A Secure Data Architecture for Telehealth Trial · A Secure Data Architecture for Telehealth Trial...
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A Secure Data Architecture for Telehealth Trial Surya Nepal, Julian Jang-Jaccard, Rajiv Jayasena, Branko Cellar, Ross Sparks, Marlien Varnfield, Jane Li CSIRO eHealth CSIRO Digital Productivity Funded by the Australian Government under the National Telehealth Pilots Program
Transcript of A Secure Data Architecture for Telehealth Trial · A Secure Data Architecture for Telehealth Trial...
A Secure Data Architecture for Telehealth Trial
Surya Nepal, Julian Jang-Jaccard, Rajiv Jayasena, Branko Cellar, Ross Sparks, MarlienVarnfield, Jane Li
CSIRO eHealthCSIRO Digital Productivity
Funded by the Australian Government under the National Telehealth Pilots Program
Summary
CSIRO Is lead organisation
Six clinical partners and three industry partners
Total project size $5.4m ($3.02m from DOHA/DBCDE Pilot Program)
Six (6) Trial sites in Five (5) states and territories
Focus on Chronic Disease Management (CDM) in the Community
Six different models of care represented
Trial duration 18 months – ends 30th Dec 2014
NBN Telehealth Pilot Program
CSIRO Telehealth Project
CSIRO NBN Telehealth Trial – 6 Sites• Townsville
• Penrith
• Greater Western Sydney
• Canberra and ACT
• Ballarat and the Grampians
• Launceston / Northern Tasmania
Number of patients at each site• 25 Test Patients
• 50 Control Patients
Total• 150 Test patients
• 300 Control Patients
Trial Design• Case Matched controls
• Before-After-Control-Impact (BACI)
Final Numbers
Total enrolled
N=287
ACT NSW QLD TAS VIC TOTAL
Test 16 16 26 29 26 113
Control 23 13 29 60 49 174
Data Analysed
Test Control
101 139
Key objectives of the CSIRO trial
1. Identify and model the impact of introducing telehealth services into existing models for the management of chronic disease in the community.
2. Develop robust statistical models to automatically risk stratify patients using questionnaires and vital signs data
Data Processing Tasks
Collection Integration
GenerationAnalysis & Feedback
Presentation title | Presenter name7 |
Overall System ArchitectureC
olle
ctio
nIn
teg
ratio
n
Data collection: Ethics Approvals
ETHICS COMMITTEE
Commonwealth Science & Industrial Research Organisation (CSIRO)
1
Department of Health & Ageing 2
Department of Veterans Affairs 3
Nepean Blue Mountains LHD 4
Townsville MacKay LHD 5
Ballarat LHD 6
Canberra Hospital and ACT Health 7
Tasmania North Health Service (Launceston Hospital)
8
Security & Privacy Requirements
Service Architecture
Push–Decision
Support Service
Pull – TMC
Hybrid–Video
conferencing
Secure Encrypted
DatabaseDatabases
Secure Document
Store
Authentication Service
Social Network Service
Data Services
User Management
Portal Management
Content Management
SecurityManagement
Document Management
WorkflowsManagement
CSIRO Telehealth System
Video Conference Services
Decision Support Service
Serv
ice L
ayer
Man
ag
em
en
t
Layer
Data
L
ayer
User
Layer
User Interface
Data size
Presentation title | Presenter name
PBS data 102,507
MBS data 74,150
Hospital roundtable 2,244
TMC measurements 207,362
TMC questionnaires 136,179
iinet statistics 925
CSIRO portal access log 4,074
TMC user actions log 440,943
(Patient General Data, OC)
(OCID) OpenClinicaPO
(OCID, Patient Private Data)PPD
(OCID, Patient Private Data)
(OCID, Patient Private Data)
(OCID, Data)
PPD
TMC Server
TMC(OCID, Data)
Portal
Web
Service
(Identifiable Data)
PPD
Hospital Round
Table Data
Hospital Data(OCID, de-identified Data)
CTC: Portal
Data Link
Service
(OCID, Patient Private Data)
Phase 1
Phase 2
Automatic
Phase 2
Manual
(OCID, PATIENTID) Linked File
Data Integration: Data Linkage Protocol
Data Access Control Policies
Surya Nepal | CollaborateCom 201313 |
PBS/MBS
Ethics Hospital
Ethics TMC Ethics CPD Ethics PSD Ethics
RBAC RBAC RBAC RBAC RBAC
Data Custodian 1 Data Custodian 2 Data Custodian 3 Data Custodian 4 Data Custodian 5
PPDEthicsLinked Data
RBAC
Data Sources
Linked Data
Data Services
Data Link File
Project Director (PD)
Clinical Trial Coordinator (CTC)
Project Manager (PM)
Project Officer(PO) Clinical care Coordinator( CCC)
Researchers
HCI
Data Analytics
Data Management
Role Hierarchy
Decision Support System
Presentation title | Presenter name
Data Service
Data Analytics
Anonymised
Data
Clinical Care Coordinator
Analytics
Results
Risk Stratification
Result
Data
Data Service
XML
CSIRO Android Video
Conferencing App
WEBRTC
Signalling
Server
Au
dio
/ V
ide
o
Video Conference
Web App
Risk Stratification Results
OpenclinicaDatabases
OpenClinica
System
Web Application
Data Service
XM
L
PBS/MBS Data
Data Service
Hospital data
Data Service
XM
L
Decision
Support
System
XM
L
Data
Data Service
Data Analytics
Patient Specific Data (demographic data,
activity log, etc)
Data Service
Summary• Data security and privacy requirements are
derived from “ethics approvals”
• Data is stored in different forms• Identifiable data - Encrypted form;
• Linked data – anonymised form;
• All data – protected from authorisation and authentication;
• Communication is secured• Secure communication protocol;
• Services• Limited access from outside
Thank You!
Questions?
