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Standardization Roadmap in EE

Standardization Roadmap in EE. Janek Metsallik Chief Architect Estonian eHealth Foundation. Topics. Standardization Context Current Practice Next Generation. Historic Context. Estonian Ministry of Social Affairs ICD10, NCSP Estonian Health Insurance Fund

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Standardization Roadmap in EE

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  1. Standardization Roadmap in EE Janek Metsallik Chief Architect Estonian eHealth Foundation

  2. Topics • Standardization Context • Current Practice • Next Generation

  3. Historic Context • Estonian Ministry of Social Affairs • ICD10, NCSP • Estonian Health Insurance Fund • Healthcare Services Price list, DRG • Health Care Board • List of Health Care Professionals • State Agency of Medicines • Classification of Medicinal Products, ATC • Statistics Estonia • Classification of Estonian administrative units and settlements • Estonian classification of economic activities • others • Others • Dr. Kalev Karu, SNOMED rationale

  4. Towards EHR • ICD10 – in wide use since 1997 • “6th of May Act” • Healthcare documentation content regulation • and related code lists • 2000 eHealth planning begun • Including standardizations • 2003-2005 EHR project preparation • 2006-2008 EHR project, HL7 • 2008 National EHR documentation content Act • 2009 EHR in production • 2010 SNOMED NRC, eLabs & LOINC

  5. Standardization is base for services Impact Simulation Environment Tracking Behaviour Tracking Online Intervention Lifestyle Value Added Selfcare Personal Guidelines Care Paths Service Brokering Integrated Statistics Social Networking Decision Support Central EHR Health Portal Registries IntegrationStandardization Information Exchange Time

  6. Current Practice

  7. EHR Service Development Use Case (30) HL7 Template (500) Data Model Interface Code List (300) Classifi-cation Compo-nent OID Content Message Service

  8. Data Model Structured text documentation Mostly document-exchange oriented structure Some status exchange messages described (case management) Some hints about related processes and timing included Prepared by HCI’s business analysts Linked to established classifications Project based version control of the specification http://www.e-tervis.ee/images/stories/dokumendid/digihaigusloo%20teatis.doc

  9. Template Model UML model of document and message structures Prepared by IS analysts Base for interface specification generation System based version control

  10. HL7 mapping of Templates

  11. http://pub.e-tervis.ee/

  12. Next Generation

  13. Change Drivers • Enable transformation of Business Process • Impact analysis and Full Roundtrip Modeling • Improve efficiency of modeling • Automate transformation between tools (State Information Systems Registry, Testing, Publishing, Code Generation) • Enable effective communication • Common meta-model • Prepare for new services and service changes • Integrate and bring models online • International integration (code systems, structure) • Ready-made components integration

  14. Standardization Evolution

  15. Shared UML Repository

  16. Simplified Notation

  17. Seeking for better tools ? UML Model Classifi-cation ProcessModel Use Case HL7 Template Interface Termono-logy Data Model Code List Processing Rule Compo-nent OID SNOMED NRC eLab & LOINC Ontology Content Message Service

  18. There will be an eHealth conference with a practical focus in Tallinn from October 13-15. Conference will include lecture sessions with corresponding site visit modules where participants can see how various eHealth solutions work in practice. Conference programme can be viewed: www.ehealthtallinn2010.org Please come and join us for an eExperience in Estonia! THANK YOU!

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