Dialysis card
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Dialysis Card. presented by Gabor Avar. http://www.bull.hu. Claude MEYER E-mail: [email protected] Gábor AVAR Email : [email protected] Hungary : Facts & Figures. N°1 worldwide Nobel Prize / capita N°1 in CEEurope in Healthbudget / capita

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Dialysis Card

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Dialysis Card

presented by Gabor Avar


http://www.bull.hu

Claude MEYER

E-mail: [email protected]

Gábor AVAR

Email : [email protected]


Hungary : Facts & Figures

  • N°1 worldwide Nobel Prize / capita

  • N°1 in CEEurope in Healthbudget / capita

  • N°1 worldwide Health Professional Smart Card

  • N°1 in Europe in Student Smart Cards

  • Population 10 Million

  • Health card 15 Million – paper based

  • One Health Insurance Institute

  • cca.10 Health Cassa


Active Memory Card

In theDialysis card is a microprocessor (usually referred to as ‘ smart card ’) the memory of which can be written for updates.The card is made of hard plastic, the size of a credit card and capable of containing up to eight pages of information (size 21x29,7 cm).

The card is used and distributed for patient under dialysis and after transplantation.


Smart card : unique answer to Security

PIN

  • Consumer authentication

  • Health professional authentication

  • Electronic signature

  • (Non-repudiation)

  • Emergency authentication

PIN


Multi application Health Card

Emergency datas

Health

passport

Health Networks

Insurance

Status,

Therapy

Treatment

file

Previus

history

Health

insurance

card

Administrative

datas

Pharmacy

Loyalty

of local

Pharmacyl

GSM

Prescriptions

Internet

Identification


ISO 7816 complient

Multifunctional card

3 level hierachical file system

Memory Capacity: 8 KByte EEPROM. Security algorithm: DES

Technológy: HCMOS

CPU: 8 bit

Communication: 9600 ─ 115000 baud, half duplex

Protokoll: T=0 (ISO 7816/3)

Datastorage capacity:10 years

Operational temp:-30ºC ─ +60ºC

TB1000 Card Specifications


Health Data on the Card

  • - The patient ’s name and first names,

  • - Emergency data (blood, allergy, acut disease,etc)

  • - His or her social security number,

  • - The identity of his or her benificiaries,

  • - His or her social security scheme,fund, right

  • - Current status report,

  • - Last five control laboratory results,

  • - Prescriptions,

  • - Others TBD.


Certification Authority

Prerequisite Certification

Transplant

Clinics

Dialysis

Centers

Patient

Electronic Medical Record

Applied Standards

  • Smart Card standards are stabilized

  • Security tested in banking & communication sectors

  • Requirements of Health Sector defined by CEN TC251& oth.


Participants & Connections

Laboratories

19 Dialysis Centers &

4 Transplant. Clinics

Pharmacies

Public Health Networks

Data Base

38k Doctor Cards

Personal electronic mail

3 k Dialysis Cards


Network

  • SOTE Transplantation Clinic

  • SZOTE,POTE,DOTE Transplantation Unit

  • Institutes helping the dialisation and transplantation activities ( Blood, tissue typing,Pathology, Radiology)

  • Fresenius Network in Hungary 19 sites


Minimum Hardware and Software Requirements

  • Personal computer

  • Pentium II or above min 32 MB RAM, HHD

  • Win98 or higher

  • Serial port

  • TLP224 compliant reader/writer


Development phases

  • 1st version 1994

  • Bull development own source

  • 2nd version 1998-2001

  • Eu financed RETRANSPLANT

  • FP4 project

  • 3nd version

  • under development


Patient Identification Module


Emergency Care Module (ECM)


Health Care Dislocation Module (HCDM)


Dialysis Module (DM)


Total Quality Management and Control Module (TQMCM)


Future Trends

  • Europwide implementation of Social & Insurance Applications

  • Electronic Authorisation & Communication via Internet

  • Combined patient cards for treatment and control the dialysis equipments


Special Thanks

  • Imre Fehérvári MD. Adjunct Prof. Of Semmelweis University Budapest for the idea of dialysis card,

  • Pál Simon MD. Ph.Sc. Medical Card Expert – for the definition of the card structure and environment,

  • Sándor G.Vári MD. CEO of Varimed Ltd. Coordinator of RETRANSPLANT and Transplant Information Portal Projects – for the realisation of the pilots,

  • and

  • Fresenius Team leaded by

  • Otto Árkossy MD & László Koroknai MD.


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