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Germany: Status Quo

Germany: Status Quo. Dr. Georg Heidenreich IHE Deutschland e.V. Overview. Many regional projects are underway, generally a high level of electronic communication in healthcare No nationally harmonised “center of gravity” for standards and certification

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Germany: Status Quo

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  1. Germany: Status Quo

    Dr. Georg Heidenreich IHE Deutschland e.V.
  2. Overview Many regional projects are underway, generally a high level of electronic communication in healthcare No nationally harmonised “center of gravity” for standards and certification SDOs (DIN, HL7, IHE, ...) use www.interoperabilitaetsforum.deas the platform to develop and adapt specifications (4 meetings per year, free meals) National health insurance card has been rolled out (http://www.gematik.de/) including a secure electronic patient ID and cryptographic functions, and a photo of the patient No central services at the moment Projects scheduled for field trial 2014/2015: online patient demographics, digital signature for healthcare providers, central services, card terminals, secure access components ("connector") additional projects to follow: patient summary, secure point-to-point communication for providers, services for electronic case records (e.g. provider registry)
  3. Status in Germany GEMATIK (http://www.gematik.de/) is authority for specification and approval of cards and “card terminals” approval requirements are specified by gematik: testing and certification (by BSI and others) approval and certification will further extend as the health card projects evolve, see above for details see: http://gematik.de/cms/de/zulassung/zulassungstart.jsp Many decision makers are involved in the German healthcare telematics infrastructure (TI) project Shareholders of gematik: healthcare payor and provider organizations Federal Ministry of Health, legal framework Payors: Social security / insurance providers issue cards for insured persons Hospitals / resident doctors / other healthcare providers: card-based ID and demographics used in reimbursement Through its membership in EHTEL/ELO and HL7, gematik corresponds with ANTILOPE
  4. Regional / National Issues ? “national issues” or “national topics”: YES!!! language issues, DRG/ICD10, usability / process details, legal requirements, security methods, … Documentation in the national language The documentation of the approval requirements (testing and certification of cards and “card terminals”) at the moment is available in German language only What kind of support do you need from the project partners? GEMATIK has established detailed processes for approval of infrastructure components. It would be interesting to check if the GEMATIK processes and methods fit into the ANTILOPE framework.
  5. Deployment of IHE in Projects eFA – eFallakte e.CV. “The Case Record Association” eFA association membership consists of several hospitals IHE-Germany joins forces with German health IT vendor association bvitG Introducing IHE XDS and IHE XUA into an updated EFA-interface specification OR.NET - “Safe Medical Device networking in the OR” Reliable control Integration of earlier (diagnostic) documents Comprehensive OR-Reports ca. 40 partners from academia, medicine, manufacturers, SDOs Funded IHE-Position (employee, ½ FTE) with University Heidelberg Public funding from BMBF (Federal German Research Ministry) Tour de Table
  6. Projects (2) Standards for e-procurement in Healthcare IHE-Profiles for broadening the scope of profiles in the PHARMACY Domain Catalogs as of GS1, GHX, … Electronic integration with suppliers Coordinated by Univ. of Applied Sciences Niederrhein Funded IHE-Position (employee, ½ FTE) with University of Heidelberg Public Funding by BMWI (Federal Ministry of Economics)
  7. Projects (3) Privacy Law-conformant Implementation of EHR eGA, EHR, pHR on IHE XDS Use-Case-oriented approach IT-Security below OSI Level 7, Specification of XACML-Policies Examples for typical security-relevant scenarios Open commenting / resolution for Ballot three Point-2-Point DICOM Using selected mechanisms of ITI Dr. Marc Kämmerer (VISUS IT) prepared it Open editing / commenting / resolution required
  8. Organisation Board: Prof. Dr. Björn Bergh, Univ. Heidelberg (User Co-Chair) Dr. Georg Heidenreich, Siemens AG (Vendor Co-Chair) CEO: Andreas Kassner Caretakers: (by years of service) Dr. Frank Oemig - ITI Prof. Dr. Sylvia Thun, Christof Gessner - PHARMACY Daniel Flemming - PCC Stefan Müller-Mielitz - QRPH Dr. Patrick Lehti - RAD Katrin Berger - LAB Dr. Stefan Schlichting - PCD Prof. Dr. Gunter Haroske – PATHOLOGY Michael Onken, Technical Manager
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