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Exams Portability

Exams Portability. in Europe : first steps Antonio Fernandes CHLC – Lisbon , Portugal Tiago Baptista CHLC – Lisbon , Portugal XIX Symposium Neuroradiologicum Bologna , 5 October 2010. Outline. The idea Benefits National Projects The Situation in Portugal Implementation Issues

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Exams Portability

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  1. ExamsPortability inEurope: firststeps Antonio Fernandes CHLC – Lisbon, Portugal Tiago Baptista CHLC – Lisbon, Portugal XIX SymposiumNeuroradiologicum Bologna, 5 October 2010

  2. Outline • The idea • Benefits • National Projects • The Situation in Portugal • Implementation Issues • Conclusion

  3. The idea • Radiological Exams available everywhere in Europe whenever they are needed • An Italian physician in Rome could easily access the CT scan done by a Portuguese physician, in Lisbon. of a portuguese a patient spending his holidays in Italy. This patient hadn’t brought his CD or film.

  4. X  X X X

  5.     

  6. Benefits

  7. Benefits • Eliminationofrepeatedexams • Costsavings for thepatientand/ortheHealthcareSystem • Lessvisits to hospitals • Lessexposure to radiation • Colaborationbetweenradiologists, evenbetweencountries • Facilitatesinternationaltelerradiology • Uniqueopportunities for research

  8. NationalProjects Scotland • 5M citizens • 3,8M radiological studies per year • 20.000 authorized doctors • 2PB managed storage

  9. NationalProjects • 2 data centers in different locations • Workstations installed in hospitals, with a common user interface. Access from home is also possible through VPN • Data downloaded in a fast and smart way • Primary identification through the Community Health Index (CHI)

  10. NationalProjects Finland • 5,3M citizens • 300.000 authorized professionals • 500PB in the next decade • Valued at 20M€

  11. NationalProjects • eArchive • Storage of citizen’s health records, including radiology images • ePrescriptions • Electronic prescriptions to be accessed directly at the pharmacies • eAccess • Access of citizens over 18 to their own health records, to set permissions and monitor access

  12. TheSituationin Portugal • Sharing of exams in sites belonging to the same enterprise • Lack of exams portability in remaining cases • Citizen Card with chip and digital certificates • Very good internet infrastructures • Political support for projects that use new technologies to facilitate peoples lives • It has the conditions for following onScotland and Finland’s footsteps

  13. Integration of different hospitals

  14. Document Repository • Imaging Document Source • Document Registry • Document Consumer • Imaging Consumer Basic workflow of IHE XDS-I.b profile Query Registry Register Retrieve Document Provide and Register Retrieve Images

  15. Storage of images

  16. PatientIdentification Ease of implementation and use Required Commitment level • Creation of a European Health Number • Creation of National Health Numbers • Citizen ID/Phone Number/Bank Account • IHE PIX/PDQ or PID protocol

  17. Privacy • Privacyshouldbeofhighconcern • Countries have different privacy and data protection laws • A European archive would have to comply with the stricter of those laws • A system like the Finnish should however be enough to comply with these laws

  18. Legislation • Legislation is needed for successful implementation • The use of the system must be mandatory for both public and private radiology facilities

  19. Conclusion • It is technically possible to implement exams portability in Europe • Great commitment of European Authorities to tackle the implementation issues is needed • Legislation should be put into place • A Taskforce should be constituted • Participation of the European Society of Neuroradiology would be important

  20. Pleasesendyourideas/comments to jointhisworkgroup:antoniojlfernandes@gmail.com Disclosure: Antonio Fernandes, bordmember ,S24 Group

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