1. Data-Processing Centre (DPC) for the health care system in the Sverdlovsk Oblast Andreas Lux Substantive provisions of the concept Moscow January 25 th 2007 Advice Company for Information Technology and Organization in Health Care Systems Hamburg Debold & Lux

2. Julii 2005Folie 2 Debold & Lux Debold & Lux national references  Introduction of the Health Insurance Card in the compulsory health insurance system (project management, technical specification of the system) Germany 1992 - 93  Introduction of electronic data transfer among insurance companies and healthcare institutions (project management during the design phase) Germany 1993 - 94  Assessment for the World Bank regarding the suitability of a social insurance card for the Hungarian health insurance system. Hungary  Development of a SmartCard system for the Slovene health insurance system Slovenia 1999 - 2000  Concept of a new generation of health insurance cards (Design of scenarios and preparation of a cost-benefit-analysis) Germany 2001  Introduction of a Health Insurance Card in Switzerland. An assistance for the ministry of health. Switzerland 2005 until now Debold & Lux

3. Julii 2005Folie 3 Debold & Lux Participants DPC project Sverdlovsk  TFOMS of the Sverdlovsk oblast, Ekaterinburg  ZI, Central Research Institute of Ambulatory Health Care in Germany, Berlin  HOST Company, Ekaterinburg  Debold & Lux, Advice Company for Organization and Information System in Health Care Ltd., Hamburg, Germany  Time of development: 2002-2003  Activities: Studying of the European experience and the Russian conditions. 12 Workshops and conferences in Russia and Germany  Result: Concept and Design of the system Debold & Lux

4. Julii 2005Folie 4 Debold & Lux Goals  Administrative  financial resources - management  efficiency administrative processes  Management of the health care business  Prevention mangagement  Medical  medical data about patients for first aid  electronic case records in the data storage  structured data on electronic case records and out-patient cards  provide professional assistance from highly skilled medical specialists to doctors in far distant settlements on the basis of equal opportunities Debold & Lux

5. Julii 2005Folie 5 Debold & Lux Description of the project Situation in 2002 - 2003  The centralized and distributed architecture of IMS  Examples of European projects of centralized and distributed systems  Choice of architecture with the central storage Debold & Lux

6. Julii 2005Folie 6 Debold & Lux Planned applications  Identification and health insurance status  Emergency data on Patient Data Card  Delivery of Data  Data requests  Electronic Prescription of drugs (EP)  Drug History (DrugH)  Physician letter  Online-Update Debold & Lux

7. Julii 2005Folie 7 Debold & Lux Information flow without payment Debold & Lux Data Processing Centre DPC Data-storage Authorities TFOMS Health Insurance Companies Drugstores Pharmacies Medical Organizations Fund of social insurance, The ministry of social protection, employers Ministry of public health Specifications the citizen electronic prescription Data: - services - medical data Database of the insured citizens user the citizen Reports Data: - services - medical data Data: - services - medical data A FC D G E H B medical data Specifications prescribed drugs delivered drugs Specifications Database of the medical professional and pharmacists

8. Julii 2005Folie 8 Debold & Lux Example for description of solutions Pseudonymization and access right management service Debold & Lux

9. Julii 2005Folie 9 Debold & Lux Example for the description of Processes Debold & Lux

10. Julii 2005Folie 10 Debold & Lux End of part 1 (Lux)

11. Julii 2005Folie 11 Debold & Lux Planned applications  Identification and health insurance status  Emergency data on Patient Data Card  Delivery of Data  Data requests  Electronic Prescription of drugs (EP)  Drug History (DrugH)  Physician letter  Online-Update Debold & Lux Realization of the concept by introduction of IMS Realized Not realized Realized Partially realized Realized Not realized

12. Julii 2005Folie 12 Debold & Lux Realization of the concept by introduction of IMS & The main application are realized & Use of the IT- infrastructure of a “Social card” does not contradict the concept & Pseudonymization, the important function, is not realized & Ethic committee is not realized. It is necessary to create public control of system

13. Julii 2005Folie 13 Debold & Lux & The project based on the European experience is realized & The European experience is adapted for Russia & There is a successful experience of cooperation of the European and German developers & It is necessary to create missing functions, but the basis already exists and the function are described Conclusion