1. 1 Juha Mykkänen (ed.) University of Kuopio, HIS R&D Unit Health Kuopio seminar Brussels, 5 November 2004 Health Information Systems and Information Technology Research Network in Kuopio: Supporting the Healthcare Software Service Chain

2. 2 In this presentation Healthcare software service chain Research cluster on health IS and IT in Kuopio Projects and activities Contacts

3. 3 Healthcare software service chain: Integration research in the PlugIT project 4 research groupsCompanies: 12 health sw, 3 infrastructure 6 hospital districts, 2 municipalities National R&D project in Finland: Healthcare application integration Oct 2001 – Aug 2004, 2 M€, National Technology Agency TEKES Results: Interfaces, integration methods, centre of expertise

4. 4 The road to PlugIT and beyond: Health informatics in the Kuopio region University of Kuopio established in mid 1970s Medical university → interest in health informatics research Key partner in national hospital information system development in 1980s The only “smorgasbord” of health informatics education in Finland Healthcare IT is now a regional priority Company / technology centre viewpoint in Mr. Vartiainen’s presenation

5. 5 ”Welfare IT network”: Focus on healthcare processes + software production IT education and research by university and polytechnic → Centek Healthcare IT education and research network within Centek’s umbrella

6. 6 Cluster of new research projects to support the “year 2007 target”

7. 7 ZipIT ZipIT Model for connecting, "zipping together" the methods of work and IS development Institution in charge: University of Kuopio, Shiftec, Dept. of Computer Science, HIS R&D Unit Project partners: Savonia Polytechnic (Savonia Business) 2 companies 2 hospital districts 1 municipal social and health care centre Duration: 2004 – 2007 Contact persons: Anneli Ensio, Research Director, Anneli.Ensio@uku.fi Maritta Korhonen, Maritta.Korhonen@savonia-amk.fi Marika Toivanen, Marika.Toivanen@uku.fi

8. 8 ZipIT: Work and IS development in parallel 1. IT needs - activity networks -information system Activity networks development -Workflows, task descriptions services and processes introductions Software Company changes in the activities software Health care organization 2. Information management Information system development needs - processes, information architecture busines s Tool of communication 3. Requirement specification -Use case descriptions

9. 9 SerAPI: Service-oriented Architecture and Web services in Healthcare Application Production and Integration Background –differences and changes in healthcare applications, processes, health systems, local requirements - require adaptability in systems –  Service-oriented architecture (SOA) –heterogeneity of application technologies, integration needs –  Web services Objectives –Choose information system and integration needs which can be solved using application services and interfaces –reduce overlapping work and information, simplify maintenance, effective and repeatable integration –Offer service interfaces in new generation software products and integration solutions –Choose/develop an architecture, development model and methods and tools to design and implement healthcare software in service architecture –Continue application interface and integration work of the PlugIT project, participate in HL7 Finland and HL7 International Common Services

10. 10 SerAPI viewpoints: how to produce, provide, consume and manage services to.. –10-13 companies, 2-3 hospital districts, duration 2004-2007 –HIS R&D Unit, Shiftec, Dept. of CS, University of Kuopio –Contact: juha.mykkanen@uku.fi –Effectively support changing processes and workflows of healthcare organizations.. –with adaptive, reusable and efficiently developed application products and integration solutions… –based on open and coherent services, architecture and infrastructure.

11. 11 AVOINTA: Open Integration Testing Environment – goals To agree on common methods and practices to test system integration, interfaces and their conformance with specification in Health Information systems Specification of testing environment Testing services: –web-based testing service specification for regional health care systems (using both CDA R1 and CDA R2) –testing service for context management and common services against PlugIT and HL7 specifications –safeguard testing service (PKI architecture) A common test data library with standard testing material (patient journals) duration: 09 / 2004 – 04 / 2006

12. 12 AVOINTA: Open Integration Testing Environment – overview Organisation of the project –VTT (Technical Research Centre of Finland) Information Technology, in Tampere contact: Vesa.Pakarinen@vtt.fi –Centek/University of Kuopio contact: Anne.Eerola@cs.uku.fi, Hannu.Virkanen@uku.fi Groups: HIS R&D Unit, Shiftec, Software Engineering –Prime Solutions Ltd., in Vantaa contact: Jaakko.Vuolasto@primesolutions.fi Use of open APIs and implementation of PKI architecture are building pressure for the interoperability of systems (CDAr1, CDAr2, PlugIT, PKI) Conformance of an implemented interface needs to be tested against the specification Individual applications and regional information systems need testing environment for their interfaces and integration needs –gives feedback for software developers and developers of specification –increases probability that products are implemented correctly

13. 13 FinnEHR: Finnish Electronic Health Record research and development Background: The national data requirements and structure for EPRs have been defined in 2003 as a part of on- going National Health Project The core elements in electronic patient records will be piloted in regional projects during 2004-2007 in several health districts in Finland Purpose: to enhance the national health information infrastructure through evaluation and research

14. 14 FinnEHR research and development Aims to model the reuse of clinical and health related data of EPRs e.g. for quality improvement, resource allocation and national statistics to test the model of clinical minimum data set for benchmarking the delivery of health services from consumers’ and professionals’ perspectives Institution in charge: University of Kuopio, Dept. of Health Policy and Management Shiftec and HIS R&D Unit participate Contact persons: Kaija Saranto, Research Director, Kaija.Saranto@uku.fi Kristiina.Häyrinen@uku.fi Jari.Porrasmaa@uku.fi

15. 15 Export HIS: How to export Finnish healthcare software Finland has a long tradition of using information systems in healthcare, but few companies are exporting their products How can existing know-how, companies and software products from Finland be pooled together for exports? Phase 1: Concept development in Shanghai Technology Centre Teknia and the City of Kuopio have well established relations in Shanghai → Study recent developments in Chinese healthcare system and analyse Hospital Information Systems needs in Shanghai → Evaluate the applicability of Finnish healthcare systems know-how and software to the Chinese market and establish contacts with local authorities and companies → Produce a plan for an actual export project, if feasible

16. 16 Export HIS: How to export Finnish healthcare software Software export / acquisition service chain Phase 1 duration: June 2004 – September 2005 Institution in charge: HIS R&D Unit, University of Kuopio 6 companies, Technology Center Teknia, Health Policy and Mgt. Dept. Research Director Mikko.Korpela@uku.fi, Project Manager Matti.Sipila@uku.fi

17. 17 Summary Kuopio has a long tradition and a multidisciplinary approach to health IS/IT research and development International networking within the EU –projects with similar interests wanted –R&D contacts in your region –contact directly our project of interest –discussion in the workshop: focus, goals, pan-European viewpoint

18. 18 Thank you / Merci / Dank u / Danke schön / Gracias / Tak / Efharisto / Grazie / Obrigado / Tack / Dêkuji / Tänan / Paldies / Achiu / Köszönöm / Grazzi / Dziekuje / Dakujem / Hvala / Kiitos! juha.mykkanen@uku.fi