ehealthbox Current status and expected developments Dr Claude MICHEL CIO CHU St-Pierre, Member of CCUeH/OGCeH Dhr Wolfgang WAUTERS
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1 ehealthbox Current status and expected developments Dr Claude MICHEL CIO CHU St-Pierre, Member of CCUeH/OGCeH Dhr Wolfgang WAUTERS Project Manager ehealth Platform
2 Agenda ehealthboxconcept and Functionnalities Use Cases ehealth Roadmap Activity
3 Agenda ehealthboxconcept and Functionnalities Use Cases ehealth Roadmap Activity
4 In the press InformationDaily 07/03/2011
5 ehealthbox? ehealthbox is an ehealth basic service Secured environnement to exchange messages (medical data) between belgian healthcare actors Actors : id based on NRN/INSZ, INAMI/RIZIV, CBE/KBO Via webapp or webservices Secured eid authentication (+ role) With/wo encryption using ehealth certificates Other functionnalities Notifications : sent, delivered, read Consultation of multiple ehboxes Reply & Forward, Priority, auto-delete
6 ehealthbox Concept Closed system Only from ehealthbox to ehealthbox Only between HC professionals and institutions Not for citizens / patients No ads, no spam,... Access through webapp or webservices, NO POP or IMAP Encryption : unencrypted messages only if non medical content Quotas : 10 Mb / ehbox, 10 Mb / message
7 ehealthbox Concept -Metadata CustomMeta is optional functionality The use of CustomMeta does not influence the ehbox functionality. With no Custommeta defined, the message will still be delivered to its destination (ehealthbox) 100 fields (100 pairs) Non crypted information Use is defined by the HealthCare Sector
8 CustomMeta-purposes The goal of using the CustomMeta in ehealthbox messages is to provide extra (optional) routing capabilities to larger organisations (like Hospitals). Example: combining information from CustomMeta CM- DocumentType and CM-RecipientDepartment allows the Hospital System to determine what to do with the message content. CustomMeta contain Non Crypted Information and therefore should never contain medical data or data that enable the identification of a patient/patients.
9 CustomMeta-examples
10 ehealthbox? Before Many(unsecured) communication channels between Healthcare Actors Somesecured(legacy)
11 ehealthbox? Present
12 ehealthbox? Future
13 Agenda ehealthboxconcept and Functionnalities Use Cases ehealth Roadmap Activity
14 Scenario:Lab GP Message = LAB resultsin legacyformat, PDF or KMEHR Sender (LAB) send using webservice, Medibridge, Hector, Receiver(GP) receives eitherdirectlyfromgp software, or from Medibridge/Hector gateway
15 Scenario : GP Medex emediatt Send incapacity notifications from GP to Medex through ehealthbox From within GP Software Kmehr Message (crypted) Automatic processing by Medex system Launched mai 2014
16 Scenario : GP -Medex emediatt Links: /emediatt/index.htm?fodnlang=fr /emediatt/index.htm?fodnlang=nl
17 Scenario:Webapp All functionnalities of a webmail system, but from/to ehealthbox For Healthcareprofessionals who do not have ehealthbox integrated in their software For specific projects (TDI, FlowTCT,...)
18 Scenario:Webapp 1. Authentication using eid(no token,...)
19 Scenario:Webapp 2. Login : role and organisation
20 Scenario:Webapp 3. View INBOX
21 Scenario:Webapp 4. View message detail
22 Scenario:Webapp 5. Send new message Att: - Receiver - Patient - Encryption (Y/N) - Metadata
23 Scenario:Webapp 5. Message sent
24 Scenario:Webapp Additional Webapp functionnalities: Message status and notifications : sent, received, read Reply & Forward (to other ehealthboxes) Work with multiple mailboxes Mark specific messages as Important Auto-delete : messages are purged after 1 year, wetheror not they have been read or put in the trash basket Add metadata ( )
25 Scenario:webservices For integration in hospitals, GPs, software
26 Scenario:webservices Ex: getmessagelist Method
27 Scenario:webservices Ex: getmessagelist response
28 Agenda ehealthboxconcept and Functionnalities Use Cases ehealth Roadmap Activity
29 E-Health Roadmap Action point 17 : generalized use of the ehealthbox (and COBRHA) to all healthcare actors, including for : Messages from the authorites to the healthcare actors Messages between healthcare professionals and/or organisations Prerequisite : extend the scope of CoBRHA beyond individual care providers to institutional actors Project lead by SPF and ehp
30 E-Health Roadmap More specifically... Communication between authorities and individual HC providers through (individual) ehealthbox Provide GP guard posts, group practices, pharmacys,... with an ehealthbox Set up necessary authentic sources Develop a central portal (similar to MyInami) enabling the user to edit (some attributes of) his profile
31 E-Health Roadmap GP/nursing/kine softs, MediBridge, Hector, Mediring are integrating the ehbox and become interoperable But... Shifting from postal mail to legacy is a significant step that requires appropriate change management and communication strategy > care providers, most of them having NO integrated ehbox client (yet); webapp is the only option Deploiement of labellized software is slooow eid software difficult to install / maintain Deal with (politicial) evolution of instances and competencies
32 E-Health Roadmap ehealthbox workgroup within CCUeH/OCGeH Propositions ehealthboxsuitable for all kind of messages : structured or not, crypted or not Need for a consolidated addressbook Need active receiver involvement Need for a portal letting the receiver to edit his communication preferences Need eidauthentication more portable and manageable Need to standardize CustomMetadatato ensure interoperability
33 ehealthbook Sender Crypted/ Confidential Not Crypted/ Non-Confidential ehealthbox Addressbook Webservice Sender decision: Send message to Not Crypted External Box Citizen ebox Facebook Portal/Cobrha Register accounts eid No electronic address Twitter
34 ehealthbook MyInami portal ehealthupdateinfo «app»
35 Agenda ehealthboxconcept and Functionnalities Use Cases ehealth Roadmap Perspectives Activity
36 ehealthbox statistics
37 Links Regulation, cookbooks, users guide, E-Health roadmap
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