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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
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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 IKTA4-133 projcet presentation, May 22. 2003, Roma
Bird's eye view of the project IKTA4-133 projcet presentation, May 22. 2003, Roma
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. IKTA4-133 projcet presentation, May 22. 2003, Roma
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. IKTA4-133 projcet presentation, May 22. 2003, Roma
Members of the project-consortium Tolna County Hospital, Szekszárd Dr. Schranz Róbert GP Dr. Tajdina Julianna GP Synergon Plc. Datex Ltd. Computer & Automation Research Institute (HAS) Define Hospital’s needs, operating environment Elaborate GP’s needs end-users IT center, security management Application development Quality assurance IKTA4-133 projcet presentation, May 22. 2003, Roma
Bird's eye view of Hospital in Szekszard IKTA4-133 projcet presentation, May 22. 2003, Roma
Project phases and scheduling IKTA4-133 projcet presentation, May 22. 2003, Roma
Medical subsystems National health care institutes Family doctor Diagnostics, labs Researches Patient administration Out patient care In patient care Other health care institutes Min. of Welfare Blood bank Pharmacy MANAGEMENT Banks Local government Catering Materials management Finance OEP Vendors House- keeping Human resources Auxiliary subsystems HIS model
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. IKTA4-133 projcet presentation, May 22. 2003, Roma
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 IKTA4-133 projcet presentation, May 22. 2003, Roma
General practitioners E-mail DNS, LDAP server Hospital clients, antivírus Web server, web proxy Hospital servers Antivírus gateway Firewall LAN Antivírus management DMZ Security administrator client router Application server CA server External Wards_1 External Wards_2 Internet Security solutions
Authentication General practitioners E-mail DNS, LDAP server Hospital clients, antivírus Web server, web proxy Hospital servers SSL authentication Antivírus gateway Firewall LAN Antivírus management User név, jelszó DMZ Security administrator client router Application server CA server External Wards_1 Internet External Wards_2
Internet Virus protection General practitioners E-mail DNS, LDAP server Hospital clients, antivírus Web server, web proxy Hospital servers Antivirus gateway Firewall LAN Antivirus management DMZ Security administrator client router Application server CA server External Wards_1 External Wards_2
Server/client operation Internet LAN / WAN ? ORACLE database-server System architecture
Server/client operation Internet LAN / WAN ORACLE database-server System architecture WEB-based operation ORACLE IAS internet application server
Oracle Developer • Common Java, XML, SQL development environment • J2EE 1.3 support EJB 2.0, JSP 1.2, Servlet 2.3 • UML modeling Class Modeler, Activity Modeler • Code tuning • Error searching (local, remote, distributed) Code analysis (execution, memory handling, event handling)
Pharmacy Primary care Post-project future plan Integrated Health Care Systems Patients Rehabilitation Hospital Helath Care Institutes Social Insurance IKTA4-133 projcet presentation, May 22. 2003, Roma
e-HospitalGPs project hank you for your attention! IKTA4-133 projcet presentation, May 22. 2003, Roma