AORTA National IT-infra for healthcare applications

1. AORTANational IT-infra for healthcare applications Karel de Smet IT architect NICTIZ Noordwijkerhout, The Netherlands 2005 May 5th

2. Agenda • Current IT in health care • NICTIZ purpose • National IT infrastructure • HC information broker • National citizen register • National HC provider register • HC provider directory

3. Other HC provider Pharmacist Specialist Patient GP HC Chain Management

4. Other HC provider Pharmacist Specialist Patient GP Current IT-facilities GPIS HIS PhIS xIS

5. Problems due to shortcoming IT • Wrong medication prescriptions • Redundant examinations • Double registrations • Insurance fraud • Administrative burden • etc.

6. Other HC provider Pharmacist HC Insurer Specialist GP Current IT developments GPIS HIS AIS xIS AIS GPpost IS RIS HL7 MLP TCP/IP AIS OZIS: Edifact SMTP xDSL PhIS LIS ASP Insurance infra: Edifact/XML Web IS Regional network SMTP/POP3 VPN

7. Other HC provider Pharmacist Specialist Patient GP NICTIZ purpose National Health Care Record

8. Where to store HC data? • Chipcard with patient • however law says: HC provider responsible • National database • however privacy law does not allow • With HC providers • possibly regional/categoric central database

9. Othet HC provider Pharmacist Specialist GP HC Information Broker HC Information Broker GPIS HIS PhIS xIS -> pull HC data (query) -> push HC data (orders, notifications)

10. Other HC provider Pharmacist Specialist GP Reference index RI Citizen register National citizen number Pull: whom to send a query? GPIS HIS PhIS xIS Query HcIB

11. Citizen register • National citizen number • Given name • Birth surname • Birth date • Birth place • Sex • Address

12. Other HC provider Pharmacist Specialist GP Authorisation protocol APT Access log Authorisation profile APF LOG National HC provider number Provider register Pull: how to protect HC data? GPIS HIS PhIS xIS HcIB RI Citizen register

13. HC provider register • National HC provider number • Name • Profession • Specialism, if any • HC organisation • PKI certificates

14. Other HC provider Pharmacist Specialist GP Application Conformance Table ACT HC provider Contact data Provider directory Push: where to send an order? GPIS HIS PhIS xIS Order HcIB Citizen register Provider register

15. HC provider directory • National HC provider number • Name, Profession, Specialism, … • Availability of services • Contact data: • Visiting address, mail address • Telephone numbers • E-mail adress • URL organisation • HL7 application ID

16. Other HC provider Pharmacist Specialist GP National IT infrastructure GPIS HIS PhIS xIS • interoperability: • HL7v3 • SOAP • HTTP • security: • PKI • SSL HcIB APT RI APF LOG scalability management by SSC Citizen register Provider register Provider directory response times up to date

17. Other HC provider Pharmacist Specialist GP Well Managed HC system GPIS HIS PhIS xIS availability HcIB up-to-date APT RI security interoperability APF LOG Citizen register Provider register Provider directory

18. The End