1. 1 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office Trust in Interoperability Prof.dr. Robert A. Stegwee Chair, HL7 The Netherlands Co-chair, HL7 International Council Chair, CEN TC251 Principal Consultant, Capgemini Professor of E-Health, Univ of Twente robert.stegwee@capgemini.com

2. 2 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office Topics Interoperability has many aspects Role of Healthcare Standards in Trust How HL7 helps build Trust in Interoperability

3. 3 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office Many types of healthcare information need to be exchanged Patient Government Agencies/ Public health/ research Doctors and other clinicians notes and orders Pharmacy Medication Orders and Lists Lab Test Orders and Results Hospitalization Summaries Payers/ financial systems Medical Imaging Orders and Results Home Health Monitoring Device

4. 4 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office Exchange requires Interoperability The ability of two or more systems or components to exchange information Such a system comprises people, process, and technology AND the ability to use the information exchanged Can be safely processed by the technology Fits with the flow of the processes Makes sense to the people doing their job

5. 5 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office How to trust the information exchanged Do I know it hasnt been tampered with? Does it come from a trusted source? Does it make sense in the context of my patient? Will I be liable for decisions based on faulty or missed information? The case of the out-of-hours house visit … Also: How to trust the exchange of information

6. 6 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office Health IT Standards to help build Trust Data protection Role-based access control End-to-end security Logging Authentication Clinical Registry based Authentication of Professionals Authentication of Systems linked to Certification Certification of Systems Certification of software systems Certification of their implementation and use

7. 7 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office Professional Standards to build Trust Agreement on data content and structure What data should be made available in which circumstance What are acceptable ranges of currency of data Agreement on process What describes professional conduct, guidelines Which steps should be carried out before a referral or order A process to review these agreements Review the content of the agreements Review the compliance with the agreements

8. 8 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office Some HL7 Standards to help build Trust Electronic Health Record System Functional Model EHR-S FM as a basis for system certification EHR-S Functions are understood and certifiably present If you dont have a certified EHR-S, I wont exchange information with you Use-cases as foundation of HL7 v3 messages Professional conduct can be modeled Detailed models of clinical content Applicable across services, messages and documents

9. 9 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office The HL7 Process helps to build Trust Involvement of clinical professionals Clinical professionals are leading the development Modeling and Vocabulary Facilitators help structure content Health informatics professionals assess options and feasibility Ability to involve professional societies in ballot process Open ballot process, based on ANSI rules Every comment needs to be addressed Possibility to test standards in real life practice Draft Standard for Trial Use – make sure it works first!

10. 10 HL7 Educational Session – eHealth Week Budapest 2011 © 2002-2011 Health Level Seven International, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International, Inc. Reg. U.S. Patents & TradeMark Office I trust …. you have questions! Thank you for your attention