IST 027065 RIDE http://www.srdc.metu.edu.tr/webpage/projects/ride/ A Roadmap for Interoperability of eHealth Systems in Support of COM 356 with Special.

IST 027065 RIDE http://www.srdc.metu.edu.tr/webpage/projects/ride/
A Roadmap for Interoperability of eHealth Systems in Support of COM 356 with Special Emphasis on Semantic Interoperability METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels
Project Objectives A roadmap project for interoperability of eHealth systems leading To recommendations for actions and To preparatory actions at the European level Will prepare the ground for future actions as envisioned in The action plan of the eHealth Communication COM 356 METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

RIDE Partners METU – SRDC OFFIS IFOMIS EuroRec CNR NTUA – ICCS NUIG – DERI IHE – D OLE METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

RIDE Roadmap Phases D2.2.1 Standardization Efforts
D2.1.1 Current European eHealth Practices Austria Belgium England France Germany Greece Hungary Ireland Spain Latvia Luxemburg Malta Norway Poland Portugal Slovenia Estonia US Canada Australia METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

RIDE Roadmap Phases Management and Exchange of Clinical Data -Longitudinal Electronic Health Record -Electronic Prescribing -Electronic Booking…. Telemedicine Applications -Tele-Expertise -Tele-Diagnosis …. Applications for the Patient -Personal Consumer Health Record -Health Service Yellow Pages Public Health Applications -Epidemiological Registries -Public Health Surveillance……… ………… METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Standards for metadata and terminologies How to match patient identifiers Standards for Audit Records Interoperability of Medical Summary content Achieving chain of trust Standards for identifying the clinicians and the roles of Clinicians Authenticating the Healthcare Providers Standards for patient consent forms Digital signatures for patient consent RIDE Roadmap Phases Establishing a Europe-wide secure network to exchange medical summaries (EHR) across member states Define the models, methods and systems of workflow management for achieving business process interoperability, internally and across healthcare domains in the European Member States METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

“Emergency Dataset” “Patient Summaries” “Electronic Health Record” “Clinical Guidelines, Evidence Based Medicine” “Decision Support Systems” “Semantic Interoperability, Classification Standards, and Coding Schemes” “Providing mechanisms to uniquely identify patients, healthcare professionals and institutions even across Member State borders” RIDE Roadmap Phases Establishing a Europe-wide secure network to exchange medical summaries (EHR) across member states Define the models, methods and systems of workflow management for achieving business process interoperability, internally and across healthcare domains in the European Member States METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

IT infrastructure, interfaces and eHealth messaging systems Documentation: EHR, Patient Summaries, Emergency Datasets Clinical Guidelines and Decision Support Systems Semantic Interoperability, Classification Standards and Coding Schemes Patient, Health Professional and Institution Identifiers Security, privacy and legal issues Business processes RIDE Roadmap Phases METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

MEMBER STATE A Local Physician Local System Authenticate Medical Summary+ Digital Signature Mary Brown Local Data Repository A Member State A Locator Service METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Local Data Repository A MEMBER STATE B Member State A Locator Service Health Professional Registry Record Reference Healthcare Provider Registry Member State C Locator Service Mary Brown Dr. Can Deniz Member State B Locator Service Member State D Locator Service Choose Record Authenticate Local System Request Medical Summary Member State E Locator Service METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

RIDE Roadmap Phases METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 2 RIDE – D Standardization Efforts (due Month 4) for providing semantic interoperability in the Health domain – A short Survey on IHE Patient Care Coordination Framework RIDE – D Standardization Efforts (due Month 4) for providing semantic interoperability in the Health domain – A Survey and Analysis of Electronic Healthcare Record Standards: This deliverable is published in ACM Computing Surveys METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 2 RIDE – D Standardization efforts (due Month 4) for providing semantic interoperability in the eHealth domain – Semantic Interoperability: The deliverable covers: The current challenges about the standards for semantic interoperability, Surveys the most relevant organizations in charge of the development of standards, Focuses on the structured content of Patient Summary; ontology languages; terminologies and coding schemes METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 2 RIDE – D Current European Practices in eHealth domain: Survey of NHS Connecting for Health (England) RIDE – D Current European Practices in eHealth domain: Survey of Canada Health Infoway RIDE – D Current European Practices in eHealth domain A brief survey of the Initiative by the Dutch National ICT Institute for Healthcare (NICTIZ) RIDE – D Current European Practices in eHealth domain: Survey of CARELINK (Sweden) RIDE – D European Current practices in providing semantic interoperability in eHealth domain: Survey of eHealth Practices (Czech Republic) RIDE – D Current European practices in providing interoperability in eHealth domain: Survey of Cyprus Health Care System RIDE – D Current European practices in providing interoperability in eHealth domain: Danish Healthcare System METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 2 RIDE – D Current European eHealth practices: A Brief Survey of the Digital Health Record Project conducted by the Ministry of Social Affairs of Estonia RIDE – D Current European practices in eHealth: A Brief Survey of the Initiative by the German Federal Ministry of Health RIDE – D Current European practices in providing interoperability in eHealth domain: HEALTHCONNECT and NEHTA (Australia) RIDE – D Current European practices in eHealth: A Brief Survey of the eHealth Initiatives of Austria RIDE – D Current European practices in providing interoperability in eHealth domain: KMEHR-BIS and BE-HEALTH (Belgium) RIDE – D European Current practices in providing semantic interoperability in eHealth domain: Survey of eHealth Practices in Greece RIDE – D Current European practices in providing interoperability in eHealth domain: HUNGARY METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 2 RIDE – D Current European practices in providing interoperability in eHealth domain: Survey of eHealth initiatives in IRELAND RIDE – D Current European practices in providing interoperability in eHealth domain: LATVIA RIDE – D Current European practices in providing interoperability in eHealth domain: Survey of HealthNet (Luxembourg) RIDE – D Current European practices in providing interoperability in eHealth domain: Survey of Malta Health Care System RIDE – D European Best practices in providing semantic interoperability in eHealth domain: Survey of Norway Healthcare Services RIDE – D Current European practices: A Brief Survey of the use of ICT in the health sector in Poland RIDE – D Current European practices in providing interoperability in eHealth domain: Portugal METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 2 RIDE – D Current European practices in providing interoperability in eHealth domain: SLOVENIA RIDE – D Current European practices in providing interoperability in eHealth domain: SPAIN RIDE – D Current International Practices in providing interoperability in eHealth domain: A Survey of US eHealth Initiatives RIDE – D European Current practices in providing semantic interoperability in eHealth domain: Survey of eHealth Practices (France) RIDE – D European Best practices in providing semantic interoperability in eHealth domain: This deliverable complements the Member States studies by surveying the related IST and eTen Projects and presents the “Radar Diagrams” to investigate their relevance to the RIDE Project. In the second part, the discrete areas of interest that will be covered by RIDE Roadmap are investigated METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 2 RIDE – D Requirement Analysis for the RIDE Roadmap (due Month 6): This document provides an overview of e-health application scenarios from a user’s perspective and derives interoperability requirements of the various application scenarios, with special emphasis on the topics addressed by the RIDE project The main purpose of this deliverable together with the survey of state-of-the-art and standards is to determine goals and challenges and to provide input to the definition of a vision statement and the gap analysis METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 3 RIDE – D Goals and Challenges I (due Month 8): As a preliminary version, the first two goals and the related challenges detailed in this deliverable are: “Establishing a Europe-wide secure network to exchange medical summaries (EHR) across member states” and “Define the models, methods and systems of workflow management for achieving business process interoperability, internally and across healthcare domains in the European Member States”. RIDE – D Goals and Challenges II (due Month 12): The goal identification process: The State-of-the0Art is taken into account All the scenarios given in the Requirement Analysis deliverable and RIDE Vision Statement are considered The input collected additional from key persons in the healthcare environment in the first RIDE workshop are taken into account The input was enriched by a specific questionnaire METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 3 RIDE – D Goals and Challenges II (due Month 12): “Establishing a Europe-wide secure network to exchange emergency datasets, patient summaries, and electronic health records or excerpts thereof within and across Member States”, “Emergency Dataset” “Patient Summaries” “Electronic Health Record” “Clinical Guidelines, Evidence Based Medicine”, “Decision Support Systems” “Semantic Interoperability, Classification Standards, and Coding Schemes” “Providing mechanisms to uniquely identify patients, healthcare professionals and institutions even across Member State borders”, and “Define the models, methods, and systems of workflow management for achieving business process interoperability, internally and across healthcare domains in the European Member States” METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 3 RIDE – D Vision for a Europe-wide Semantically Interoperable eHealth Infrastructure I (due Month 8): The current and envisioned situation for the following subjects which are in the scope of the RIDE Project: IT infrastructure, interfaces and eHealth messaging systems Documentation: EHR, Patient Summaries, Emergency Datasets Clinical Guidelines and Decision Support Systems Semantic Interoperability, Classification Standards and Coding Schemes Patient, Health Professional and Institution Identifiers Security, privacy and legal issues Business processes RIDE – D Vision for a Europe-wide Semantically Interoperable eHealth Infrastructure II (due Month 14): In order to visualize the goals and to see how the current requirements can be addressed in the future, we have developed visionary scenarios METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 4 RIDE – D Gap Analysis I (due Month 10): The gaps that exist between the “state of the art” research ongoing in the eHealth domain (as-is situation) and the desired future description identified in the RIDE vision statement for achieving semantic interoperability in eHealth (to-be situation), are identified RIDE – D Gap Analysis II (due Month 16): Since the as-is-situation differ from one Member State to another, this deliverable concentrates on the gaps observed in the Member States. This deliverable is not due yet but we provide the on going work as an “interim” version METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 4 RIDE – D Trends and Opportunities I (due Month 10): This deliverable first investigates the most recent trends in five selected countries: UK, Germany, Belgium, USA, and Canada The second part of this deliverable addresses more general trends and opportunities Web Services which gained momentum in the healthcare domain: two major players, HL7 and IHE adopt the Web services Trends and opportunities in terminologies and ontologies are discussed Another version of this deliverable, namely, RIDE – D Trends and Opportunities II is due Month 18. METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 4 RIDE – D RIDE Roadmap I (due Month 12): This deliverable provides a top-down framework An approach to come up with enactment factors from Policy objectives, Metrics to characterize the roadmapping activities, and A taxonomy which systematically expresses the content of a national or regional Roadmap towards eHealth in Europe The taxonomy defines the following four main streams: Enabling activities on the infrastructure and to achieve basic interoperability (building the technical infrastructure, setting up proper regulatory framework, security and privacy, produce or adopt standards and reference materials to achieve semantic interoperability, setting up certification process on quality and safety of eHealth solutions) Vertical services to increase the efficiency of current care-related workflows Problem-oriented perspective, to enhance the quality and the appropriateness of care provision The meta-level issues arising from the 3 main streams and supporting activities METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Work Package 4 RIDE – D RIDE Roadmap II (due Month 20): An “interim” version of the second version of the RIDE Roadmap which concentrates on: “The enabling activities on the infrastructure and to achieve basic interoperability” which is identified as the first stream in the taxonomy given in the first version of RIDE Roadmap The goal is to enumerate possible ways of Rapid, accurate, and secure exchange of electronic healthcare records among authorized users which includes the patient himself With this Deliverable, we attempt to provide a starting technical framework necessary for creating a European Interoperability framework A more detailed version of the RIDE Roadmap will be provided at Month 24 METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

A Scenario… Mary Brown suffering from cardiovascular problems consults a healthcare institute in her home state A After her treatment, her physician in Member State (MS) A, first authenticates himself to the local system and creates patient’s Medical Summary Her local physician digitally signs the Medical Summary and the local system transfers these documents (Medical Summary and the Digital Signature) to the Data Repository and an audit record is sent to the local data repository The Local Data repository informs the Member State Locator service so that the Locator service indexes the document with the demographics of the patient and the meta data if available All of these interactions are audited and the participating entities are authenticated The patient provides her consent on the use of her medical summaries and digitally signs the consent form and the consent form is sent to the local data repository METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

A Scenario… Mary Brown goes to Member State B for further medical treatment and contacts Dr. Can Deniz Dr. Can Deniz in Member State B wishing to access Mary Brown’s Medical Summaries authenticates himself to his local medical system and sends the request to Member State B Locator Service Dr. Can Deniz’s and the hospital’s authentication information is obtained from MS B’s Health Professional Registry and Provider Registry and are sent to the Locator Service of MS B which passes it to Locator Service MS A for auditing purposes Member State B Locator service tries to locate Mary Brown’s Medical Summaries both in Member State B and also in all the other Member State’s if no specific Member State is stated in the request When the Locator Service of the Member State A receives the request from MS B, it checks its indices and provides the location of the record (if found) together with its metadata to the Locator Service of Member State B Locator of Member State B passes this data to the requesting Healthcare Institute METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

A Scenario… All these interactions are audited by the Auditing services of both of the Member State A and B Dr. Can Deniz chooses the records he wishes to retrieve and send this request to the Locator Service of MS B LS of MS A sends this information to the MS A Data Repository Mary Brown’s consent form is retrieved and if satisfied, the record is sent to the LS MS A and eventually to LS MS B and the requesting physician Dr. Can Deniz All of these interactions are audited All the traffic within and between Member States are encrypted. The Locator services of all the Member States must have a certificate and any two Locator Services planning to exchange data must have each other’s certificate In each Member State, all the Healthcare Institute and all the healthcare professionals have unique identifiers and certificates which are stored in the Healthcare Provider Registry and Healthcare Professional Registry respectively as already discussed METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Goals and Challenges II Trends and Opportunities
Project Timeline M0 M2 M4 M6 M8 M10 M12 M15 State-of-the-Art User Requirements Goals and Challenges I Vision I RIDE Roadmap I Goals and Challenges II Vision II Gap Analysis Trends and Opportunities RIDE Roadmap II Project Management Dissemination METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Dissemination… Three RIDE Workshops up to now… Our project has a high visibility: if you Google with ‘ehealth interoperability roadmap’, it ranks the top among resources on the Web METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

Thank you METU-SRDC Towards Semantic Interoperability in eHealth, March 12, 2007, Brussels

IST 027065 RIDE http://www.srdc.metu.edu.tr/webpage/projects/ride/ A Roadmap for Interoperability of eHealth Systems in Support of COM 356 with Special.

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IST 027065 RIDE http://www.srdc.metu.edu.tr/webpage/projects/ride/ A Roadmap for Interoperability of eHealth Systems in Support of COM 356 with Special.

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Presentation on theme: "IST 027065 RIDE http://www.srdc.metu.edu.tr/webpage/projects/ride/ A Roadmap for Interoperability of eHealth Systems in Support of COM 356 with Special."— Presentation transcript:

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