Health Telematics Strategy of the German Bundeswehr Bernd Blobel Chair HL7 Germany, Co-Chair...
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![Page 1: Health Telematics Strategy of the German Bundeswehr Bernd Blobel Chair HL7 Germany, Co-Chair Security TC Reinhard Bauske German Military Medical Service.](https://reader035.fdocuments.us/reader035/viewer/2022081516/5514d719550346935c8b515e/html5/thumbnails/1.jpg)
Health Telematics Strategy of the German Bundeswehr
Bernd BlobelChair HL7 Germany, Co-Chair Security TC
Reinhard BauskeGerman Military Medical Service
HL7 Working Group Meeting1-6 May 2005, Noordwijkerhout, The Netherlands
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Basic Principles for the Military Health Telematics Strategy
• The German military health telematics strategy follows completely the corresponding strategies in the civil sector
• Introduction of health professional cards by 2006
• Introduction of electronic health cards by 2006
• Introduction of electronic health records by 2008 (to be finished by 2011)
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• Civil legislation and policies will be adequately applied to the military services
• The military service EHR will be centralised contrary to rather regionalised or even local EHR in the civil sector
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eHealth Standardization Focus Group
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eHealth EuropeStrategic Objectives Critical Applications
• Improving access to clinical records• Enabling patient mobility as well as
cross boundary access to health services
• Reducing clinical errors as well as improving patient safety
• Improving access to high quality information for both patients and health professionals
• Improving efficiency of health services
• EHR/EPR incl. EHR architecture• Electronic exchange of health
data incl. electronic transfer of prescriptions (ePrescriptions)
• ePrescribing with decision support• Digital imaging and related
services requests and result reporting
• Core Data Sets e.g. for health surveillances
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Infrastructures to underpin applications
• management of any principal’s identification, in the patient’s context including:
– EU Health Insurance Card (enhanced by carrying medical data and providing cross-border access control facilities);
– A common approach to patient identifiers;– Access control and authentication;
• protecting personal information (based on PKI and data cards (tokens) for professionals and citizens/patients);
• terminological systems for clinical records and medicines;• EU Health Data Cards.
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Architectural Paradigms forFuture-Proof Health Information Systems
• Distribution• Component-orientation (flexibility, scalability)• Separation of platform-independent and platform-specific
modelling • Separation of logical and technological views (portability)• Specification of reference and domain models at meta-level• Interoperability at service level (concepts, contexts, knowledge)• Enterprise view driven design (user acceptance)• Multi-tier architecture (user acceptance, performance, etc.)• Appropriate multi-media GUI (illiteracy)• Common terminology and ontology (semantic interoperability)• Appropriate security and privacy services
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Business Concepts
Relations Network
Basic Services/Functions
Basic Concepts
Ent
erpr
ise
Vie
w
Info
rmat
ion
Vie
w
Com
puta
tiona
l Vie
w
Eng
inee
ring
Vie
w
Tec
hnol
ogy
Vie
wComponentView
ComponentDecomposition(Granularity)
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The German Health Telematics Platform –
bIT4Health architectural framenwork and security infrastructure
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bIT4health - Project Objectives
• Flexible extensible framework architecture for telematics applications in the healthcare sector with special emphasis to security and privacy
• Emphasis on introduction of mandatory applications plus prioritised voluntary applications until 2006
© Copyright bIT4health 2003
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Transformation of Architectural Framework to Solution
Legislation
ActualStandards
RequirementsPartners
Requirements
ArchitecturalFramework
SolutionArchitecture
Architecture
Transformation
IT-System
New Servicesand Programs
GenericComponentGeneric
ComponentGenericComponentGeneric
Component
SpecificComponentSpecific
ComponentSpecificComponentSpecific
Component© Copyright bIT4health 2003
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bIT4Health Component Model
© Copyright bIT4health 2003
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bIT4HealthePrescription
Data Model
© Copyright bIT4health 2003
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bIT4Health Component Model
© Copyright bIT4health 2003
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bIT4Health Component Diagram
© Copyright bIT4health 2003
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Electronic Health Card
Courtesy:
Bruno Struif (Fraunhofer-SIT Darmstadt)
Dr. Christoph Goetz (Kassenärztliche Vereinigung Bayerns)
Dr. Stephan H. Schug (EHTEL Association)
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Ownerpicture
Standardizedbackground
design
Braillecard ID
Carddesignation
Cardowner Insurance
logo
Compulsory Elements of the eHC
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Pflichtelemente seitens der EHIC
Room for Signature
and further national elements
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Unterschriftenfeld
EU Dec
isio
n
(200
3/75
3/EG
)
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Endorsement Passport
HP Data (Passport Data)
Key Pair (Login)
Key Pair (Encryption)
Key Pair (Electronic Signature)
Attribute Certificates
Card toCard
PIN 1
PIN 2
TTT (2003)
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Endorsement Passport
Institutional Data (Passport Data)
Key Pair (Login)
Key Pair (Transport)
Key Pair (Electronic Signature)
Attribute Certificates
Card toCard
PIN
Form-Factor ID 000(PlugIn)
TTT (2003)
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German Healthcard
• Compulsory– Insurance data– ePrescription– EU Insurance Card
• Optional– Medication file– Doctor‘s report– Receipt– Emergency data– Electronic Patient
Record
TTT (2003)
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EN 13606 “EHR Communication”
• This new standard has five parts:
• Part 1: Reference Model
• Part 2: Archetype Interchange Specification
• Part 3: Reference Archetypes and Term Lists
• Part 4: Security Features
• Part 5: Exchange Models
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EHR References
• HL7 V3 / CDA
• EN 13606 EHR communication
• GEHR/openEHR
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Contact:
Chair:
Bernd Blobel Ph.D.Associate ProfessorHead of the Health Telematics GroupFraunhofer Institut Integrierte SchaltungenAm Wolfsmantel 3391058 ErlangenEmail: [email protected].: +49-9131-776-5830Fax (Department Office): +49-9131-776-588
Office:
Institut für Medizinische Statistik, Informatikund Epidemiologie (IMSIE)Universität zu KölnJoseph-Stelzmann-Str. 950931 KölnTelefon (0700) 7777 6767Fax (0700) 7777 6761Email [email protected] www.hl7.de