HOW TO CREATE A NATIONAL FRAMEWORK FOR COLLECTING AND SHARING HOME MONITORING HEALTH DATA USING INTERNATIONAL STANDARDS AND FRAMEWORKS Session 3: Standards May 6 th 2014 Sophia Antipolis, France By Thor Schliemann National ehealth Authority, Denmark thsc@ssi.dk
NATIONAL ehealth AUTHORITY http://www.ssi.dk/english/healthdataandict/the%20national%20ehealth%20authority/standardisation.aspx 2
AGENDA 1.About Reference Architectures - in general 2.Danish Health Act and Consolidation Act 3.Reference architecture for collecting health data from citizens 3
COMMON POINT OF REFERENCE The reference architecture serves as a common reference point for the development of solutions aimed for collecting health data at the citizen The reference architecture provides a framework for standardization in one area of telemedicine (collection of health data at the citizen) 4
ABOUT REFERENCE ARCHITECTURE (I) Working groups - dialogue meetings: - Essential to ensure and align to international developments and trends Input from advisory committee: - Emphasis on as-is descriptions, gap analysis and design of migration path The reference architectures set the scope for a certain field of interest and requires awareness of international frameworks and standards to be used Standards obliges parties for implementation in systems - pursuant to law (Danish Health Act) and Consolidation Act, guidance 5
ABOUT REFERENCE ARCHITECTURE (II) Examination (the content of the reference architecture) - In connection with the standards required implemented, there must be trials of these as appropriate - see governance processes in the report regarding Reference architectures and standards (in Danish) Life cycle of reference architectures t - Lessons learned from implementation reflects back to the reference architecture - Can be adjusted if there is a need to correct the direction of the reference architecture - Clarify what experience has been obtained from the individual components of the reference architecture 6
ABOUT REFERENCE ARCHITECTURE (III) How the National ehealth Authority (NSI) works with standards 7
AGENDA 1.About Reference Architectures - in general 2.Danish Health Act and Consolidation Act 3.Reference architecture for collecting health data from citizens 8
DANISH HEALTH ACT With legal authority in section 193a of the Danish Health Act, the Minister of Health can submit binding standards for ehealth Consolidation Act 160 gives this authority to NSI (National ehealth Authority) National ehealth Authority (NSI) determines which standards are approved in which contexts ehealth providers are obliged to implement standards, that are mandatory (all systems) or recommended (all new systems) 9
CATALOGUE OF STANDARDS NSI has established an online catalogue, which contains an overview of the standards applying in the individual area, and their recommendability. Contains 463 standards 20 mandatory standards 264 recommended standards 10
AGENDA 1.About Reference Architectures - in general 2.Danish Health Act and Consolidation Act 3.Reference architecture for collecting health data from citizens 11
VISION - FOR COLLECTING DATA It is an element in The National Action Plan for Dissemination of Telemedicine Health monitoring data collected by citizens, shall be included in evaluation of the individual's health and his treatment in line with the data that t is generated within the health service's own framework The reference architecture and the recommended standards ensure that the collection and communication of citizen data can be done in a simple and efficient manner that supports quality and efficiency of services provided by health care partners 12
NOW AND TOWARD A GOAL AS IS - Many individual projects with little or no integration with clinicians' primary IT solutions - No common interface and content standards - Non-standard Measurement TO BE - Standardized measurement equipment ensures easier integration - Standardized interfaces and content standards increases the ability to share equipment and data - Common standards for document sharing means that access to data can be established simply and effectively 13
PRINCIPLES Clear accountability - The collection of health data is done in cooperation between the parties in the health and should be accurate agreements about who is responsible for equipment, support, etc. Health Data made available to all stakeholders in health care - The collected data must be useable by all health professionals who have the patient t in treatment, not only the parties involved in the project concerning data collection The use of International standards - ensures broad market support - Using standards to reduce uncertainty by investing in solutions and ensure a reasonable price Common metadata for forward search of relevant information - Common metadata makes it possible to find relevant information across domains and IT solutions. 14
SYSTEM-TECHNICAL TARGET IMAGE 15
RECOMMENDATIONS The use of Continuas framework - The use of Continua certified measurement equipment The use of HL7 PHMR (Personal Health Monitoring Record) - Danish localization of content in PHMR - profiling Data made available as documents using IHE XDS - Reference Architecture for sharing documents and pictures 16
EXAMINATION Examination of the content of the reference architecture Testing of recommended standards - HL7 PHMR standard profiled Testing involves multiple l actors - Regions with source data - Common IHE Index (NSI) - Presenting health data for GP, Portals (Citizen/GP) In projects - Clinical Integrated Home Monitoring (KIH) - Telecare North (Telecare Nord) - End2End Demonstrator - Net4Care 17