Status by end of March 2015

Observed market situation

• Usage of standards is widely welcome, accepted and also recommended by eHealth Suisse

• But…

• Required know-how for software vendors is extremely high

• In-depth knowledge of known standards are often missing

• Thus, the entry barrier is too high right now

Objective: An eHealth

Connector should encapsulate as

much functionality as

possible

The project - spirit

• Free and Open Source Software (FOSS)

• Give and take

• Enable interoperability

• Reduce barriers

The project - yesterday

• 2012-08: HL7 CDA in Arztpraxissoftware - Konzept zur Integration

• 2013-11: Konzept zur Implementierung und API Spezifikation

• 2014-02: eHealth Connector - Proof of concept

Documents in German, only: http://medshare.net/publikationeneHC - Proof of Concept: http://sourceforge.net/p/ehealthconnector/wiki/R20140211/

Many thanks to- Franz Marty

The project – End of March 2015

• eHealth Connector – Release 201503

• Communication

• Support for Document Source Actor

• IHE Transaction „Provide & Register Document Set – b [ITI-41]“ (used in IHE ITI XDS.b and XDR)

• Support for Master Patient Index Client (MPI Client)

• IHE Transaction "Patient Identity Feed HL7 V3 [ITI-44]"

• IHE Transaction "PIXV3 Query [ITI-45]“(both used in IHE PIXV3)

• Content

• Support for Swiss eVACDOC implementation guideof eHealth Suisse (CDA-CH-VACD)

• Serializing to file

• Deserializing from file

Many thanks to- Ärztekasse- eHealth Suisse- Franz Marty- HCI Solutions- IHE Suisse- Viavac

The project - tomorrow

Implementations

• Vendor products using the eHC will pass IHE Connectathon testsIHE Suisse members get support

• Vendors plan to use the eHC:

HCI Solutions – Triamed (http://mytriamed.ch)

My Vaccines (http://myvaccines.ch)

Open Source – Elexis (http://elexis.ch)

Viavac Clinical Decision Support System (http://www.viavac-cdss.ch)

Evolution (upcoming releases)

• CDA-CH-EDES - Emergency Department Summary

• CDA-CH-SMTL – Shared Medication Treatment List

• IHE XUA Integration

Many thanksin advance to- Inselspital

Bern University Hospital- HUG

Geneva University Hospitals- Infomed

Canton of Wallis

The project - incubator

• CDA-CH-LRTP (Laboratory Reports in the Transplantation Process) Bachelorproject Bern University of Applied Sciences, Medical Informatics Biel Loosli Helen, 2014, “KIS-Integration mittels Open eHealth Connector,Informationsaustausch rund um die Allokation von Organen für die Transplantation”Managed by: Dr. Stephan Nüssli, Checked in: June, 16 2014, Status: stand-by

• CDA-CH-VACD (eVACDOC) Author: Gerhard Schmutz, viavacChecked in: November, 3 2014Enhanced for Release 201503: by Axel Helmer (financed by HCI Solutions)Status: Picked up for Release 201503

• Please contribute – populate our incubatorhttp://sourceforge.net/projects/ehealthconnectorincubator/

Who is on stage?

Head

medshare Ltd, Thun, Switzerland

Project Team

- Tony Schaller, medshare (Project Manager)

- Franz Marty, Medizinisches Zentrum gleis d (Health Professional)

- Axel Helmer, Open Connections, Oldenburg, Germany (Developer)

- Egger Oliver, ahdis Ltd., Switzerland (Developer)

- Michael Onken, Open Connections, Oldenburg, Germany (Development)

Promoter

- IHE Suisse

- «eHealth Suisse»

Understanding and using the project logos

Main project logo: Iconized logo:

Contributor indication:

User indication:

These Logos by medshare Ltd., Switzerland are licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The project - architecture

Implementing a CDA Template with MDHT

• MDHT uses models to generate

• Application Programming Interface (API)

• Validators

• Documentation (Spec., Javadoc)

• Implementation

• Example: Available Methods for the

• PN Object

• Example: Available Javadoc for the Method

• PN.addDelimiter()

• Knowledge you should have

• RIM, CDA, HL7v3,

• Clinical Terminology, IHE,

• UML Modeling, Ecore Modeling,

• MDD, MDHT

• Not convenient but mighty

eHealth Connector – Convenience API

• Convenience API

• Fast results

• API is very easy to use

• Recommendation what should be implemented

• Guidance for application developers

• Javadoc that explains what you need to know

• Javadoc in your language

• Demo application for every template

• As few expert knowledge as possible

• Hide the complexity of CDA and MDHT

• But you can access underlying MDHT Objects at any time

• Convenient and mighty

The functions of Release 201503

|

eHealth Connector API

Integration scenario for CDA import

|

eHealth Connector API

Integration scenario for CDA export