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Coordination
Collaboration
Consumption
Dr Robert A. Stegwee
Coordination
Collaboration
Consumption
Coordination
Collaboration
Consumption
Introductions ISO/TC 215 Health Informatics
187 published ISO Standards
57 ISO Standards under development, incl. updates
30 participating members
31 observing members
Consensus process driven by delegations of national
member bodies (standards institutes)
12/04/2019 International Health Informatics Seminar 2
Coordination
Collaboration
Consumption
Coordination
Collaboration
Consumption
Introductions CEN/TC 251 Health Informatics
102 published CEN Standards
24 CEN Standards under development, incl. updates
32 members (national member bodies, same as ISO)
Prefers to produce specifications in co-operation with
other SDOs at a global level and to adapt or adopt
international standards for implementation in Europe
12/04/2019 International Health Informatics Seminar 3
Coordination
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Consumption
Coordination
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Introductions Robert Stegwee
MSc in Computer Science
Doctorate in Management & Organization
>25 years of experience Health Informatics Consulting
Currently working with CGI Netherlands
Board member of HL7 Netherlands
Chair of CEN/TC 251 Health Informatics
Member of Joint Initiative Council Global HI Standards
12/04/2019 International Health Informatics Seminar 4
Coordination
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• What are the objectives?
• Why do we need to work together?
Coordination
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Coordination
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Health Informatics Standardization
12/04/2019 International Health Informatics Seminar 6
Coordination
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Coordination
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Key role of HI Standards
Provide trust in the data presented
Right patient, consistent meaning and interpretation
Up-to-date and unaltered from a reliable source
Enable flow of data across the health system(s)
Transfer between professionals, institutions, countries
One-time data capture, multiple (secondary) use 12/04/2019 International Health Informatics Seminar 7
Trust
&
Flow
Coordination
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Consumption
Coordination
Collaboration
Consumption
12/04/2019 International Health Informatics Seminar 8
Source: eStandards Roadmap Methodology:
eStandards Compass, June 2017
Coordination
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Consumption
Coordination
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Consumption
Supporting EU Health Policy
12/04/2019 International Health Informatics Seminar 9
Source: Commission: Mid-Term Review of
the Digital Single Market Strategy, May 2017
Coordination
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Coordination
Collaboration
Consumption
Layers of Interoperability
12/04/2019 International Health Informatics Seminar 10
Our objective
Our Standards
Source: EU eHealth Network: Refined
eHealth European Interoperability
Framework (ReEIF), November 2016
Coordination
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Coordination
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No one standard solves all
12/04/2019 International Health Informatics Seminar 11
Coordination
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Coordination
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Consumption
Concurrent use
12/04/2019 International Health Informatics Seminar 12
13606
13940
12967
• System of Concepts to Support Continuity of Care (ContSys)
• Electronic Health Record Communication (EHRcom)
• Health Informatics Service Architecture (HISA)
Coordination
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Consumption
Coordination
Collaboration
Consumption
International Patient Summary
12/04/2019 International Health Informatics Seminar 13
Coordination
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Coordination
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Consumption
Health and Wellness Apps Quality criteria across the life cycle –
Code of Practice
Based on British Standards Institute PAS 277
Related to EN/IEC 82304-1 Health Software : General
requirements for product safety
Based on EN 62304 Medical Device Software :
Software Life-cycle Processes
Collaboration between ISO/IEC and CEN/CENELEC
12/04/2019 International Health Informatics Seminar 14
Coordination
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Coordination
Collaboration
Consumption
Working together to … (a) promote interoperability and seek to avoid overlaps between standards used
in health informatics;
(b) achieve greater coordination and consistency of health informatics standards
development;
(c) identify gaps in meeting the needs of members and their stakeholders for
health informatics standards
…
12/04/2019 International Health Informatics Seminar 15
Coordination
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Consumption
Coordination
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Consumption
Please collaborate locally!
12/04/2019 International Health Informatics Seminar 16
National Competence
Centre for eHealth
Coordination
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Coordination
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Goals of the NL SDO Council To have an environment in which to have an efficient and
effective health informatics standards debate
1. Coordinate, because multiple standards will usually contribute to a
single solution
2. Identify overlaps between standards and agree to actions to avoid
them
3. Identify gaps between standards and agree to actions how to
solve them
4. Provide insight into the dependencies between standards
5. Provide (independent) advice to stakeholders
12/04/2019 International Health Informatics Seminar 17
Coordination
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Coordination
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Agreement of the NL SDO Council 1. Inform each other of new initiatives, allowing the other members to
question and comment
2. Agree on actions in support of the goals
3. Inform each other of international developments
4. Bring key NL developments to the attention of the international
standards community
5. Create and maintain an overview of actions
6. Be open to participation of other organizations contributing to
standards when and where needed
12/04/2019 International Health Informatics Seminar 18
Coordination
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Coordination
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Real needs drive adoption !
12/04/2019 International Health Informatics Seminar 19
Source: eStandards Roadmap Methodology, June 2017
Coordination
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