Introduction

Introduction

• Introduction

• ELGA = Austrian’s EHR

• XDS in Lower Austria

• IHE Austria

Decision of Federal Health Commission (BGK) from July 2006 concerning establishment of Arge ELGA and financial remuneration

• Decision of Federal Health Commission (BGK) from July 2006 concerning establishment of Arge ELGA and financial remuneration

• Working basis of Arge ELGA is an agreement between

• Federal Government
• Provinces and
• Social Insurance Institutions

• Since September 2006 ARGE ELGA is acting operationally Location: A-1020 Vienna, Schiffamtsgasse 15

ELGA contains relevant multimedia-based and health related data and information referring to a precisely identified person.

• ELGA contains relevant multimedia-based and health related data and information referring to a precisely identified person.

• Data und information originate from

• different health service providers and
• from the patient himself/herself

• and are stored in one or several different information systems (virtual health record).

• Data are available independently of place and time (7x24) at the place of treatment for all authorized persons according to the tasks and needs of these persons and in compliance with data protection rules

ELGA Architecture consists of the following basic components

• ELGA Architecture consists of the following basic components

• Master Patient Index
• Health Service Provider (HSP) Index
• (global directory of healthcare providers)
• Registry
• Authorization System
• Portal

• ELGA provides in the first phase of implementation the core applications

• discharge Summary
• e-Report - radiology
• e-Report - laboratory
• e-Medication

International standards for ELGA in Austria:

• International standards for ELGA in Austria:

• IHE Frame-Work with domain

• IT Infrastructure
• Patient Care Coordination
• Laboratory
• Radiology

• HL7 CDA 2.0 as document standard

• LOINC (area Laboratory data)

• DICOM 3.0 incl. WADO (area radiology)

• HL7 (in Version 3 with RIM as prospective data model)

Detailed planning and first piloting (2007 / 2008)

• Detailed planning and first piloting (2007 / 2008)

• Concretion Basic Components and Master Plan
• Project 1 – Master Patient Index
• Project 2 – HSP Index
• Project 3 – Document Registry
• Project 4 – Authorization System
• Project 5 – Portal
• Project 6 – Main Application first phase of implementation
• Project 7 – Acceptance Management
• Acceptance of each project after the presentation of an organizational and financial concept through BGK

Introduction

• Introduction

• ELGA = Austrian’s EHR

• XDS in Lower Austria

• IHE Austria

Technical (syntactical) interoperability

• Technical (syntactical) interoperability

• Content wise (semantical) interoperability

• Requirement:

• Assortment of international standards

• Standards rise quality and reduce costs!
• Standards promote competition!

Introduction

• Introduction

• ELGA = Austrian’s EHR

• XDS in Lower Austria

• IHE Austria

• Creation of a central and integrative information and communication platform to meet the patient-related requirements of healthcare and welfare in Lower Austria.
• To make all relevant medical data of a patient available at any location and at any time for authorized persons or organizations to the extent required, thus providing quicker and more efficient medical assistance.
• Synergy and cost efficiency in the acquirement and operation of IT systems.

PIX

• PIX

• PDQ

• EUA

• ATNA

• PWP

• XDS.a

• XDS.b

Introduction

• Introduction

• ELGA = Austrian’s EHR

• XDS in Lower Austria

• IHE Austria

Support development of requirements and specifications for ELGA and other health IT Projects

• Support development of requirements and specifications for ELGA and other health IT Projects

• Coordinate with IHE international

• Develop „national extensions“
• Contribute to international work on the profiles

• Take care for „certification“ of software products

• This is more than interoperability!
• QA, security audits, load balancing, …,
• Cooperate with IHE international, Eurorec, CCHIT, …
• Make sure that vendors can use „ELGA certificates“ in international markets, too.

Manage project groups

• Manage project groups

• For use cases, specifications, international contacts

• Provide „ELGA-thon“

• What exactly is this? Concept work
• Build up infrastructure

• Keep everybody informed

• Website, communication platform, events, …

Thank you for your Attention!

• Thank you for your Attention!