Private healthcare providers (4000) Patient data repository

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Presentation transcript:

Private healthcare providers (4000) Patient data repository Public healthcare providers Kanta services Hospital districts (20) Kanta messaging layer Pharmaceutical database Primary care org. (192) ePrescription service Prescriptions Dispensations Renewals Logs Private healthcare providers (4000) Patient data repository Encounters Radiology DICOM studies Logs Pharmacies (~800) Health records, structured Health records, legacy Web- GUIs for HCPs Health care professionals Patient summary management Diagnoses Risks Other summary data eHealth National Contact Point management service Patient data eHealth DSI (CEF) Consent and will management Other countries Consents and their restrictions Living wills and other wills (organ donation, etc) My Kanta pages Citizens (> 5 000 000) Personal Health Record Customer’s mydata Apps Data repository for social services Social care providers Customer docs Customership and service item data Main standards HL7 V3: CDA R2 L3 and Medical Records HL7 FHIR DSTU2 (PHR) JSON, XHTML (PHR and social services) PDF/A (legacy data and social services) IHE IT-I Profiles (Imaging and epSOS) W3C XML DSig WS Addressing, WS-I TLS, X.509 Legacy data Summary management Logs Other national services National code server Code systems and terminologies Form structures Pharmacy register Organization register X-Road Certification services HCP and SCP register

Timeline of Finnish Healthcare ICT Standardization for Interoperability Personal Health Record in production Legislation about the national Kanta system and supporting services All public healthcare uses the Patient Data Repository National health project starts epSOS work started in FIN Experimental legislation on seamless service chains National core datasets defined ePrescription service production phase incl. My Kanta pages service for citizens Patient Data Repository production phase All private healthcare uses the Patient Data Repository Regional hospital information systems starting HL7 Finland founded Kela appointed as a national actor in national healthcare ICT services IHE Finland founded Finnish IHE SIG founded 1995 1997 1999 2000 2002 2003 2004 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 National Kanta architecture defined National pharmaceutical database founded National imaging infrastructure in production KVARKKI national imaging architecture defined First FHIR pilots National code server founded ICD-10 adopted in Finland Ministry decision on CDA R2 for national standard for structured dataset Web-based ePrescription in production, available for all prescribers HL7 Medical records specifications for ePrescription and Patient Data Repository eHealth National Contact Point in production First national HL7 v2 profiles Finnish profile for CDA R1 epSOS national contact point in production Finnish basic profile for CDA R2 Oral and dental healthcare structured documentation specifications PikaXML definition for electronic referral process Revised legislation on consent management and patient summary service Finnish profile for HL7 V3 messaging