Inês Tomaz Relatório de Estágio: A Relação entre o Sistema ...
tomaz vindonja
-
Upload
thcwit-conference -
Category
Healthcare
-
view
79 -
download
0
Transcript of tomaz vindonja
eHealth around the world
Challenges of EHR Implementation in Slovenia
Tomaž Vidonja, CMO, ICT Technology Network Institute
5th Sep 2014, Kolkata, India
12014 All Rights Reserved!
ICT Technology Network Institute.
Same Simple Population Questions
How many patients have been diagnosed with Sickle Cell disease last year?
How many diabetes patients are controlling their sugar?
What is the percentage of patients with high BMI?
22014 All Rights Reserved!
ICT Technology Network Institute.
Real value of health IT …
… is in:
• well-structured,
• reliable health data
based on
• open clinical data models!
32014 All Rights Reserved!
ICT Technology Network Institute.
Key Requirements
Meaning preservation Vertical semantic framework from DB to GUI
Sharing – moving the dataAbility to merge data from multiple sources - Solid data standards & protocols
Aggregation – putting the data together Semantic merging using shared content models
Portable querying
Evolution – of systems Separate the semantics from the software
42014 All Rights Reserved!
ICT Technology Network Institute.
5
Vendor-Neutral Data
Images -> PACS
Documents –> CDA/IHE
Structured Data - ???
Options-> HL7v3 RIM
-> openEHR
2014 All Rights Reserved! ICT Technology Network Institute.
openEHR
An open, domain-driven platform for developing flexible e-health systems• Separation of content and
technology• Computable data• Two-level modeling
– Archetypes – maximal data set
– Templates - data set for use case
• Multi-lingual
62014 All Rights Reserved!
ICT Technology Network Institute.
What is OpenEHR?
A community - based on years of international
collaboration in research, focused engineering
7
http://openehr.org/
2014 All Rights Reserved! ICT Technology Network Institute.
Why OpenEHR?
design and real-world implementation
experience
82014 All Rights Reserved!
ICT Technology Network Institute.
Widely adopting the OpenEHR
Healthcare Providers and Authorities (21)
Funded Research Projects(1 - EU)
Non-profit and Open Source Organisation (2)
Governments (10)
Academic Research (19)
92014 All Rights Reserved!
ICT Technology Network Institute.
What we did in Slovenia?
Smart Healthcare & Wellbeing Cluster… to deliver the VALUE.
102014 All Rights Reserved!
ICT Technology Network Institute.
Cluster & the Open Data Platform
Community
Cluster
Platform
• Open Community
• Business & Tech
• Users & Apps
• Platform – The Tool
• Development
• Innovation
• OpenEHR
• Global & Research
• Foundation
112014 All Rights Reserved!
ICT Technology Network Institute.
Where it is used today?
Children's Hospital, Ljubljana, Slovenia• Think!EHR Platform as vendor-neutral clinical data
repository based on openEHR specification is used in Think!Med Clinical (clinical information system) for longitudinal EHR at the 220 bed.
A national open health data repository • In operational environment as part of the Slovenian
interoperability backbone providing solution to eHealthapplications such as eReferral, ePrescription, eVaccinatonand national clinical registries.
122014 All Rights Reserved!
ICT Technology Network Institute.
City of Moscow eHealth
Moscow city - 780 medical facilities, including:
• 149 hospitals, 76 health centers, 428 policlinic institutions
Volume:
• Patients- 12 million, Beds in hospitals – 83,000
• Physicians – 45,000, all users – 130,000
• Patient visits/year - 161 million
• Documents/year - 1 Billion, 25TB
Based on IHE and Think!EHRTM Platform
Pilot live at 6 clinics as of Aug 2013!
142014 All Rights Reserved!
ICT Technology Network Institute.
Lifetime Health Records
Separate the semantics from the software
How will we read EHR data 50 years from now?
2014 All Rights Reserved! ICT Technology Network Institute.
15
Why?
• Reduce Time to Market
• Lower development cost
• Enable higher quality, more functionality
• Build a solid foundation for next-generation applications
162014 All Rights Reserved!
ICT Technology Network Institute.
Think!EHRTM Platform
Think!EHRTM Platform is a vendor-independent, big-data, high-performance Clinical Data Repository designed to
store, manage, query, retrieve and exchange
structured electronic health record data based on open standards
Think!EHRTM Platform includes:
Think!EHR Server, Think!EHR Explorer, Think!EHR Integration, Think!EHR EventTracker, Think!EHR Development Toolkit
172014 All Rights Reserved!
ICT Technology Network Institute.
Building Global Community
Governments and eHealth Programmes• require to capture data from disparate sources in
various formats and store it in a common, context-sensitive form
Vendor/developers • require a seamless solution that will enable them to
develop and deliver next generation health care applications, fast and efficent.
Health systems and care providers • require centralized vendor-neutral, lifelong open data
health platform for EHRs, other disparate applications and health apps with the ability to enhance research capabilities
192014 All Rights Reserved!
ICT Technology Network Institute.
Beyond the Clinical Data Repository
(1) a comprehensive web-based EHR Explorer empowering developers to build forms, views, queries and rules using simple drag-and-drop features; (2) storage of designed and generated artifacts within the platform; (3) rich set of interfaces including REST, Harvard-MIT SMART API (smartplatforms.org), HL7 FHIR and IHE.XDS; (4) CTS2 interface for standardized integration with external terminology server needed to properly include terminologies like ICD, LOINC and SNOMED-CT; (5) all data is versioned, each data entry can be accessed using a stable URI.
202014 All Rights Reserved!
ICT Technology Network Institute.
Instead of conclusion …
WHY NOT?
Start creating and growing The OpenEHR Community in India …
Let‘s move now!
212014 All Rights Reserved!
ICT Technology Network Institute.
Share your ideas & thoughts …
ICT Technology Network Institute
Smart Healthcare & WellBeing Cluster
www.ict-slovenia.net
+386 40 272118
222014 All Rights Reserved!
ICT Technology Network Institute.