KITH in a nutshell Norwegian Centre for Informatics in Health and Social care

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2 KITH in a nutshell Norwegian Centre for Informatics in Health and Social care Limited company, notfor-profit Established 1990 Owners: Ministry of Health and Care Services: 70% The Associatiation for Local and Regional Authorities: 19,5% Ministry of Labour and Social Inclusion: 10,5% Financed by contracts Net income(2006) NOK 25.7 mill NOK (3.2 mill euro) National standardization Contracts Central Adm Contracts Hospital sector Others International Ph. D. Eng. M Sc IT + eng MD M Arts BSc MBA Others

3 The KITH model National centre Standards etc. in information exchange, information security, electronic health records (EHR) and digital radiology Coding and cassification, terminology synergy Contracts ; IT strategy, specifications, selection and implementation,.

4 Trondheim an ehealth city KITH; National Centre for Informatics in Health and Social Care NTNU-NSEP; National research centre for EHR Norwegian Health Net main office Hemit IT department of Mid-Norway regional Health Authority SINTEF applied ehealth research Innovative enterprises: NHI,Visma,

5 High IT penetration in Norwegian health care -The challenge: Moving from isolated islands to an information highway Method: Standardization

6 KITHs primary task is to establish a foundation for large scale, secure electronic cooperation KITH develops standards for secure and reliable information exchange in the Norwegian health care sector Develops standards, guidelines and specifications Develops methods and procedures for standardization Proactive partner for a coordinated large scale implementation of standards

7 KITH standards Coding, classification and terminology EHR Electronic Health Records requirements for systems (access, archiving, ) Information exchange Standards and guidelines for security and reliability

8 Information exchange Standard messages (content) More than 30 messages Based on european standards (CEN), where possible XML-messages Exampels: Referral and discharge letters Request and answer for medical services (e.g. laboratory and radiology) Reports to central authorities Transfer of EHR information Electronic prescriptions Certification (and testing) of software products adherence to standards done by KITH

9 Architecture for e-health interoperability What it is A generalized description of the elements required for electronic communication between different actors and IT systems in the health care sector and how these relate to each other Why Describe the elements required for communication Establish needs for standardization (what is done/what needs to be done) Create common understanding of challenges Establish minimum requirements

10 System architecure For messages For webservices (WS) System architecure Applications (EPR, PACS etc) Standard of content Standard of content Applications (EPR, PACS etc) Communication services Communication framework Communication framework Communication services Infrastructure & basic services Infrastructure & basic services Infrastructure & basic services Infrastructure & basic services

11 Architecture secure communication Standard of content (messages) Message Header Opt. personal signature Application Acknow -ledgement ebxml-framework (enveloping, transport ack., envelope signature, autentication) Message box Adr. catalog Norwegian Health Network PKIcatalog Internet

12 Electronic cooperation on Test og godkjenning Internett Norsk helsenett ebxml (Innpakning, adressering, transportkvittering, Kryptering, autentisering, virksomhetssignatur) PKIkatalog Adresse- Katalog (HER) Andre dokumenter Samhandlingsarkitektur Bruk av XML Datatyper Sende vedlegg FAQ Råd og tips Ordforklaringer Helsevirksomhet Kommune Fagsystem ( EPJ, PAS, Lab, PACS/RIS,..) Ev. personlig signatur Innholdsstandard (melding) Hodemelding Postkasse Applikasjonskvittering Helseregistre, apotek, RTV, med mer Kodeverk Begrep mm Meldingshjelp Statusoversikter

13 Testing and validation System for certifying correct implementation of standardized messaging Objectives Simplify implementation of standardized messaging, for vendors and users Ensure correct implementation of standards in health care systems Give stakeholders a collected status of implementation of standardized messaging in vendor systems

14 Services provided Automated self-test tool Allows vendors/implementors to upload generated messages and check for syntax and (some) semantics Receiving and sending messages over ebxml with application receipt Request messages via web interface Acceptance tests for sending and receiving of messages Test cases Self declaration and KITH inspection Messaging help desk

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