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Applying the XDS profile - Best Practice in Austria

Applying the XDS profile - Best Practice in Austria. Presented at World of Health IT 2007 IHE-Europe Session, Vienna. Agenda. Introduction ELGA = Austrian’s EHR XDS in Lower Austria IHE Austria.

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Applying the XDS profile - Best Practice in Austria

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  1. Applying the XDS profile - Best Practice in Austria Presented at World of Health IT 2007 IHE-Europe Session, Vienna

  2. Agenda Introduction ELGA = Austrian’s EHR XDS in Lower Austria IHE Austria

  3. Task Force Electronic Health Record - Arge ELGA - Arbeitsgemeinschaft Elektronische Gesundheitsakte • Decision of Federal Health Commission (BGK) from July 2006 concerning establishment of Arge ELGA and financial remuneration • Working basis of Arge ELGA is an agreement between • Federal Government • Provinces and • Social Insurance Institutions • Since September 2006 ARGE ELGA is acting operationallyLocation: A-1020 Vienna, Schiffamtsgasse 15

  4. Definition of ELGA • ELGA contains relevant multimedia-based and health related data and information referring to a precisely identified person. • Data und information originate from • different health service providers and • from the patient himself/herself and are stored in one or several different information systems(virtual health record). • Data are available independently of place and time(7x24) at the place of treatment for all authorized persons according to the tasks and needs of these persons and in compliance with data protection rules

  5. Federal Health Agency (BGK) – decision (1/3) ELGA Architecture consists of the following basic components • Master Patient Index • Health Service Provider (HSP) Index (global directory of healthcare providers) • Registry • Authorization System • Portal ELGA provides in the first phase of implementation the core applications • discharge Summary • e-Report - radiology • e-Report - laboratory • e-Medication

  6. Federal Health Agency (BGK) – decision (2/3) International standards for ELGA in Austria: • IHE Frame-Work with domain • IT Infrastructure • Patient Care Coordination • Laboratory • Radiology • HL7 CDA 2.0 as document standard • LOINC (area Laboratory data) • DICOM 3.0 incl. WADO (area radiology) • HL7 (in Version 3 with RIM as prospective data model)

  7. Federal Health Agency (BGK) – decision (3/3) Detailed planning and first piloting (2007 / 2008) • Concretion Basic Components and Master Plan • Project 1 – Master Patient Index • Project 2 – HSP Index • Project 3 – Document Registry • Project 4 – Authorization System • Project 5 – Portal • Project 6 – Main Application first phase of implementation • Project 7 – Acceptance Management Acceptance of each project after the presentation of an organizational and financial concept through BGK

  8. Agenda Introduction ELGA = Austrian’s EHR XDS in Lower Austria IHE Austria

  9. ELGA Context Audit System External Registries (base identifi- cation number, ...) Autohorization System Document Registry Pat - Index HSP - Index HSP System HSP System Portal Repository Consumer Source Consumer Source Consumer Source Overview System Architecture

  10. Interoperability – Standards and Catalogs • Technical (syntactical) interoperability • Content wise (semantical) interoperability Requirement: Assortment of international standards • Standards rise quality and reduce costs! • Standards promote competition!

  11. Why Standards ? Standard Non Standard HIS Patient Identify Source Patient Identify Source HIS Consumer Consumer Registry Registry Source Source Repository Repository IHE conform: easy to replace Vendors not IHE conform: no replacement of Vendors possible

  12. Technical framework for ELGA: IHE Profile XDS

  13. Agenda Introduction ELGA = Austrian’s EHR XDS in Lower Austria IHE Austria

  14. Project Patienten-Index • NÖGUS (www.noegus.at) • Lower Austrian health and welfare fund • NÖ Landeskliniken-Holding (www.lknoe.at) • going there ……

  15. Lower Austria • Federal stateofLower Austria • approx. 1.6 million inhabitants • 27 hospitals • approx. 8000 beds • approx. 3000 general practitioners Vienna

  16. Starting PointHospitals in Lower Austria Waidhofen an der Thaya Gmünd Allentsteig Horn Eggenburg Zwettl Hollabrunn Mistelbach Krems Stockerau Tulln Korneuburg Klosterneuburg St. Pölten Melk Gugging Hainburg Amstetten Mauer Mödling Lilienfeld Scheibbs Baden Waidhofen an der Ybbs Wiener Neustadt Neunkirchen Hochegg • Situation 2004 • 27 Locations • 22 Organizational Units • 18 Different Owners • 270 IT Systems • supplied by • 70 Manufacturers

  17. Global Aims of NÖGUS • Creation of a central and integrative information and communication platform to meet the patient-related requirements of healthcare and welfare in Lower Austria. • To make all relevant medical data of a patient available at any location and at any time for authorized persons or organizations to the extent required, thus providing quicker and more efficient medical assistance. • Synergy and cost efficiency in the acquirement and operation of IT systems.

  18. Patient Demographics embedded in HIS Find Patients in HIS plus Index Retrieve Query Result Admission in HIS HL7 Server IHE: Patient Cross Reference Manager IHE: Patient Demographics Supplier NÖMED Patient Index IHE: Patient Demographics Consumer KIS: Patientensuche Local Client Connector

  19. Document Consumer embedded in HIS

  20. Document ConsumerWeb Application

  21. IHE Profiles in Lower Austria Already used • PIX • PDQ • EUA • ATNA • PWP • XDS.a • XDS.b Planned for future • XDS-I • RFD • BPPC • XUA • XCA

  22. Agenda Introduction ELGA = Austrian’s EHR XDS in Lower Austria IHE Austria

  23. IHE Austria will cover some add-ons • Support development of requirements and specifications for ELGA and other health IT Projects • Coordinate with IHE international • Develop „national extensions“ • Contribute to international work on the profiles • Take care for „certification“ of software products • This is more than interoperability! • QA, security audits, load balancing, …, • Cooperate with IHE international, Eurorec, CCHIT, … • Make sure that vendors can use „ELGA certificates“ in international markets, too.

  24. Tasks of IHE Austria • Manage project groups • For use cases, specifications, international contacts • Provide „ELGA-thon“ • What exactly is this? Concept work • Build up infrastructure • Keep everybody informed • Website, communication platform, events, …

  25. Thank you for your Attention!

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