1. USL4 Health Company of Prato PUSL Yorkshire Digital Eco-system. Sheffield, 31 Jan 2008

2. 2 Description of MediWEB Service ServiceDescription Sustainability Web Portal For Family Physicians  Access relevant data of the sanitary registry database of the citizen assisted by the USL4 public utility;  Access sanitary data of the clinical treatment in the Prato Civil Hospital for the citizens assisted by the each Family Physicians;  Data transmission of the reports of the radiology and laboratory (blood) examinations;  The USL 4 has developed WEB application for family physicians that is directly integrated in the Prato Hospital Information Services: ADT, RIS-PACS and LIS systems;  It re-use the existing SPES PKI infrastructure for strong authentication and for digital signature of bloody or radiological examinations. Potential Users:  About 180 physicians  About 240.000 citizens

3. 3 Re-use SPES PKI Tools: Advantages Re-use of SPES PKI Technologies has allowed: Increase Use of IT technologies among professionals and sanitary that interacting with public health local authority Increase level of automation in the Health Public Utility back offices Obtain legal validity of sanitary data using PKI technology inside Health Software Applications Enforce Use of the Standard Technologies for the Electronic Patient Record (EPR ) management Increase level of automation among Health Public Utility and Family Physicians

4. 4 Major Criticisms Special requirements in the national law for legal validity of electronic signatures Interoperability problems Short Attitude of Citizen and Family Phisicians to access to the new methods of service delivery Special requirements in order to safeguard citizen privacy in the treatment of sanitary data

5. 5 Family Phisycians Web Portal Architecture

6. Thank you f Thank you for your attention Ing. Eugenio Ruggieri eruggieri@usl4.toscana.it

7. 7 Phsycians Web Portal: Main Menu

8. 8 Phisycians Web Portal: Patient RIS Data

9. 9 Phisycians Web Portal: Patient LIS Data

10. 10 Customisation of Web Portal for Family Physicians Installation of the HW and OS in order to set up a platform for the testing of the software selected. Implementation of the designed software modules and integration with Hospital Information System application with reduced digital signature support Testing of the core system and identification of the activities necessary to integrate the provided SW system with the existing information system and with PKI infrastructure Integration of the implemented software modules with the spes PKI tools Test of the single functionality of the integrated application Test of the application components in a real situation