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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
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)
• 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
eHealth Standardization Focus Group
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
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.
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
Business Concepts
Relations Network
Basic Services/Functions
Basic Concepts
Ent
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ise
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Info
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puta
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ComponentDecomposition(Granularity)
The German Health Telematics Platform –
bIT4Health architectural framenwork and security infrastructure
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
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
bIT4Health Component Model
© Copyright bIT4health 2003
bIT4HealthePrescription
Data Model
© Copyright bIT4health 2003
bIT4Health Component Model
© Copyright bIT4health 2003
bIT4Health Component Diagram
© Copyright bIT4health 2003
Electronic Health Card
Courtesy:
Bruno Struif (Fraunhofer-SIT Darmstadt)
Dr. Christoph Goetz (Kassenärztliche Vereinigung Bayerns)
Dr. Stephan H. Schug (EHTEL Association)
Ownerpicture
Standardizedbackground
design
Braillecard ID
Carddesignation
Cardowner Insurance
logo
Compulsory Elements of the eHC
Pflichtelemente seitens der EHIC
Room for Signature
and further national elements
Unterschriftenfeld
EU Dec
isio
n
(200
3/75
3/EG
)
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)
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)
German Healthcard
• Compulsory– Insurance data– ePrescription– EU Insurance Card
• Optional– Medication file– Doctor‘s report– Receipt– Emergency data– Electronic Patient
Record
TTT (2003)
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
EHR References
• HL7 V3 / CDA
• EN 13606 EHR communication
• GEHR/openEHR
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
