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INTEROPERABILNOST IN UPRAVLJANJE S PODATKI E-ZDRAVJA V EVROPSKI UNIJI
KRIŽAJ, JANEZ (Author), Bešter, Janez (Mentor) More about this mentor... This link opens in a new window

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Abstract
V Evropski uniji obstaja več kot 800 različnih IT podjetij, ki se ukvarjajo z elektronskimi zdravstvenimi zapisi, kjer je med rešitvami treba omogočiti interoperabilnost, ki bo pripomogla k bolj optimalni zdravstveni oskrbi in k večji učinkovitosti ter uspešnosti. Interoperabilnost e-zdravja omogoča izmenjavo podatkov in informacij med različnimi informacijskimi sistemi, kot so: sistemi za elektronski zdravstveni zapis EZZ, sistemi za elektronski medicinski zapis, sistemi za osebni zdravstveni zapis, sistemi za klinične študije, zdravstvene naprave, zavarovalniški sistemi in sistemi na državnem, evropskem ter svetovnem nivoju. Bistveno je, da so pravi podatki in informacije na voljo na vseh točkah zdravstvene nege in na vseh mestih kot podpora pri odločanju na razumljiv, varen, zanesljiv in zaseben način. Uporaba informacijskih tehnologij v zdravstvu zaostaja glede na druga gospodarska področja, zato je treba temu področju nameniti več pozornosti. Za optimalno izmenjavo zdravstvenih podatkov v družbi na nacionalni in mednarodni ravni je treba zagotoviti tehnično, semantično, organizacijsko in pravno interoperabilnost. Tem vrstam interoperabilnosti mora biti prilagojena večina informacijskih rešitev v zdravstvu. Najprej se naloga osredotoča na tehnične in semantične mednarodne in lokalne standarde e-zdravja, ki so predpogoj za doseganje širše interoperabilnosti in narekujejo gradnjo zdravstvenih informacijskih sistemov. Nadalje je te standarde treba vključiti v arhitekturne zasnove rešitev, pri čemer sta v pomoč OpenEHR in IHE (angl. IHE – Integrating the Healthcare Enterprise). Že obstoječe rešitve je treba prilagajati novim standardom in priporočilom ter upoštevati sodobne računalniške smernice. Pri izmenjavi podatkov je najpomembnejša odločitev glede uporabe SOAP oziroma REST tehnologije, ki je odvisna od potreb in omejene pasovne širine. V srednjem delu je opisano stanje na področju interoperabilnosti v EU in Sloveniji, kjer so smernice sicer dobro zasnovane, vendar se izvedbe vsaj v nekaterih državah odvijajo prepočasi. V nalogi je podrobneje analiziran novo nastajajoči standard FHIR (angl. FHIR - Fast Healthcare Interoperability Resources), ki bi lahko nadomestil vse trenutno obstoječe standarde na področju izmenjave podatkov v zdravstvu. Na rešitvi fMedic, ki je plod razvoja našega podjetja, so opisane smernice, kako rešitev prilagoditi novemu standardu FHIR. Na koncu so podane smernice in in procedure postopkov, ki jih je treba izvajati pri gradnji interoperabilnih rešitev e-zdravja. Glavni cilj naloge je pomagati poiskati hiter način prilagoditve obstoječih rešitev e-zdravja za potebe interoperabilnosti.

Language:Slovenian
Keywords:e-zdravje, interoperabilnost, elektronski zdravstveni zapis EZZ, osebni zdravstveni zapis OZZ, standardi e-zdravja, HL7, OpenEHR, IHE, FHIR, SOAP, REST, JASEHN, eHN, eZdravje.
Work type:Master's thesis (m2)
Organization:FE - Faculty of Electrical Engineering
Year:2016
Views:862
Downloads:377
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Secondary language

Language:English
Title:INTEROPERABILITY AND MAMAGEMENT OF E-HEALTH DATA IN THE EUROPEAN UNION
Abstract:
In the European Union there are more than 800 different IT companies dealing with electronic medical records, where interoperability has to be established among some of them. Interoperability will contribute to a more optimal heath care, greater efficiency and effectiveness of health sector. eHealth interoperability enables the exchange of data and information among diverse information systems such as electronic health record, electronic medical record, personal health record, clinical studies, healthcare devices, insurance systems and health systems at national, European and global level. It is essential to have the right data and information available at all points of care in all areas for decision support in an understandable, safe, secure and private way. Because information technology usage in healthcare sector is lagging behind other industry sectors, this sector needs more attention in implementing IT technology. For optimal health data exchange in society on national and international level it is necessary to ensure technical, semantic, organizational and legal interoperability. Majority of IT solutions in healthcare must meet these types of interoperability. First, thesis is focusing on eHealth technical and semantic international and local standards, which is a prerequisite for achieving broader interoperability and which dictate development of health information systems. Furthermore, these standards need to be included in architectural design of healthcare solutions. Great help to achieve this are OpenEHR and IHE (Integrating the Healthcare Enterprise). Existing solutions need to be adopted to the new healthcare standards and recommendations and consider modern computer trends. The most important decision regarding data exchange among variety of IT solutions is use of SOA or REST technology, which depends on the needs and limited bandwidth. Thesis middle part describes eHealth interoperability circumstances in EU and Slovenia, where guidelines are well designed, but the performance, at least in some countries, is unfolding too slow. Emerging standard FHIR (Fast Healthcare Interoperability Resources) is further analysed, which could even replace all currently existing healthcare standards for data exchange. Our company solution fMedic is analysed to present guidelines, how to adjust it, to the new FHIR standard. At the end there is set of guidelines and procedures, which have to be implemented when upgrading or developing interoperable eHealth solutions. The main thesis objective is to help find quick way to adjust existing eHealth solutions for the need of interoperability.

Keywords:eHealth, interoperability, Electronic Health Record (EHR), Personal Health Record (PHR), eHealth standards, HL7, OpenEHR, IHE, FHIR, SOAP, REST, JASEHN, eHN, eZdravje.

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