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Health Telematics Strategy of the German Bundeswehr Bernd Blobel Chair HL7 Germany, Co-Chair Security TC Reinhard Bauske German Military Medical Service.

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Presentation on theme: "Health Telematics Strategy of the German Bundeswehr Bernd Blobel Chair HL7 Germany, Co-Chair Security TC Reinhard Bauske German Military Medical Service."— Presentation transcript:

1 Health Telematics Strategy of the German Bundeswehr Bernd Blobel Chair HL7 Germany, Co-Chair Security TC Reinhard Bauske German Military Medical Service HL7 Working Group Meeting 1-6 May 2005, Noordwijkerhout, The Netherlands

2 Basic Principles for the Military Health Telematics Strategy The German military health telematics strategy follows completely the corresponding strategies in the civil sector Introduction of health professional cards by 2006 Introduction of electronic health cards by 2006 Introduction of electronic health records by 2008 (to be finished by 2011)

3 Civil legislation and policies will be adequately applied to the military services The military service EHR will be centralised contrary to rather regionalised or even local EHR in the civil sector

4 eHealth Standardization Focus Group

5 eHealth Europe Strategic ObjectivesCritical Applications Improving access to clinical records Enabling patient mobility as well as cross boundary access to health services Reducing clinical errors as well as improving patient safety Improving access to high quality information for both patients and health professionals Improving efficiency of health services EHR/EPR incl. EHR architecture Electronic exchange of health data incl. electronic transfer of prescriptions (ePrescriptions) ePrescribing with decision support Digital imaging and related services requests and result reporting Core Data Sets e.g. for health surveillances

6 Infrastructures to underpin applications management of any principals identification, in the patients context including: –EU Health Insurance Card (enhanced by carrying medical data and providing cross-border access control facilities); –A common approach to patient identifiers; –Access control and authentication; protecting personal information (based on PKI and data cards (tokens) for professionals and citizens/patients); terminological systems for clinical records and medicines; EU Health Data Cards.

7 Architectural Paradigms for Future-Proof Health Information Systems Distribution Component-orientation (flexibility, scalability) Separation of platform-independent and platform-specific modelling Separation of logical and technological views (portability) Specification of reference and domain models at meta-level Interoperability at service level (concepts, contexts, knowledge) Enterprise view driven design (user acceptance) Multi-tier architecture (user acceptance, performance, etc.) Appropriate multi-media GUI (illiteracy) Common terminology and ontology (semantic interoperability) Appropriate security and privacy services

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9 The German Health Telematics Platform – bIT4Health architectural framenwork and security infrastructure

10 bIT4health - Project Objectives Flexible extensible framework architecture for telematics applications in the healthcare sector with special emphasis to security and privacy Emphasis on introduction of mandatory applications plus prioritised voluntary applications until 2006 © Copyright bIT4health 2003

11 Transformation of Architectural Framework to Solution Legislation Actual Standards Requirements Partners Requirements Architectural Framework Solution Architecture Transformation IT-System New Services and Programs Generic Component Generic Component Generic Component Generic Component Specific Component Specific Component Specific Component Specific Component © Copyright bIT4health 2003

12 bIT4Health Component Model © Copyright bIT4health 2003

13 bIT4Health ePrescription Data Model © Copyright bIT4health 2003

14 bIT4Health Component Model © Copyright bIT4health 2003

15 bIT4Health Component Diagram © Copyright bIT4health 2003

16 Electronic Health Card Courtesy: Bruno Struif (Fraunhofer-SIT Darmstadt) Dr. Christoph Goetz (Kassenärztliche Vereinigung Bayerns) Dr. Stephan H. Schug (EHTEL Association)

17 Owner picture Standardized background design Braille card ID Card designation Card owner Insurance logo Compulsory Elements of the eHC

18 Pflichtelemente seitens der EHIC Room for Signature and further national elements

19 Unterschriftenfeld EU Decision (2003/753/EG)

20 Endorsement Passport HP Data (Passport Data) Key Pair (Login) Key Pair (Encryption) Key Pair (Electronic Signature) Attribute Certificates Card to Card PIN 1 PIN 2 TTT (2003)

21 Endorsement Passport Institutional Data (Passport Data) Key Pair (Login) Key Pair (Transport) Key Pair (Electronic Signature) Attribute Certificates Card to Card PIN Form-Factor ID 000 (PlugIn) TTT (2003)

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23 German Healthcard Compulsory –Insurance data –ePrescription –EU Insurance Card Optional –Medication file –Doctors report –Receipt –Emergency data –Electronic Patient Record TTT (2003)

24 EN 13606 EHR Communication This new standard has five parts: Part 1: Reference Model Part 2: Archetype Interchange Specification Part 3: Reference Archetypes and Term Lists Part 4: Security Features Part 5: Exchange Models

25 EHR References HL7 V3 / CDA EN 13606 EHR communication GEHR/openEHR

26 Contact: Chair: Bernd Blobel Ph.D. Associate Professor Head of the Health Telematics Group Fraunhofer Institut Integrierte Schaltungen Am Wolfsmantel 33 91058 Erlangen Email: bbl@iis.fraunhofer.debbl@iis.fraunhofer.de Tel.: +49-9131-776-5830 Fax (Department Office): +49-9131-776-588 Office: Institut für Medizinische Statistik, Informatik und Epidemiologie (IMSIE) Universität zu Köln Joseph-Stelzmann-Str. 9 50931 Köln Telefon(0700) 7777 6767 Fax(0700) 7777 6761 Emailinfo@hl7.de Internetwww.hl7.de


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