1. © Bull-Bruxelles 22-23.May 2003.1 Dialysis Card presented by Gabor Avar

2. Claude MEYER E-mail: C.Meyer@frlv.bull.fr Gábor AVAR Email : Gabor.Avar@bull.hu Claude MEYER E-mail: C.Meyer@frlv.bull.fr Gábor AVAR Email : Gabor.Avar@bull.hu http://www.bull.hu

3. © Bull-Bruxelles 22-23.May 2003.3 Hungary : Facts & Figures n N°1 worldwide Nobel Prize / capita n N°1 in CEEurope in Healthbudget / capita n N°1 worldwide Health Professional Smart Card n N°1 in Europe in Student Smart Cards n Population 10 Million n Health card 15 Million – paper based n One Health Insurance Institute n cca.10 Health Cassa n N°1 worldwide Nobel Prize / capita n N°1 in CEEurope in Healthbudget / capita n N°1 worldwide Health Professional Smart Card n N°1 in Europe in Student Smart Cards n Population 10 Million n Health card 15 Million – paper based n One Health Insurance Institute n cca.10 Health Cassa

4. © Bull-Bruxelles 22-23.May 2003.4 In the Dialysis card is a microprocessor (usually referred to as ‘ smart card ’) the memory of which can be written for updates. The card is made of hard plastic, the size of a credit card and capable of containing up to eight pages of information (size 21x29,7 cm). The card is used and distributed for patient under dialysis and after transplantation. Active Memory Card

5. © Bull-Bruxelles 22-23.May 2003.5 Smart card : unique answer to Security Consumer authentication Health professional authentication Electronic signature (Non-repudiation) Emergency authentication PIN

6. © Bull-Bruxelles 22-23.May 2003.6 Multi application Health Card Health insurance card Administrative datas Treatment file Loyalty of local Pharmacy l Emergency datas Status, Therapy Prescriptions Health passport GSM Internet Identification Health Networks Insurance Previus history Pharmacy

7. © Bull-Bruxelles 22-23.May 2003.7 TB1000 Card Specifications  ISO 7816 complient  Multifunctional card  3 level hierachical file system  Memory Capacity: 8 KByte EEPROM. Security algorithm: DES  Technológy: HCMOS  CPU: 8 bit  Communication: 9600 ─ 115000 baud, half duplex  Protokoll: T=0 (ISO 7816/3)  Datastorage capacity: 10 years  Operational temp:-30ºC ─ +60ºC

8. © Bull-Bruxelles 22-23.May 2003.8 Health Data on the Card - The patient ’s name and first names, - Emergency data (blood, allergy, acut disease,etc) - His or her social security number, - The identity of his or her benificiaries, - His or her social security scheme,fund, right - Current status report, - Last five control laboratory results, - Prescriptions, - Others TBD.

9. © Bull-Bruxelles 22-23.May 2003.9 Applied Standards Certification Authority Patient DialysisCenters TransplantClinics Electronic Medical Record Prerequisite Certification Smart Card standards are stabilized Security tested in banking & communication sectors Requirements of Health Sector defined by CEN TC251& oth.

10. © Bull-Bruxelles 22-23.May 2003.10 19 Dialysis Centers & 4 Transplant. Clinics Laboratories Laboratories Pharmacies Public Health Networks Personal electronic mail Data Base 3 k Dialysis Cards Participants & Connections 38k Doctor Cards

11. © Bull-Bruxelles 22-23.May 2003.11 Network  SOTE Transplantation Clinic  SZOTE,POTE,DOTE Transplantation Unit  Institutes helping the dialisation and transplantation activities ( Blood, tissue typing,Pathology, Radiology)  Fresenius Network in Hungary 19 sites

12. © Bull-Bruxelles 22-23.May 2003.12 Minimum Hardware and Software Requirements Personal computer Personal computer Pentium II or above min 32 MB RAM, HHD Pentium II or above min 32 MB RAM, HHD Win98 or higher Win98 or higher Serial port Serial port TLP224 compliant reader/writer TLP224 compliant reader/writer

13. © Bull-Bruxelles 22-23.May 2003.13 Development phases 1st version 1994 Bull development own source 2nd version 1998-2001 Eu financed RETRANSPLANT FP4 project 3nd version under development

14. © Bull-Bruxelles 22-23.May 2003.14 P atient Identification Module

15. © Bull-Bruxelles 22-23.May 2003.15 Emergency Care Module (ECM)

16. © Bull-Bruxelles 22-23.May 2003.16 Health Care Dislocation Module (HCDM)

17. © Bull-Bruxelles 22-23.May 2003.17 Dialysis Module (DM)

18. © Bull-Bruxelles 22-23.May 2003.18 Total Quality Management and Control Module (TQMCM)

19. © Bull-Bruxelles 22-23.May 2003.19 Future Trends  Europwide implementation of Social & Insurance Applications  Electronic Authorisation & Communication via Internet  Combined patient cards for treatment and control the dialysis equipments

20. © Bull-Bruxelles 22-23.May 2003.20 Special Thanks Imre Fehérvári MD. Adjunct Prof. Of Semmelweis University Budapest for the idea of dialysis card, Pál Simon MD. Ph.Sc. Medical Card Expert – for the definition of the card structure and environment, Sándor G.Vári MD. CEO of Varimed Ltd. Coordinator of RETRANSPLANT and Transplant Information Portal Projects – for the realisation of the pilots, and Fresenius Team leaded by Otto Árkossy MD & László Koroknai MD.