Oracle database and provide a common data model to enable data sharing between applications and to eliminate redundant data, while maximizing reliability and performance. This implementation runs on a variety of networks, processors and operating systems, including Windows XP Professional and any Internet browser.

All Millennium installs take advantage of the full Oracle database stack (9iEE, RAC, and the Management Packs). Oracle’s Real Application Clustering (RAC) enables both reliability and scalability by allowing the addition of servers to the host cluster. Cerner also uses Oracle’s Tuning Pack, Diagnostic Pack, and Change Management Pack to help protect the integrity, confidentiality, and availability of its Millennium healthcare data. Oracle’s EAL 4 (Evaluation Assurance Level 4) rating also attests to its robust security. [[1]] MikeField 08:49, 17 January 2010 (CST)

Certification Commission for Health Information Technology (CCHIT) performs rigorous inspection of EHR's integrated functionality,interoperability, security and is intended to serve health care providers looking for maximum assurance that a product will meet their complex needs. These listed products have CCHIT Certification but have not been tested against the applicable proposed Federal standards in existence on the date of certification for certified EHR technology of its type under the American Recovery and Reinvestment Act of 2009 (ARRA): 1) Cerner Millennium FirstNet 2007.19 (Expires April 22, 2011), 2) Cerner Millennium PowerChart 2007 (Expires January 22, 2011), 3) Cerner Millennium FirstNet 2007.19 (Expires April 22, 2011), and 4) Cerner Millennium PowerChart/PowerWorks EMR 2007.19 (Expires April 22, 2011). 4 [[2]] EarnValle, September 6, 2010, 9:15pm CST

Millennium Objects

Custom applications can be developed on the Cerner Millennium architecture with MillenniumObjects. MillenniumObjects utilizes Java and XML services for API development by client developers. MillenniumObjects can be used to create custom applications and additional features on existing processes. Third-party extensions are available to create new workflows.


  4. "Cerner EMR Solutions - An Overview". (May, 2012) Excite Health Partners
  5. "Cerner Corporation" (September, 2013) New York Times Business Day
  6. Cerner Corporation: Healthcare Information Technology.
  7. Cerner - Wikipedia.
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