Information Systems in a regional Health Service



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EURO-TELEPATH Telepathology Network in Europe Dr. Marcial García Rojo, Chair Pathology Department Hospital General de Ciudad Real Servicio de Salud de Castilla-La Mancha(SESCAM) Spain COST Action IC0604 SPAIN COST DAY MADRID, November 27, 2009 1

Scope Adequate technological framework for the management of multimedia electronic healthcare records Informatics applied to Anatomic Pathology Research on standards to represent, interpret, browse, retrieve digital medical images World wide search engine of microscopic images Collaborate with Standardisation bodies with previous research conclusions 2

Information Systems in a regional Health Service Mambrino / Mambrino XXI Serendipia Ykonos Retepath Novopath Cartelería digital Laboratorio (SigloWeb)

Interoperability in the Hospital

Emerging digital pathology Gross study (Intraoperative study) Digital photography Digital video Microscopy: Slides Digital photography Virtual microscopy: whole slide imaging Molecular Pathology Digital photography 5

Web based viewer Aperio Univ. Helsinki Univ. CLM Olympus

Euro-Telepath scientific program 5. International standards (DICOM, HL7, SNOMED, CEN) and IHE initiative. 6. Model for pathology and other hospital information systems 7. An European-scope telepathology network 8. Collection of interesting and typical samples, and clinico-pathological sessions 1. Automation procedures in Pathology. Best technology available and under research. 2. Scanning solutions for Pathology microscopic slides. 3. Technological solutions for compression and storage problems with large image files. 4. Virtual slide standard viewer specifications which allow efficient reviewing of pathology images. 7

Action Parties 20 18 16 14 12 10 8 6 4 2 0 11 18 YR 1 YR 2 YR 3 YR 4 Grant Holder: Fundación para la Investigación Sanitaria en Castilla-La Mancha, FISCAM. GH Representative: Marcial García Rojo Spain

Working groups 4 Working Groups WG1. Pathology Business Modelling e.g. Consensus study of existing workflows in pathology departments WG2 Informatics Standards in Pathology e.g. Participation in covered standards bodies and initiatives. WG3 Images: Analysis, Processing, Retrieval and Management e.g. study on the image analysis models (methods, systems, tools, fields of pathology). WG4 Technology and Automation in Pathology e.g. analysis of microscope brands. Coordinators Thomas Schrader (Germany) and Luis Gonçalves (Portugal) Christel Le Bozec (France) and Bernd Blobel (Germany) Janina Slodkowska (Poland) and EPFL (Switzerland) Marcial García Rojo (Spain) and Bernd Blobel (Germany)

10 Current research groups Policy: A group of researchers (balance of female & young experts aged less than 35), shall be duly appointed to encourage and coordinate the network s efforts. Action SIGNATURES 1. Finland: Tampere University & University of Helsinki 2. France: INSERM & Tribvn 3. Germany: University of Regensburg & Charité Universitätsmedizin Berlin 4. Italy: University of Udine 5. Lithuania: National Centre of Pathology & Kaunas University of Technology 6. Poland: Institute of Tuberculosis and Lung Diseases, Warsaw 7. Portugal: Hospital Espirito Santo 8. Serbia: University of Belgrade 9. Spain: University of Castilla-La Mancha, Hospital General de Ciudad Real & SESCAM 10. Switzerland: EPF Lausanne 11. United Kingdom: University of Nottingham Croatia. University of Zagreb Faculty of Electrical Engineering and Computing. Cyprus. Computer Science University of Nicosia Greece, Norway, Holland,

Partners background Action kick-off 1. Finland: Tampere University & University of Helsinki 2. France: INSERM & Tribvn 3. Germany: University of Regensburg & Charité Universitätsmedizin Berlin 4. Italy: University of Udine 5. Lithuania: National Centre of Pathology & Kaunas University of Technology 6. Poland: Institute of Tuberculosis and Lung Diseases, Warsaw 7. Portugal: Hospital Espirito Santo 8. Serbia: University of Belgrade 9. Spain: University of Castilla-La Mancha, Hospital General de Ciudad Real & SESCAM 10. Switzerland: EPF Lausanne 11. United Kingdom: University of Nottingham Clinical Pathology ICT Industry 11

IHE. Integrating Healthcare Enterprise

Business modelling

MC and WG meeting in Evora

DICOM WG26 meeting with US DICOM representatives 16

Use of COST instruments YR 1 YR 2 YR 3 YR 4 No. of MC / WG meetings No. of STSMs No. of workshops / conferences No. of joint publications No. of training schools GASG (activities) 5 1 3 5 0 Posters, website 5 6 4 15 1 Posters, website

Short Term Scientific Mission (STSM) Italy. University of Udine SESCAM, Toledo (ES) France (François Baclesse Cancer Center, Caen) Utrecht (NL) Spain. Hospital Vall d Hebron Univ. Charite, Berlin(DE) Germany. Univ. Charite, Berlin UCLM, Ciudad Real (ES) X2 Poland. Institute of Biocybernetics and Biomedical Engineering, Warsaw Hospital Virgen de la Cinta de Tortosa (ES) x 2 Spain. Hospital Tortosa Institute of Biocybernetics and Biomedical Engineering, Warsaw(PL) x 3 18

Scientific Paper publication

MC and WG meetings. 2009 MC and WG meeting. 12-13 March 2009, Paris WG1 meeting (Business modelling in Pathology), 7-9 May 2009, Berlin Workshop: WG3 and WG4. 1 Sep 2009, Sarajevo. During the 22nd International Congress of the European Federation for Medical Informatics. WG1 and WG2 meeting 4-9 Sep 2009. Florence. In conjunction with 22nd European Congress of Pathology Next: MC and WG meeting 3-4 Dec, Lausanne, Switzerland 20

The Congress is organized by the National Centre of Pathology, the International Academy of Telepathology, and the EU COST Action IC0604 European Telepathology Network

http://www.conganat.org/eurotelepath/ Action IC0604 website 22