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Perspective naționale și internaționale ale informaticii și standardelor medicale
1. Perspective naționale și internaționale ale informaticii și standardelor medicale
Dr. ing. Andrei VASILATEANU
Universitatea POLITEHNICA Bucuresti
2. Cuprins
•Introducere, HL7 Romania
•Noi paradigme in asigurarea sanatatii
•Evolutia sistemelor informatice in sanatate
•Standardul HL7, RIM
•Metodologie
•Modelul domeniului LUMIR
•Catre ecosisteme digitale de sanatate
3. HL7 Romania
•Afiliata HL7 International
•Include furnizori şi beneficiari de servicii medicale, dezvoltatori de aplicaţii informatice, experţi tehnici.
•Nume consacrate din industria IT medical din Romania
•Dosarul Electronic al Pacientului dezvoltat de UTI bazat pe HL7
•Oferirea de cursuri HL7 in colaborare cu HL7 International si organizarea de examene de certificare
•Cursul HL7 Fundamental este un curs complet online, supervizat de tutori din SUA
•Presedinte: prof. Florica MOLDOVEANU
•Presedinte onorific: dr. Nicolae GOGA n.goga@rug.nl
4. Noi paradigme in asigurarea sanatatii
•"pay for performance“ - cost control
•"personalized medicine“ , "evidence-based medicine“ - quality of services
•"patient-centered care”- “The right care in the right way at the right time”
•"patient empowerment" Nothing about me without me”
•ICT joaca un rol fundamental in schimbarea paradigmei prin sustinerea procesului de inovare al proceselor business in sanatate, sustinerea re-inginerizarii domeniului sanatatii
5. Trenduri in e-health
•E-health “an emerging field in the intersection of medical informatics, public health and business”
•Dosarul longitudinal al pacientului
•Interoperabilitate semantica si organizationala
–Interconnecting health
•Sisteme de sanatate interconectate national si regional
•Aplicatii dependente de context
6. Patient
summaries
Clinical Pathways
*
Workflow
Engine
Care Plan
Drug and lab test prescriptions
Medical image and report
Lab test results
Discharge Summary
Emergency Summary
Vital Sign Progress Report
Sickness Prevalence
Demographics
Trends in
Episodes of Care
Patient
Notification
/Alarm
Clinical Event
Notification
Clinical Event
Notification
Clinical
documents
Contacts
Home Recovery
Hospitalization
Emergency
Observations
Therapy
Medication
GP Encounter
CAT analysis
Knowledge Base
• Ontology
• Clinical guidelines
• Process Templates
• Service & Metadata Registry
• Clinical Document
Repository
Proc
ess
Inst
anc
e
Security & Privacy
Repositories
• Care consumers
• Care providers
• Care organizations
• Role profiles
Clinical Event
Notification
Clinical Event
Notification
Past medical
history
Current
health status
Ongoing
treatments
Clinical Trial
Evaluation Report
Health
conditions
L.D.Serbanati, F.Ricci, G.Mercurio, A.Vasilateanu, Steps towards a digital health ecosystem, J Biomed Inform, Elsevier, 2011
7. Standarde informatica medicala
•Interoperabilitate sintactica si semantica
•Metodologie de analiza si proiectare a domeniului de interes
8. Standarde si specificatii HL7
•Health Level 7, nivelul aplicatiilor din OSI
•Specificatii mesaje versiunea 2.x si 3.x
•Reprezentarea cunostiintelor si suportul deciziei (Sintaxa Arden)
•Standardizarea documentelor clinice (CDA)
•Vocabulare clinice
•Standarde, metodologii si servicii legate de dosare electronice de sanatate
10. Metodologia HL7 V3
•Definirea aplicatiilor si problemelor din interfatare
•Definirea informatiei care trebuie comunicata intre aplicatii : definitie, format, relatii
•Evenimente care initiaza comunicarea
•Structurarea si distribuirea pe pachete a informatiei
11. Example
Restrict
Restrict
Restrict
RIM
D-MIM
R-MIM
HMD
Message
Type
Storyboard
Storyboard
Example
Application
Role
Trigger
Event
Interaction
Instantiate
Sender Receiver
Triggers
Content
References
Use Case Modeling
Information Modeling
Interaction Modeling
Message Design
13. Ecosistemul digital al sanatatii
EHR
Infrastructure
Digital Healthcare Ecosystem
Patient
GP Office
e
E
Shared Resources
Medical
Ontology
Clinical
Guidelines
Research Laboratory
PHR
GP’s EMR
Mandate-based
Organization
An ad-hoc
Organization
Regional Health
Organization
Organization
Business’s Rules
GP's Virtual
Avatar
Virtual Team Care
Organization
Organizational Structure
Healthcare Ecosystem
Government
Organizational
Mediator
Measurement
device
POS
Organization’s
Roles
e
E
e-CRFs
e
E
Reports
Gov. Agency's
Virtual Entity
VHR's Virtual
Entity
Researcher's
Avatar
Supervisor
Home
GP
Hospital EMR Hospital's
Virtual Entity
Hospital
Researcher
Governmental
Agency
Patient's
Avatar
HIS
Virtual
Health
Record