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Your request to send this item has been completed. APA 6th ed. It will help citizens to quickly access and share their health data with healthcare professionals, for example, when consulting a specialist or receiving emergency treatment in another EU country.
The EHDSI consists of services and infrastructure that use information and communication technologies to enable cross-border healthcare services. Initial focus is on enabling the exchange of baseline health information, including:.
A number of EU countries are already exchanging the ePatient summaries and ePrescriptions. As part of the EHDSI, Finland and Estonia were among the first to implement infrastructures to support the exchange of patient summaries, leveraging the X-Road platform , a free and open-source data exchange layer solution that enables organizations to exchange information securely over the internet. Future phases will include lab results, medical imaging and reports, and hospital discharge letters.
The European Commission also outlined priorities for EU Digital Strategy, which included the creation of a European Health Data Space EHDS to foster the exchange and sharing of different kinds of health data electronic health records, genomics, registries, etc. It aims to not only support exchange for the delivery of primary care, as well as, the development of new treatments, medicines, medical devices and services. The commission is currently working with the member states and stakeholders to define the best governance structure and set up the appropriate infrastructure for the EHDS.
Additionally, some existing regulatory gaps regarding member states implementation of the GDPR for the secondary use of data are being addressed. The European Interoperability Framework EIF gives specific guidance on how to set up interoperable digital public services. It offers public administrations 47 concrete recommendations on how to improve governance of their interoperability activities, establish cross-organizational relationships, streamline processes supporting end-to-end digital services, and ensure that both existing and new legislation do not compromise efforts.
In addition to the technical foundation for this effort, the signatory countries will also assess ethical and legal implications of genomics, and data storage, security and ethical uses. Beyond these broader initiatives occurring across Europe, many countries are also leading specific regional and national efforts to expand exchange abilities.
The Nordic Interoperability Project is a consolidated grassroots effort to demonstrate the value for the patient from a seamless cross-border exchange of health data. The consortium includes organizations from all five Nordic countries—Denmark, Finland, Iceland, Norway, Sweden—and works to enable patients to live and act in an open, seamless, cross-border healthcare ecosystem, by showcasing and implementing solutions and innovations from the Nordics.
The goal is to enable the Nordics by to be the most sustainable and integrated health region in the world, providing personalized healthcare for all its citizens. SPMS provides shared services in the areas of purchasing and logistics, financial services, human resources, and information and communication technologies to health and care entities to centralize and optimize the procurement of goods and services within the Portuguese National Health System.
In Asia and the South Pacific, many governments are also adopting digital health strategies to encourage interoperable exchange. Interoperability in Healthcare. In This Guide What is Interoperability? Four Levels of Interoperability Foundational Level 1 : Establishes the inter-connectivity requirements needed for one system or application to securely communicate data to and receive data from another Structural Level 2 : Defines the format, syntax and organization of data exchange including at the data field level for interpretation Semantic Level 3 : Provides for common underlying models and codification of the data including the use of data elements with standardized definitions from publicly available value sets and coding vocabularies, providing shared understanding and meaning to the user Organizational Level 4 : Includes governance, policy, social, legal and organizational considerations to facilitate the secure, seamless and timely communication and use of data both within and between organizations, entities and individuals.
These components enable shared consent, trust and integrated end-user processes and workflows What is Health Information Exchange and Data Sharing? The term HIE is generally used as either a verb or a noun. Verb: The electronic sharing of health-related data between two or more organizations facilitated by applied standards for use by a variety of stakeholders to inform health and care. Noun: Organizations within the United States that provide health information exchange technology and services at a state, regional or national level and often work directly with communities to promote secure sharing of health data.
Back to top. Health Information Exchange. Information Sharing: What Is It? How to Do It? Why Does It Matter? Standards Development A standards organization, standards body, standards development organization SDO or standards setting organization is focused on developing, coordinating, promulgating, revising, amending, reissuing, interpreting, or otherwise producing standards that are intended to address the needs of some relatively wide base of affected adopters.
It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. The 11th revision will replace the ICD in January LOINC codes can be grouped into laboratory and clinical tests, measurements and observations.
Food and Drug Administration , NDC provides a list of all drugs manufactured, prepared, propagated, compounded or processed for commercial distribution. RadLex : A unified language of radiology terms for standardized indexing and retrieval of radiology information resources, managed by the Radiological Society of North America. RxNorm : A terminology used to normalize names for clinical drugs and links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software.
By providing links between these vocabularies, RxNorm can mediate messages between systems not using the same software and vocabulary. It enables the consistent, processable representation of clinical content in electronic health records EHRs. These codes can be used in immunization messages. The Unified Code for Units of Measure : A code system intended to include all units of measures used in international science, engineering and business to facilitate unambiguous electronic communication of quantities together with their units.
Content Standards Content standards relate to the data content within exchanges of information. It is designed to support a central patient care system as well as a more distributed environment where data resides in departmental systems. It defines a clinical document as having the following six characteristics: persistence, stewardship, potential for authentication, context, wholeness and human readability.
Transport Standards Transport standards address the format of messages exchanged between computer systems, document architecture, clinical templates, user interface and patient data linkage. DICOM enables the transfer of medical images across systems and facilitates the development and expansion of picture archiving and communication systems.
Direct Standard TM : Defines a set of standards and protocols to allow participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet.
FHIR provides a number of benefits and improvements as a modern healthcare standard including facilitating interoperable exchange with legacy standards, lower overhead, shorter learning curve, an ability to transmit only the necessary pieces of information, potential for patient mediated data, and an energized community of supporters and implementers.
IHE provides a number of specifications that can be used in the exchange of health information. These profiles provide guidance to implement globally recognized, consensus-based approaches to connect and test both personal and clinical devices and integrate them into health information systems. The specifications being developed support both medical devices and mainstream consumer facing apps to enable scalable interoperability of the rapidly expanding connected health ecosystem.
As a researcher, his domain of interest includes process modelling and support, distributed and cooperative computing, semantic-based mediated architectures. He authored two books on databases and numerous papers on software systems integration and interoperability, on software process modelling and support, etc.
Skip to main content Skip to table of contents. Advertisement Hide. This service is more advanced with JavaScript available. Interoperability of Enterprise Software and Applications. Keeps the reader up to date with developments in a field which is extremely important for industrial competitiveness Inter-disciplinary subject matter allows the reader to learn about many points of view on similar problems Includes supplementary material: sn. Conference proceedings. Papers Table of contents 46 papers About About these proceedings Table of contents Page 1 Navigate to page number of 3.
Front Matter Pages i-xv.
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