Internationale Datenstandards und Interoperabilität als Grundlage der Digitalisierung des Gesundheitswesen
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Internationale Datenstandards und
Interoperabilität als Grundlage der
Digitalisierung des Gesundheitswesen
Jürgen Brandstätter
Member, IHE International Board
Executive Board, Global Consortium for eHealth Interoperability
Deputy Co-chair, IHE Europe
Co-chair GDC, Pharmacy, Education
------------------------------------------------------------------------
Director Standards Development, x-tention GmbH
CodeWerk Software Services and Development GmbH
Digital Transformation in
Healthcare
Electronic Health Information Exchange
Electronic Health Records
Digital Imaging
ePrescription
eReferral
eImmunization
Mobile
etc.
Health
Devices (IoT) Appointments
29.04.2021 Internationale Datenstandards und Interoperabilität 2
Why standards?
IT Systems of different vendors need to
exchange data which shall be semantically
understood to fulfill a certain use-case
To acomplish this, we needs standards!
How do they communicate (protocol)
What do they communicate (content)
29.04.2021 Internationale Datenstandards und Interoperabilität 3
Who is creating standards?
• Standards Development
Organizations
− Develop „base“ standards
− E.g. C D A , :
• Standards Profiling Organizations
− Develop guidelines how to „use“ the base
standards
29.04.2021 Internationale Datenstandards und Interoperabilität 4
What is IHE?
Focused on the Project
eHealth Projects
Interoperability
Specifications Projectathon
Test Report
ISO17025
Use-case
Actors
Profiles
IHE Conformity
Transactions
Assessment
Content
Workflow
Standards
Product Product
Global and specific
29.04.2021 Internationale Datenstandards und Interoperabilität 5
IHE Austria
• Verein zur Förderung der Integration der IT- und
Medizintechnik im österreichischen
Gesundheitswesen
− https://www.ihe-austria.at
• IHE National Deployment Committee
− Non-for profit
• Members
− Well-known technology providers in the healthcare sector
− Healthcare institutions / providers
− Interest groups
− Hospitals and insurance institutions
− Research and educational institutions
− Private individuals and students
29.04.2021 Internationale Datenstandards und Interoperabilität 6
As it started in Europe
First eHealth large scale deployment: European Patient Smart Open Services
2008 – 2014
36,5 Mio € spent
25 European countries
https://ec.europa.eu/health/ehealth/electronic_
crossborder_healthservices_en
Source: Gerald Cultot, European Commission, Keynote speech at IHE World Summit 2016
29.04.2021 Internationale Datenstandards und Interoperabilität 7
Refined eHealth European
Interoperability Framework
Use-case driven
approach!
Use international European Commission
standards! recognizes
27 IHE profiles
that should be
https://ec.europa.eu/health/sites/health/files/ehealth/docs/ev_20151123_co03_en.pdf referenced in public
procurement
29.04.2021 Internationale Datenstandards und Interoperabilität 8
The journey
CONVERGENCE
Standards Blueprint
and
Implementation Guides on how to
use them
29.04.2021 Internationale Datenstandards und Interoperabilität 9
What is a „global“ blueprint?
Blueprint
29.04.2021 Internationale Datenstandards und Interoperabilität 10What is a „global“ blueprint?
Blueprint
=
Globally accepted
way „how to do it“
Blueprint
29.04.2021 Internationale Datenstandards und Interoperabilität 11eHealth Landscape
Blueprint
Use-case Blueprint
Use-case Blueprint
Use-case
Use-case
Patient
Identification
Blueprint
Use-case
Blueprint Use-case
Use-case Use-case Audit and
Use-case
Logging
Use-case
Blueprint
Use-case Blueprint
Use-case
Use-case
Use-case Use-case
Document-
Blueprint
Use-case Use-case
Blueprint sharing
29.04.2021 Internationale Datenstandards und Interoperabilität 12Path to Interoperability
„Traditional setting“
…
Standard Profiling Deployment
Creating the base Profile them for the Make it market-ready,
standards eHealth use-case off-the-shelf products,
testing
29.04.2021 Internationale Datenstandards und Interoperabilität 13Path to Interoperability
„Today‘s setting“
Collaboration
Standard Profiling Deployment
Creating the base Profile them for the Make it market-ready,
standards eHealth use-case off-the-shelf products,
testing
29.04.2021 Internationale Datenstandards und Interoperabilität 14Gemini
Gemini
A Joint Initiative of IHE and HL7
to Advance Use of FHIR for
Interoperability
29.04.2021 Internationale Datenstandards und Interoperabilität 15http://globalhealthinterop.org/
29.04.2021 Internationale Datenstandards und Interoperabilität 16The bigger vision
Collaboration
Standard Profiling Deployment
Creating the base Profile them for the Make it market-ready,
standards eHealth use-case off-the-shelf products,
testing
Requirements Implementation
29.04.2021 Internationale Datenstandards und Interoperabilität 17Potentially …
Support Promise Uptake and
Request
Contribution Implementation
Funding Result
(„it is used!“)
Requirements for Standards, Best-
eHealth use-case Practices, Testing
HL7 IHE HIMSSDigitizing eHealth is as serious as building
up …
Infrastructure
So it must be treated
in that way!
in the minds, in the budgets!
29.04.2021 Internationale Datenstandards und Interoperabilität 19House analogy
Developed in
collaboration with
29.04.2021 Internationale Datenstandards und Interoperabilität 20Basement: The Groundwork
Healthcare Provider Index
(person and organization) Auditing and Logging
Master Patient Index
Access control
Consent policy
STANDARDS
Developed in
collaboration with
29.04.2021 Internationale Datenstandards und Interoperabilität 21Ground level: e-Health
applications
Clinical document eReferral
sharing
Others
Access control
Document Consent policy
repository Data
repository
ePrescription
eImmunization
Data Data
repository repository
STANDARDS CDA
Developed in
Standards collaboration with
29.04.2021 Internationale Datenstandards und Interoperabilität 221.Floor: Dashboards, AI, etc.
AI
Security
Registers
DHIS2
Statistics and
reporting
Document AI
Data
repository Registers
repository
Data
Data
repository
repository
STANDARDS CDA
STANDARDS CDA
Developed in
STANDARDS collaboration with
29.04.2021 Internationale Datenstandards und Interoperabilität 23Our ELGA
• Is exactly following that principle!
– Implementing: Basement + Ground floor
• Pat Index, HCP Index, AccessControl, Logging
• eReport, eMedication, eImmunization
– Supporting: First floor
• „Green Pass“
• Based on „international“ and „profiled“
standards
– And blueprints
• Template for others
– Switzerland, Greece, Saudi Arabia, …
• Internationally renowned(!)
29.04.2021 Internationale Datenstandards und Interoperabilität 24COVID quo vadis?
• Revealed „gaps“ in eHealth in Austria
− Induced „work-arounds“ and „quick-fixes“
− E.g. ELGA e-Medication as e-Prescription
• ELGA is key!
− Used to less
− Extend it
− More functions for citizens More
Apps!
• Connect to Europe!
− Partipate in cross-border exchange
− Re-establish leading role
29.04.2021 Internationale Datenstandards und Interoperabilität 25EU Digital Green Certificate
• Links
− EU eHealth and COVID-19
− Digital Green Certificate Comprehensive, fast, collaborative
European members states work!
• Types of certificates
− Vaccination certificates No direct involvement of SDOs
− Recovery certificates But indirectly!
− Certificates for test results
• Specifications
− Architecture, Trust Framework: Outline Trust Framework
− Minimum datasets: Vaccination, Recovery, Test
− Detailed technical specifications for Digital Green Certificates:
− Volume 1: formats and trust management
− Volume 2: Digital Green Certificate Gateway
− Volume 3: 2D Barcode Specifications
− Volume 4: Digital Green Certificate Applications
29.04.2021 Internationale Datenstandards und Interoperabilität 26Conclusion
• Use and extend ELGA
− Primary care, COVID crisis
− Build apps to get the citizen
• Support standard development
− Global public good
− Investments pay back multiple times
− Needs political mindset and support
• Collaboration is the future
− Convergence happens internationally!
− Austria shall be part of it!
29.04.2021 Internationale Datenstandards und Interoperabilität 27Links
• IHE Austria
− IHE Austria Homepage: https://www.ihe-austria.at
• IHE Homepage
− http://www.ihe.net/
− http://www.ihe-europe.net/
• IHE International Social Media
− YouTube channel: https://www.youtube.com/user/IHEIntl
− IHE Webinars: http://www.ihe.net/Webinars/
− Twitter: https://twitter.com/IHEIntl
• IHE Wiki
− http://wiki.ihe.net/
• Google groups
− http://groups.google.com/
29.04.2021 Internationale Datenstandards und Interoperabilität 28Links
• Gemini
− https://confluence.hl7.org/display/GP/Project+Gemini
• Global Consortium for eHealth Interoperability
− http://globalhealthinterop.org/
• GDHP, Global Digital Health Partnership
− https://www.gdhp.org
• Interesting publications
− eHealth Suisse Summary IHE / HL7 / FHIR
• https://www.e-health-suisse.ch/fileadmin/user_upload/Dokumente/E/overview-ihe-hl7-
fhir.pdf
− The 3 Legs of the Health Informatics Standards Process
• http://www.healthintersections.com.au/?p=2921
− The 4 aspects that change the game in eHealth Interoperability
• https://www.linkedin.com/pulse/4-aspects-change-game-ehealth-interoperability-
j%C3%BCrgen-brandst%C3%A4tter
− European Commission recognizes 27 IHE profiles that should be referenced in public
procurement documents
• http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=OJ:JOL_2015_199_R_0011
29.04.2021 Internationale Datenstandards und Interoperabilität 29Changing the Way Healthcare CONNECTS
http://www.ihe.net
Jürgen Brandstätter
j.brandstaetter@codewerk.at
juergen.brandstaetter@ihe-europe.net
LinkedIn: https://www.linkedin.com/in/jbrandstaetter
Twitter: JuBrandstaetterYou can also read
