eHealth Standards and Profiles in Action

Domingos Pereira

My Background …

Graduate in Electrical Engineering at Porto

University

Master in System Information Management at

ISEG University of Lisbon

19 Years as IT Specialist and Manager in the

banking industry

6 Years as Project Director at a portuguese

vendor

Since 2006 IT Director at Centro Hospitalar de

Vila Nova de Gaia

Our Application Architecture

Lig

açõ

es

Ex

tern

as

Indicadores de Gestão e de Qualidade (BI)

Interoperabilidade

ERP

Saúde

Registo Clínico (EPR)

Processo Clínico

Gestão da Receita, da Actividade e Indicadores Tutela

Re

lac

ion

am

en

to U

ten

tes

Soluções

Especializadas

Urgência

AnestesiaIntensive Care

Serviços

Produtores

Laboratórios

Imagiologia

RSE-PDS

Nascer

Cidadão

Certificado

Óbito

CTH

SIGIC

RNU

SIADAP

Portal

Externo,

Contact

Center

Quiosques

Sistemas Colaborativos e Identificação & Autenticação

Infra-Estrutura Tecnológica de Software de Sistema

Circuito

Integrado

Medicamento

Pedidos de

MCDTs

Gestão Fluxo Utentes (PAS)

Agendamentos - fragmented

Prestadores

Externos

Profissionais

Interoperability HL7 v2 and DICOMas a major operating tool …

Within our architecture :

– To generate modalities worklist of cardiology,

imagiology and other medical specialities equipments

that support already HL7 and DICOM classes

– To interoperate between emergency and imagiology and

Labs

– To ask for imagiology service to third parties and receive

reports and images

• Portuguese IT Vendors/Integrators

– Very matures regarding these standards and related

technologies

Priority areas of data sharing …

Within our architecture :

– Centralize Scheduling of clinical acts (exams;

outpatient; day hospital )

– Register nurse procedures at the patient bed, like drug

administration and draw blood

Within the Nation Health System - Directed by SPMS

– Patient summary sharing

– Dicom Images and reports sharing

Challenges/Problems…

Local public hospitals due to a very old HIS/EPR system,

face strong difficulties to interoperate with it (runs on

Oracle 7.3.4)

We don´t follow much IHE profiles, and miss some

important like PIX … so sometimes we send a call to a

patient that we shouldn't …

Each of our vendors to support HL7 messages build or

licence his own HL7 engine, so we have a lot of them

right now running in house …

Thank You …

Typical portuguese status atpublic health hospitals