1. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 1 Internet-based communication between Hospital and General Practitioners IKTA4-133 PROJECT Project co-ordinator: Simon Béla head of IT dep. simonb@tmkorhaz.terrasoft.hu Tolna County Hospital H-7100 Szekszárd, Béri Balogh u. 5-7. HUNGARY

2. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 2 Bird's eye view of the project

3. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 3 Main objectives - Accessing the appointments calendar of Hospital, GP can optimise the referring date for patients in accordance with the capacity of specific wards and needs of the patients. In the non- urgent cases, by sending the patient’s data electronically - via the Internet –, the medical staff of the hospital can get rid of the administrative task of entering referring data into the HIS. - On the aother hand the family doctor can access his/her patient’s care data from HIS automatically as the actual hospital care had been closed with the final documants. In this way the family doctor can see the treatment’s result before patient would show up in the doctor’s office with the paper-formed final report. By merging the final report’s data of hospital cases into the GP’s application system these data can be accessed for any future patient-visit.

4. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 4 Expected results, benefits  The integration of the different levels of health care (primary care, outpatient, inpatient care) can improve the quality of curing, nursing and prevention activities on each sides which accompanies the cost-reduction of care, because for example with the information of specific diagnostic examinations’ findings, the number of repeatedly or unnecessarily requested examinations can be decreased.  The waiting time for examinations can be shortened significantly by the usage of appointment diary.  The medical staff’s work can be planned, scheduled in a better way in accordance with the appointment system.  Accessing the hospital treatment’s data the family doctor can have a better view of his/her patient and the facility of automatic insert of the final results into the GP-application, the family doctor can see these data in the future any time.

5. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 5 Members of the project-consortium Define Hospital’s needs,  operating environment Elaborate GP’s needs  end- users IT center, security management Application development Quality assurance Tolna County Hospital, Szekszárd Dr. Schranz Róbert GP Dr. Tajdina Julianna GP Synergon Plc. Datex Ltd. Computer & Automation Research Institute (HAS)

6. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 6 Bird's eye view of Hospital in Szekszard Bird's eye view of Hospital in Szekszard

7. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 7 Project phases and scheduling

8. In patient care Patient administration Out patient care Diagnostics, labs Researches Pharmacy MANAGEMENT Blood bank Catering Materials management House- keeping Finance Human resources Medical subsystems Auxiliary subsystems National health care institutes Other health care institutes Banks OEPVendors Local government Min. of Welfare Family doctor HIS model

9. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 9 GP’s requirements  Available hardware and software requirements  Appropriate Internet-connection  Existing HIS must be able to send/receive patient’s data to/from GP’s software.  Operating appointment scheduling system in the Hospital.  On-line booking possibility into the HIS.  Data security, data accessing and data protection requirements in accordance with laws.

10. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 10 Data transfer requirements for HIS  Optional data browsing and/or downloading  Automatic and/or dedicated downloading  Data set selection (all patient’s data or selected)  Browsing and/or downloading actual and former examinaions.  Merging related cases’ data  Accessibility of non praxis-belonged referred patients’ data  Usage of standard interface for linking GP’s and Hospital Information Systems

11. DMZ Internet Firewall LAN router Security administrator client Antivírus gateway Antivírus management Hospital servers Web server, web proxy E-mail DNS, LDAP server External Wards_1 External Wards_2 Hospital clients, antivírus CA server Application server General practitioners Security solutions

12. DMZ Internet Firewall LAN router Security administrator client Antivírus gateway Antivírus management Hospital servers Web server, web proxy E-mail DNS, LDAP server External Wards_1 External Wards_2 Hospital clients, antivírus CA server Application server General practitioners Authentication SSL authentication User név, jelszó

13. DMZ Firewall LAN router Security administrator client Antivirus gateway Antivirus management Hospital servers Web server, web proxy E-mail DNS, LDAP server External Wards_1 External Wards_2 Hospital clients, antivírus CA server Application server General practitioners Virus protection

14. ? ORACLE database-server LAN / WAN Server/client operation Internet System architecture

15. ORACLEIAS internet application server WEB-basedoperation ORACLE database-server LAN / WAN Server/client operation Internet System architecture

16. Development tools

17. Common Java, XML, SQL development environment Common Java, XML, SQL development environment J2EE 1.3 support EJB 2.0, JSP 1.2, Servlet 2.3 J2EE 1.3 support EJB 2.0, JSP 1.2, Servlet 2.3 UML modeling Class Modeler, Activity Modeler UML modeling Class Modeler, Activity Modeler Code tuning Code tuning Error searching (local, remote, distributed) Code analysis (execution, memory handling, event handling) Error searching (local, remote, distributed) Code analysis (execution, memory handling, event handling) Oracle Developer

18. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 18 Post-project future plan Primary care Hospital Pharmacy Rehabilitation Integrated Health Care Systems Helath Care Institutes Patients Social Insurance

19. e-HospitalGPsIKTA4-133 projcet presentation, May 22. 2003, Roma 19 e- HospitalGPs project hank you for your attention!