Adoption up of standards and profiles for Health...
Transcript of Adoption up of standards and profiles for Health...
Adoption and take up of standards and profiles for p p pe‐Health Interoperability
ETSI eHealth workshop on telemedicineNice ‐May, 6‐7th 2014
Karima BourquardIHE EIHE‐Europe
Antilope
ANTILOPEANTILOPE • Thematic network • To promote use of standards and profilesTo promote use of standards and profiles
for e‐Health interoperability and • To foster their adoptions across EU
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The need for interoperability
• Quality and efficiency cost savingssavings
• Sharing and reuse of clinical data
• Requires Interoperable systems
• Interoperable data exchange p gservices
• eEIF ‐ Interoperability identified by the eHealthidentified by the eHealth European Interoperability Framework as a priority.
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AntilopeBackground, purpose, outcomeg p p
Digital Agenda and eHealth action plan 2012‐2020g g p
European Projects:•2008‐2014 – EpSOS : specifications of the cross border exchange of medical2008 2014 EpSOS : specifications of the cross border exchange of medical data •2010‐2011 ‐ HITCH (Healthcare Interoperability testing and Confor mance Harmonisation) : eHealth Interoperability roadmap) p y p• 2011‐2012: EHR QTN•2012 ‐ eEIF: eHealth Interoperability Framework•2013 – 2014: Antilope, Thematic Network •2008‐2014: eHealth Governance Initiative
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HITCH Project Recommendations
11 Develop an European ecosystem by promoting recognized profiles, test plans and test tools
Develop an European ecosystem by promoting recognized profiles, test plans and test tools
Define flexible testing processesDefine flexible testing processes22
33 Provide a European Interoperability Assessment Scheme
Provide a European Interoperability Assessment Scheme
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EHR‐QTN Project Recommendations
Apply generic criteria of quality to the initiatives(independence, openness, impartiality, transparency and confidentiality)
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2 Involve stakeholders to the definition of the priorities in defining feasible goals
3 Structure the Quality label and Certification processes in line with ISO standards
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Antilope, Background, purpose, outcome
Antilope a thematic network:• Develop documentation and educational materialsrelated to existing standards and profiles for eHealth interoperability mentioned in the eEIF report and:mentioned in the eEIF report and:
• Drive adaption and improve the standard development process
• Define QA testing guidelines for interoperability• Propose a labelling and certification process (EU level and national level)and national level)
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Antilope Core and Expert Partners
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Antilope Validation Partners Denmark, Norway, Sweden Finland, Denmark, Norway, Sweden Finland, Iceland, Estonia, Lithuania, LatviaIceland, Estonia, Lithuania, Latvia
Poland, Czech Republic, Slovakia, Poland, Czech Republic, Slovakia, o a d, e epub , S o a a,o a d, e epub , S o a a,HungaryHungary
Ireland, United KingdomIreland, United Kingdom
Belgium, The Netherlands, LuxemburgBelgium, The Netherlands, Luxemburg
France, Switzerland,France, Switzerland,
Slovenia, Croatia, Serbia, Bosnia, FYE Slovenia, Croatia, Serbia, Bosnia, FYE Macedonia, MontenegroMacedonia, Montenegro
Germany, AustriaGermany, Austria
Italy, MaltaItaly, Malta
Portugal, SpainPortugal, Spain
ETSI eHealth workshop on telemedicine 9Romania, Bulgaria, Greece, Cyprus, Romania, Bulgaria, Greece, Cyprus,
TurkeyTurkeyMay, 6th 2014
Antilope, Background, purpose, outcome
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Purpose of the Summit
• To agree that‐ interoperability is essential for care safety and cost containment
b l f l h h ld b k‐ 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‐ 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 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
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Antilope, Background, purpose, outcome
Outcome R fi d H l h EOutcomeCommon approach for
Refined eHealth EuropeanInteroperability Framework (reEIF)
pptesting and certificationthrough
Quality ManagementSystem (QMS)
The test tools inventory
throughrecommendations for reaching Quality label and certification processesinteroperabilitybased on:
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Objectives
• Provide a comprehensive set of Use Cases that can be used th h t E b i f ti l d i lthroughout Europe as a basis for national and regional implementations
• Provide tools and schemas hat can assist in shared understanding of interoperability issues
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Antilope Use Cases # Medical domain Description Scale
1 Medication e‐Prescription and e‐Dispensing 1a) Cross‐border
1b) National/Regional
1c) Intra‐hospital
1d) Citizens at home
2 Radiology Request and results sharing workflow for radiology 2a) National/Regional
2b) Intra‐hospital
3 Laboratory Request and results sharing workflow for laboratory 3a) National/Regionaly q g y ) g
3b) Intra‐Hospital
4 Patient Summary Patient Summary sharing 4a) Cross‐border
4b) National/regional
4c) Citizens at home4c) Citizens at home
5 Referral‐ and Discharge reporting
Cross‐enterprise Referral and Discharge Reporting National /Regional
5a) Referral of patient from primary to secondary care
5b) Discharge report from secondary care5b) Discharge report from secondary care
6 Participatory healthcare Involvement by chronic patients in electronic documentation of healthcare information
Citizens at home
7 Telemonitoring Remote monitoring and care of people at home or on Citizens at homethe move using sensor devices
8 Multidisciplinary consultation Medical Board Review National/Regional
Use Cases and Realisation Scenarios
Medication Patient Summaries
Radiology workflow
Laboratory workflow
Referral and discharge reports
Patient Data EntryMedical Board Review
Telehome monitoring
Functionalities Workflow descriptionsWorkflow interoperability
Consist of functionalities
Patient Identification
Terminology
Access Control
DocumentContent
HCP Identification
can be implemented with Profiles
Cross‐community Services Intra‐community Communication
Profiles IHE Continua
are based upon standards
Standards HL7 IHTSDO LOINC CEN GS1ISO DICOM …
Quality Management System (one definition)
A Quality Management System is a set of interrelated or interacting elements
that organisations use to direct and control
how quality policies are implemented and quality objectives are achieved.
Source: ISO 9000: Quality Management Systems
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Quality Manual for Interoperability Testing
Part ID2.1 Quality Management System
Part IID2.2 Interoperability Testing Processes
Requirements for
the operation of
Conformity
CAB
Assessment Bodies
performing
Interoperability
Testing
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objectives for Testing Tools
• Identify existing & new testing tools required to cover the selection of Use Cases described in the eHealth European Interoperability Framework (eEIF)eHealth European Interoperability Framework (eEIF) and their refinement
• Promote the use of existing testing tools• Promote the use of existing testing tools • Promote the development of required new or improved testing toolsimproved testing tools
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Testing tools gap analysis process
eEIF Use Cases
ANTILOPE refined Use CasesANTILOPE refined Use Cases
Selection of Profiles and underlying standards
E i i T i
Selection of Profiles and underlying standards adapted to the Use Cases
Existing Testing Tools for Selected
Profiles and standards
Gaps in existing testing tools
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Testing and Certification Objectives
To design a European quality label or certification process that supports eHealth interoperability in Europesupports eHealth interoperability in Europe.
These processes shall operate in harmony with country specific quality label or certification processes
M i b fiMain benefits:For Healthcare providers
– A harmlonized European market for the eHealth solutionsa o ed u opea a et o t e e ea t so ut o s– Better integration between solutions– Ability to exchange electronically medical data between Regions and Nations
For IndustryFor Industry– One recognized quality label or certification process in Europe– Avoid duplication between the national and regional testing processes
F t d t li ifi ti l t d di t ti t l– Factor and mutualize specifications elements and corresponding testing tools
Antilope 2011/2014
Quality label and Certification Functional Model
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The Quality Label and Certification processes (1/2)
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How to deploy QL & C processesI i ti iIn your organisation, region, or Nation ?
4 STEPS4 STEPS
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http://www.antilope‐project.eup // p p j
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