1. Caring through Sharing
eHIP: Health Information Platform
The Project
Dr. Dirk Colaert
Clinical Applications Research Manager
Agfa HealthCare
The eHIP Project
eHealth Concepts
The XDS platform
The Project
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2. The goal of eHealth
Provide ubiquitous access to life-long clinical care record of a patient by
all relevant stakeholders, including the patient, in a community, region or
country - at anytime, anyplace, on any device
Guarantee the privacy of the patient
Integrate and enrich the clinical, medical and operational knowledge to
support lifelong health guidance of citizens
Facilitate inter-professional collaboration
Integrate workflows into shared clinical and operational pathways to
enable true disease management and optimally support the clinical
process
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The Clinical Process
Information
Information Assessment Activities
Assessment Activities
collect, distribute, think, decide plan, schedule,
plan, schedule,
collect, distribute, think, decide
share act, collaborate
act, collaborate
share
Information
Information Reasoning
Reasoning Workflow
Workflow
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3. The Clinical Process
Information
Decision Support
Rules and reasoning Clinical Workflow
Workflow + collaboration
collect, distribute, think, decide plan, schedule,
plan, schedule,
collect, distribute, think, decide
share act, collaborate
act, collaborate
share
Information
Information Reasoning
Reasoning Workflow
Workflow
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The Continuum of Care
Continuum of Time
Continuum of Space
individual
ion
l at
pu
po
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4. Scaling out the Clinical Process into e-Health
Information
Decision Support
Rules and reasoning Clinical Workflow
Workflow + collaboration
Phase 1 Phase 2 Phase 3 e-Health
Sharing information Shared Pathways Disease Mgmt. Programs
is the first phase
Drug interactions, monitoring, compliance, alerts, … Health Monitoring
and already pays off !
individual
e-Prescribe, CPOE Entry
Order Inter-professional collaboration
Personal Health Record (PHR) Personal Health Plan
Shared Information (EHR) + collaboration Electronic Health Record
Health Mgmt. Programs
ion
Population monitoring, epidemiology, Bio surveillance
l at
Translational Medicine
pu
Research from bench to bed, from bed to bench
po
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What Community Healthcare is NOT
Hospital
This is the classic e-Portal functionality
which provides a many-to-one connection
Between many GP’s and one hospital,
based on propriety solutions.
Disadvantages:
-Still the hospitals are not interconnected
-One GP needs multiple portals to access
his patients data in different hospitals
-Impossible to connect any one with any one
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5. The e-Health Infrastructure
Hospital Polyclinic
Government
Pharmacy
Patients
eHealth
GP infrastructure
A central infrastructure enabling e-Health
This can but doesn’t need to imply that data is
physically persisted in a central storage
The bottom line:
a user should have a consolidated and complete
Laboratory view on the clinical data of the patient
research and care should be able to “connect”
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The eHIP Project
eHealth Concepts
The XDS platform
The Project
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6. XDS
Standard, introduced by IHE 2 years ago
Principles:
Document oriented, but independent from the document format
(can be KMEHR)
Keep the data where they are originated
Maintain a central registry with references
Use a external Master Patient Index to consolidate patients
Use an external Security Server
Central repositories can be mixed with distributed, when needed
(example: SUMEHR server)
Scalable architecture
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What is IHE ?
IHE = Integrating the Healthcare Enterprise
IHE = association of users, vendors and public healthcare authorities
All major healthcare imaging&IT companies
Present in all regions
IHE provides pragmatic integration solutions
Based on existing standards
User driven
Vendor supported
Incremental in scope and time
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7. IHE XDS
Regional Health Information Networks are pushed by healthcare
authorities
HealthConnect in Australia
NHS EHR in UK
Nictiz in the Netherlands
Onchit in USA
Health Infoway in Canada
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IHE XDS in national & regional projects
Netherland
Italy
Amsterdam (Conto Corrente Salute)
UK CfH
(Radiology WF) France Denmark
(Funen) Austria Quebec, Toronto,
DMP Italy (Veneto) Alberta, British Columbia
Spain (Aragon) Canada Infoway
VITL-Vermont
Boston Medical
Center - MA
Philadelphia HIE
CPHIC –
Pennsylvania
CareSpark – TN & VA
South Africa
CHINA-Shanghai CHINA-MoH JAPAN-Nagaya THINC- New York
Imaging Info Sharing Lab results sharing Imaging Info Sharing NCHICA – N. Carolina
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8. XDS principles
New
New
doc
doc
Query
Query
Meta Pointer
Pointer
data XDS
registry
Document
Clinical producer
data
Document
consumer
XDS
XDS XDS
XDS XDS
XDS XDS
XDS
repository repository
New
New
repository repository
repository repository repository repository
doc
doc
Meta
Meta
data
data
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XDS infrastructure: how it works
Government
Home
Insurance
Home device
Sensor
Other care providers
Laptop
XDS Rep
Pharmacyst
Security
XDS Reg
Data
Local Doc
Store
MPI
Hospital
XDS Rep
Hospital Hospital GP
CIS/HIS CIS/HIS CIS/HIS CIS
Data Data Data Data
Local Doc Local Doc Local Doc
Store XDS Rep
Store Store
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9. The eHIP Project
eHealth Concepts
The XDS platform
The Project
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IBBT Attributes
independent research institute founded by the Flemish government:
stimulate ICT innovation
multi-disciplinary research (technical and non-technical)
collaboration between industry, non-profit organizations, authorities
5 area’s:
eHealth ( & Elderly Care)
Mobility and logistics
New Media
enabling technologies
eGovernment
demand-driven research projects (to be defined by the industry)
additional rules
complementary companies and organizations in one project
IBBT finances up to 50% of all research costs
ownership of the research results is shared between all parties involved
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10. The eHIP Project in a nutshell
Partners
153 person months from Industry: Agfa, Barco, Cronos,
Medibridge
202 person months from IBBT:
IBBT- KULeuven: DitriNet, COSIC, ICRI, UZ-KULeuven
IBBT- VUB: ETRO, AZ-Brussel
Duration: 2 years: 2006-2008
Objectives
Knowledge
Application requirements
Legal and privacy issues
Architecture, security and performance
Prototype of the eHIP platform
Clinical Demonstrators
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The eHIP Project in a nutshell
Results
Knowledge
Application requirements
Use cases for clinical applications
Legal and privacy issues
Privacy Report
Architecture, security and performance
Architectural and Technical Report
Report on Security components and Load Balancing and
Availability
Prototype of the eHIP platform
XDS prototype (registry and repository)
Security Component
Clinical Demonstrators
Portal and demo application
Movie
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