Dr Georg Heidenreich IHE Deutschland eV Overview Many regional projects are underway generally a high level of electronic communication in healthcare No nationally harmonised center of gravity for standards and certification ID: 210780
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Slide1
Germany: Status Quo
Dr. Georg Heidenreich
IHE Deutschland e.V.Slide2
Overview
Many regional projects are underway, generally a high level of electronic communication in healthcare
No nationally harmonised “center of gravity” for standards and certification
SDOs (DIN, HL7, IHE, ...) use
www.interoperabilitaetsforum.de
as the platform to develop and adapt specifications (4 meetings per year, free meals)
National health insurance card has been rolled out (http://www.gematik.de/) including a secure electronic patient ID and cryptographic functions, and a photo of the patient
No central services at the moment
Projects scheduled for field trial 2014/2015: online patient demographics, digital signature for healthcare providers, central services, card terminals, secure access components ("connector")
additional projects to follow: patient summary, secure point-to-point communication for providers, services for electronic case records (e.g. provider registry)Slide3
Status in Germany
GEMATIK (http://www.gematik.de/) is authority for specification and approval of cards and “card terminals”
approval requirements are specified by gematik: testing and certification (by BSI and others)
approval and certification will further extend as the health card projects evolve, see above
for details see:
http://
gematik.de/cms/de/zulassung/zulassungstart.jsp
Many
decision makers are involved in the German healthcare telematics infrastructure (TI) project
Shareholders of gematik: healthcare payor and provider organizations
Federal Ministry of Health, legal framework
Payors: Social security / insurance providers issue cards for insured persons
Hospitals / resident doctors / other healthcare providers: card-based ID and demographics used in
reimbursement
Through
its membership in EHTEL/ELO and
HL7,
gematik corresponds with ANTILOPESlide4
Regional / National Issues ?
“national issues” or “national topics”: YES!!!
language issues, DRG/ICD10, usability / process details, legal requirements, security methods, …
Documentation in the national language
The documentation of the approval requirements (testing and certification of cards and “card terminals”) at the moment is available in German language only
What kind of support do you need from the project partners?
GEMATIK has established detailed processes for approval of infrastructure components.
It would be interesting to check if the GEMATIK processes and methods fit into the ANTILOPE framework.Slide5
eFA –
eFallakte e.CV. “The Case Record Association”
eFA association membership consists of several hospitals
IHE-Germany joins forces with German health IT vendor association bvitG
Introducing IHE XDS and IHE XUA into an updated EFA-interface specification
OR.NET - “Safe Medical Device networking in the OR”
Reliable control
Integration of earlier (diagnostic) documentsComprehensive OR-Reportsca. 40 partners from academia, medicine, manufacturers, SDOsFunded IHE-Position (employee, ½ FTE) with University HeidelbergPublic funding from BMBF (Federal German Research Ministry)
Steering Committee
Tour de Table
Vienna, 7 April 2014
Deployment of IHE in ProjectsSlide6
Projects (2)
Standards for e-procurement in Healthcare
IHE-Profiles for broadening the scope of profiles in the PHARMACY Domain
Catalogs as of GS1, GHX, …
Electronic integration with suppliers
Coordinated by Univ. of Applied Sciences Niederrhein
Funded IHE-Position (employee, ½ FTE) with
University of
Heidelberg Public Funding by BMWI (Federal Ministry of Economics)Slide7
Projects (3)
Privacy Law-conformant Implementation of EHR
eGA, EHR, pHR on IHE XDS
Use-Case-oriented approach
IT-Security below OSI Level 7, Specification of XACML-Policies
Examples for typical security-relevant scenarios
Open commenting / resolution for Ballot three
Point-2-Point DICOM
Using selected mechanisms of ITIDr. Marc Kämmerer (VISUS IT) prepared itOpen editing / commenting / resolution requiredSlide8
Organisation
Board
:
Prof
. Dr. Björn Bergh, Univ. Heidelberg (User Co-Chair)
Dr
. Georg Heidenreich, Siemens AG (Vendor Co-Chair)
CEO: Andreas Kassner Caretakers: (by years of service)Dr. Frank Oemig - ITIProf. Dr. Sylvia Thun, Christof Gessner - PHARMACYDaniel Flemming - PCCStefan Müller-Mielitz - QRPHDr. Patrick Lehti - RADKatrin Berger - LABDr. Stefan Schlichting - PCDProf. Dr. Gunter Haroske
– PATHOLOGYMichael Onken, Technical Manager