ehealth Standardisiserung durch Open Source

Transcription

1 ehealth Standardisiserung durch Open Source Alexander Ihls President and Director, Open ehealth Foundation Senior Expert Medical IT, T-Systems International 1

2 Healthcare Paradigm Shift: From facility-centric Healthcare Model Physiotherapy Physician Patient Pharmacy Hospital Healer Health Insurance Consumers are forced to interact with facilities focused around the needs of the healthcare provider, employer, payer or supplier. 2

3 Healthcare Paradigm Shift: to Consumer-centric Healthcare Model Physiotherapy Physician Hospital Patient Pharmacy Healer Health Insurance The modern approach of healthcare system is consumer-orientated. The consumer is situated in the center of various healthcare facilities. 3

4 Healthcare Paradigm Shift: Supported by the Open ehealth Foundation Physiotherapy Physician Hospital Patient Pharmacy Healer Health Insurance The Open ehealth Foundation provides an open healthcare ecosystem for developing patient centric healthcare applications. 4

5 Impediment Healthcare Fragmentation Provider Fragmentation No single provider can cover a large percentage of a single consumer s health activity treatment processes mostly go beyond the services of a single provider Standard Development Organization (SDO) Fragmentation No single standard covers a large percentage of a single consumer s health activity mass of existing standards is fragmented and in its amount a barrier for adoption Vendor Fragmentation Each vendor provides useful but highly fragmented data and services within the healthcare delivery chain provided information mostly cannot be used by other healthcare IT systems 5

6 Classes of standards related specifications (*) (*) based on the ehealth-interop Report in response to EU Mandate/ , Section 4.3, June, 2009 Xinnovations Vorlesung: - ehealth Standards Standardisierung für Interoperabilität durch Open in der Source medizinischen Informatik, HHN

7 OSS in Healthcare Backoffice Components Linux Webserver Applicationserver Desktop Applications & Tools Mail Internet Browser Text, Sheets, Presentation Non-medical Applications Content Management Systems Wikis 7

8 OSS in Healthcare different kinds of usage Medical Applications & Clinical Trials HIS RIS/PACS Trials Management Interfaces & Framework (Standards) Open Healthcare Framework (OHF) Project CORBAmed Open Health Tools Open ehealth Foundations 8

9 Idea: Open ehealth Foundation Nucleus of broad healthcare industry and developer alliance Independent non-profit entity Promoting ehealth within the healthcare sector Providing an organizational, legal and financial frame for open source software projects Open Source development platform and community Work results comprise standardized data model implementations extensible frameworks tools for building, deploying and managing software solutions Making standards work 9

10 Open ehealth Foundation Framework ISV Business Applications Open ehealth Foundation Framework ESB, Middleware & Application Servers OS & DB Software, Server, Storage, Networks Best-of-breed tested components Record & Document Management Code Systems & Terminology Security Integration Development Tools and Architecture Framework Blueprints Configuration & Deployment Guides for Validated Stacks Development & Integration Guides Support for full Software Development & Product Lifecycle of Healthcare Solutions 10

11 Open ehealth Integration Platform (IPF) Domain Specific Languages (DSLs) IHE Support HL7 v2 Support CDA Support Groovy scripting language Flow Management Large Message Support 11

12 Implemented HIT Standards as DSLs The HAPI project. HAPI (HL7 application programming interface; pronounced "happy") is an open-source, object-oriented HL7 2.x parser for Java. HL7 ( is a messaging specification for healthcare information systems. This project is not affiliated with the HL7 organization; we are just writing some software that conforms to their specification. The project was initiated by University Health Network (a large multi-site teaching hospital in Toronto, Canada). IPF provides support for: creating CDA document objects from scratch rendering a CDA document object into its XML representation parsing of existing CDA documents extracting individual pieces of information from CDA documents The IPF provides support for several IHE profiles. The basic idea is to offer a Camel component for each IHE transaction. These components ensure that the technical requirements of the profile are met by applications built on top of the IPF IHE support. 12

13 Open ehealth Integration Platform (IPF) Existing modules and components in the IPF project IHE Support CDA Support HL7 Support Core processors Mapping Services Flow Management Large Message Support Event infrastructure IPF Core Performance Testing OSGi Support Development Tools Management Consoles Apache Camel 13

14 Open ehealth Integration Platform (IPF) Multiple implementation scenarios OEM Partner, ehealth/hit vendors Local or regional projects National and international projects 14

15 Positioning: Standard Development Orgs (SDO) The Open ehealth Foundation Does not compete with standards development organizations like HL7, OMG, etc. Does not compete with standards selecting or profiling organizations like IHE, Continua Alliance, etc. Is not another SDO Focuses on implementation of standards and existing profiles Gives feedback on standards into existing standards development processes 15

16 Nichts auf der Welt ist so stark wie eine Idee, deren Zeit gekommen ist! (Victor Hugo) Alexander Ihls President, Open ehealth Foundation Senior Expert Medical IT, T-Systems International Phone: Mobile