1

eHealth Standards & Profiles in Action for Europe and beyond

Bernd Behrend

MedTec, IT and OrganisationALB FILS KLINIKEN Göppingen, Germany

Vice-Chair KH-IT German Hospital CIO

Association� Behrend@KH-IT.de

� Org

� BusinessProcess

� App

� System� Hardware � Infrastructure

OUGrp

InterOp - Standards in a german Hospital- a brief overview -

HIS ePR

ADT

ORM

ORU

MDM

Auf

nahm

eV

erle

gung

Ent

lass

ung

DRM

HL7 DICOMLDAP

HR OE

Fkt

AD

FSORACLE mySQLMS-SQLASL

Anf

orde

r‘gT

erm

inLe

istu

ng

Bef

und

Link

XD

S

Person / Patient

Visit in Hospital

Order Order Order

Visit

WL

SND

MPI

PIX

XDS

IHE

Personal

somewisches

FAX

Access

Amb

ADT

KV

BDT

LDT

GDT

MedDev

SNKSafeNet

KV Connect

ODBC

CAS CASMIS MedDSignal

MedDPicture

ORU

Standards:

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What are the priority areas for information sharingwithin and between organizations that you are now striving to achieve?

whithin Hospitalincluding ambulance

� most: admission data (ADT)

� important: - orders and- results incl. Pictures

� Correct patients identification� Universal Viewer /

presentation

between Hospitals /or to doctor‘s office

� result reports� pictures / studies� Patient identification

What are the difficulties you encounter in meeting these needs, in terms of products, standards, data, human or organizational factors?

whithin Hospitalincluding ambulance

� market politics: pricing forinteroperability, specially frombig HIS-Companies

� Scaling: lot‘s of med. Devices toconnect ( –> we can‘t pay everyprice per interf.)

� Missing information betweenSystems e.g.: Patient‘s Risks

� Gap between catalogs (e.g. Medication)

� Dating (SIU, iCal, …)

� Identity&Access-Rights

between Hospitals /or to doctor‘s office

� borders between health sectors, specially german „xDT“

� Patient‘s Identification