ANTILOPE - HOW TO REACH INTEROPERABILITY IN E-HEALTH
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1 ANTILOPE - HOW TO REACH INTEROPERABILITY IN E-HEALTH
2 Adoption and take up of standards and profiles for e-health Interoperability Project presentation Ib Johansen, Antilope coordinator (MedCom)
3 Interoperability (one definition) The ability of two or more systems or components to exchange information and to use the information that has been exchanged Source: Institute of Electrical and Electronics Engineers. IEEE Standard Computer Dictionary: A Compilation of IEEE Standard Computer Glossaries. New York, NY: /03/2015 HIMMS Türkey 21st March
4 Why need for interoperability Quality and efficiency cost savings Sharing and reuse of clinical data better patient treatment o Requires Interoperable systems o Interoperable data exchange services eeif - Interoperability identified by the ehealth European Interoperability Framework as a priority. 21/03/2015 HIMMS Türkey 21st March
5 Antilope ANTILOPE Thematic network To promote use of standards and profiles for e-health interoperability and To foster their adoptions across EU 21/03/2015 HIMMS Türkey 21st March
6 Antilope, Background, Purpose, outcome Antilope a thematic network: Drive adoption and take up of profiles for e-health Interoperability Develop documentation and educational materials related to existing standards and profiles for ehealth interoperability from eeif Define Quality Assurance testing guidelines for interoperability Identify Testtools for Interoperability Propose a labelling and certification process (EU level and national level) 21/03/2015 HIMMS Türkey 21st March
7 Antilope Core and Expert Partners 21/03/2015 HIMMS Türkey 21st March
8 Antilope Validation Partners Denmark, Norway, Sweden Finland, Iceland, Estonia, Lithuania, Latvia Poland, Czech Republic, Slovakia, Hungary Ireland, United Kingdom Belgium, The Netherlands, Luxemburg France, Switzerland, Germany, Austria Slovenia, Croatia, Serbia, Bosnia, FYE Macedonia, Montenegro Italy, Malta Portugal, Spain 21/03/2015 HIMMS Türkey 21st March 2015 Romania, Bulgaria, Greece, Cyprus, 10 Turkey
9 Purpose of the Summits To agree that - interoperability is essential for care safety and cost containment - interoperability of ehealth systems should never be taken as given. - To achieve interoperability use of appropriate standards and profiles supported by appropriate testing is needed. - interoperability testing should be based on a Quality Management System using testing tools - the ehealth European Interoperability framework is the first step in harmonising interoperability efforts over Europe (at country, region or local level). To bring the audience to the point to include in your regulatory framework the concepts of proven and certified functional quality requirements, to reach national as well as cross border interoperability To partner towards interoperability 21/03/2015 HIMMS Türkey 21st March
10 Antilope, Background, purpose, Outcome Common approach to achieving interoperability through testing and certification based on: 1. WP1: Refined Interoperability Use Cases from eeip implementation guidance specification 2. WP2: Quality manual Quality management system - QMS It allows Conformity Assessment Bodies e.g. testing laboratories, to provide high quality test reports when the QMS is implemented 3. WP3: Interoperability testing Tools Inventory A portfolio of testing tools that would be sufficient for testing the recognized profiles from the eeif. 4. WP4: Interoperability Labelling and Certification Antilope provides organizational models, concrete examples and guidance that can be implemented to preserve consistency at each level. Specific recommendations based on the reusability of the testing plan, test cases and test tools. 21/03/2015 HIMMS Türkey 21st March
11 Antilope, Background, purpose, Outcome 21/03/2015 HIMMS Türkey 21st March
12 Antilope, Interoperability some figures Denmark 5, 5 mill inhabitants >60 mill documents shared / year >75 IT systems / > 60 vendors tested and approved by MedCom 120 profiles/standards Primary GP EMR (8) Private specialists (12) Physiotherapists (5) Psychologists (10) Podiatrists (4) Dentists (5) Chiropractors (9) Pharmacies (3) Shared Care (3) Homecare (3) Secondary Health Insurance (3) Hospital EHR(5) X-Ray (6) Laboratories (9) 21/03/2015 HIMMS Türkey 21st March
13 Antilope, Interoperability some figures Denmark e-prescriptions (100%) E-Lab test orders (100%) E-lab test results (100%) E-Referrals (100%) E- Discharge summaries (100%) E-Home care (98%) E- Reimbursement (100%) E-Tele Monitoring (Developing) Savings > 200 mill /year 21/03/2015 HIMMS Türkey 21st March
14 Interoperability example An on-line example
15 12 GP / PRIV spec. EMR 3000 clinics Webservices XREQ Interoperability in real life LAB test ordering REQ01 REQ02 REQ Biochem laboratories 3 IT Vendors 14 Blood Banks/IMM 2 IT Vendors 16 Microbio labs 3 IT vendors 12 Histo/CYTO Labs 2 IT vendors
16 Interoperability in real life LAB test ordering 12 GP / PRIV SPEC EMR Webservice LAB orders Hotel HOSPITALS (1200 wards) WS- REQ01 WS- REQ02 WS- REQ02 32 Biochem laboratories 3 IT Vendors 14 Blood Banks/IMM 2 IT Vendors 16 Microbio labs 3 IT vendors 12 Histo/CYTO Labs 2 IT vendors
17 Interoperability in real life LAB test results 12 GP / PRIV SPEC EMR RPT01 RPT02 RPT03/04 32 Biochem laboratories 3 IT Vendors 14 Blood Banks/IMM 2 IT Vendors 16 Microbio labs 3 IT vendors 12 Histo/CYTO Labs 2 IT vendors
18 Interoperability in real life LAB test results 12 GP / PRIV SPEC EMR RPT01 RPT02 RPT03/04 32 Biochem laboratories 3 IT Vendors 14 Blood Banks/IMM 2 IT Vendors 16 Microbio labs 3 IT vendors 12 Histo/CYTO Labs 2 IT vendors WS-XRPT01 WS-XRPT02 WS-XRPT03/04 RPT01 PHMR-/HL7 XRPT01 National- LAB Portal Patient homemonitoring
19 SENTINEL DATACAPTURE QA Interoperability in real life National- LAB Portal 12 GP / PRIV SPEC EMR HOSPITALS (1200 wards) Down/upload RPT01 WS-XRPT0x SUNDHED.DK
20 Interoperability some figures Lab Test Orders : 7,5 mill / year Lab test results: 20 mill/year Labtest orders at Hotel 2,0 mill/year Access to Labportal: 1,5 mill / year
21 THANK YOU QUESTIONS? 21/03/
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