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October 18, 2004
eHealth Smart Cart Project - Germany
Enabling Integration In Health Care
Sofia - December 13th, 2004
Page 2eHealth Sofia/Dec 2004 2
ICW AT A GLANCE InterComponentWare was founded in 1998 Locations:
Walldorf, Germany (Headquarter) San Mateo, CA (USA) – Product Management, Sales USA Sofia (Bulgaria) - Development
Employees: 95 Independent shareholder structure Company Focus:
Integration of primary care systems for seamless health data exchange. Rollout and operation of a Web-Based Personal Health Record with controlled
access for care-providers (clinics, physicians, pharmacies, etc.) and patients for high quality service delivery.
Member of the BIT4Health-Consortium for the German-wide rollout of Telematics Infrastructure including eHealthCard
Page 3eHealth Sofia/Dec 2004 3
Dimensions in Healthcare
Page 4eHealth Sofia/Dec 2004 4
2.2.Interconnecting Interconnecting Clinicians Clinicians
3.3.Personalize Patient-Personalize Patient-care care
1.1.Inform Clinical Inform Clinical PracticePractice
4.4.Improving Population Improving Population Health Health
1.1. EHR – Primary EHR – Primary Systems Systems
2.2. Regional Information Regional Information Exchanges Exchanges
3.3. PHR, Remote Patient PHR, Remote Patient Monitoring Monitoring
4.4. Data Warehouse, Data Warehouse, Predictive Modeling, Predictive Modeling, Health Surveillance Health Surveillance and Patient and Patient MonitoringMonitoring
Health IT Strategic Framework -Framework goals according to David Brailer:
Page 5eHealth Sofia/Dec 2004 5
Reference bIT4Health: Partners
Page 6eHealth Sofia/Dec 2004 6
Q3/04Q3/04 Q4/04Q4/04 Q1/05Q1/05Q2/04Q2/04
BIT4Health Project, TimelineMio Euro
architectureframework
solution-architecture
Samples &prototypes
moduletests
Integration-Tests
„Mini“-Tests
Pilot-Region
Modell-Region
Q3/06Q3/06
Mass-rollout
solution architecture /development/localized tests
service starts inpilot regionens
mass-rollout +mass-servies
Page 7eHealth Sofia/Dec 2004 7
FrameworkTelematic Infrastructuurein Germany consideringEuropean developments
Solution OutlineDetailled description of components with focus on processes related to HealthCard
In preparation: Test Regions, implement solutions and prepare general Rollout
Reference bIT4Health (Top Down Strategy in Germany)
Page 8eHealth Sofia/Dec 2004 8
Reference bIT4Health:Loosely Coupled Architecture
Page 9eHealth Sofia/Dec 2004 9
Doctors Network in Flensburg(Bottom Up Strategy with PCPs and Hospitals)
Administrative DatenInsurance+Sex+Payment
Digital Picture-ID
Emergency Dataset
Medication
Blood Group
Allergies, Risc Factors
Vaccinations
ImplantationsAuthentication
and security for eCard
Pregnancy Pasports
Transplantaion
Desease Management
Electronic Prescription
On the Chip On the Chip/PHR In the PHR
eGK
Electronic Ordering
Living Will
Page 10eHealth Sofia/Dec 2004 10
Reference Breast Cancer Centre Tübingen(Bottom Up Strategy for Information Exchange)
LifeSensor
ODSeasyin Clinic 1
ODSeasyin Clinic 2
Export Import
Information Exchange
+ DMP Tool
PCP
Patient
Cancer Assistant for Patient
Page 11eHealth Sofia/Dec 2004 11
LifeSensor as Information Exchange:Increase Process Effectiveness and Efficiency
Creation of patient-masterdata and first Diagnosis
Completing PHR with diagnosis, PHD letters und picture information (PACS)
Patients personal monitoring
Formular-services, acknowledgement and ordering, Interdisziplined decisiones about care action plan
Care action plan from onkology , timeschedules, envolvement of PHD
Radiology plan, labratory, medication,surgery-report, PHD letter
PMS-System •HIS
•PACS•HIS
•PACS
PMS-System PMS-SystemDifferent Primary systems
physisian physisianhospital hospitalcancer-conference
independent radiology
LifeSensor PHR
Primär Systems
DMP Monitor
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October 18, 2004
eHealth Smart Cart Project - Germany
Enabling Integration In Health Care
Sofia - December 13th, 2004
