TripCom: Development of a patient summary at European level E. Della Valle, D. Cerizza, D. Foxvog, R. Krummenacher, L. J. B. Nixon, E. Paslaru-Bontas Simperl, Martin Murth Dario Cerizza Semantic Web Activities group CEFRIEL – Politecnico di Milano web: COCOON Conference: Sharing Medical Data and Risk Management Istituto Veneto di Science, Lettere ed Arti, Venice, Italy, 27 February 2007

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 2 Ilias Iakovidis (Deputy Head of Unit – ICT for Health, DG INFOSO, EC) "European Commission activities in e-Health: The achievements and future prospects." Med-e-Tel Luxembourg, April 5, 2006 a concise clinical document of crucial citizen’ health data an enabling factor for an European infrastructure for accessing and sharing citizens’ health data a concise clinical document of crucial citizen’ health data an enabling factor for an European infrastructure for accessing and sharing citizens’ health data e-Health ongoing challenges European strategies in e-Health

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 3 e-Health ongoing challenges The European Patient Summary (EPS) Laboratories Ambulances Home care services Administrations, Assurance companies Hospitals, clinics General Practitioners Specialists Researches e-Health Information System An infrastructure for a patient summary at European level 10 4 health authorities 10 6 users (clinicians and administrative staff) 8*10 8 summaries An infrastructure for a patient summary at European level 10 4 health authorities 10 6 users (clinicians and administrative staff) 8*10 8 summaries Citizens

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 4 e-Health ongoing challenges Requirements for such EU infrastructure A Multilateral Solution Virtual common infrastructure distributed among healthcare organizations To enable access to citizens’ health data anytime and anywhere Data Ownership To let health authorities maintaining the control over the data produced by treating patients The Principle of Subsidiarity Flexible solution to overcome the heterogeneity of data and applications among existing systems and e-Health standards Multilingualism To capture information in a linguistically neutral manner (using structured data and medical coding systems) Privacy To assure that only authorized caregivers access citizens’ data

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 5 The TripCom project IST STREP of 5 th call of FP6, from April 2006 Unit: Intelligent Content and Semantics Human net Machine net MessagePublishing Triple Space Web So-called Web Services Communication platform for Semantic Web services based on Web principles: “Persistently publish and read semantic data that is denoted by unique identifiers”

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 6 The TripCom project Develop an highly scalable, semantically enhanced communication infrastructure Web Service technologies Tuple Space technologies Shared Space supported by parties Persistent publication of information Retrieval of information by decoupling in time, location and reference Semantic Web technologies Triple Space Computing

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 7 The TripCom project Semantic Web technology The proposals for e-Health standards similarly address interoperability by: Defining a shared conceptual model (e.g. HL7 RIM) Deriving message structure from such conceptual model Coding the information carried by messages using medical terminologies (e.g. SNOMED or ICD) Binding the resulting messages to “the technology of the day” meaning EDI in the ’90s, XML and Web Services today This is very similar to the Semantic Web approach in which interoperability is achieved by modelling the domain knowledge at conceptual level interconnect applications using the modelled concepts

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 8 The TripCom project Capabilities of the TripCom infrastructure Decentralized and Distributed Shared Space Each healthcare party provides a node of the shared space Highly scalable Healthcare parties publish patient summary in their own node Enforcing data ownership Decoupling interactions in time, location and reference Ensure a good level of fault-tolerance Semantic Interoperability To cope with heterogeneity among data, protocols and processes of e-Health standards and e-Health systems Security and Trust mechanisms To define local and global policies for accessing and sharing citizens’ data To comply with the privacy regulations for the treatment of data

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 9 The TripCom project Work Plan April 2006 Project start April 2007 Detailed definition of the European Patient Summary scenario February 2008 First Prototype of the European Patient Summary over the Triple Space Computing March 2009 Final Prototype of the European Patient Summary over the Triple Space Computing

Sixth Framework Programme Priority 2 Information Society Technologies (IST) Specific Targeted Research Project 10 The TripCom project Long Term Vision The European Patient Summary over TripCom enables asynchronous reliable meaningful communication among heterogeneous e-Health systems If TripCom would prove to be a suitable middleware for the EPS Then it could also be adopted as a new technology to accomplish European challenges in e-Health

Thank you very much for your attention Dario Cerizza Semantic Web Activities group CEFRIEL – Politecnico di Milano web: