ehealth matthew chetty. ehealth defined historically, health information systems in south africa...

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eHealth Matthew Chetty

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“Historically, health information systems in South Africa have been characterised by fragmentation and lack of coordination, prevalence of manual systems and lack of automation, and where automation existed, there was a lack of interoperability between different systems.” Dr Aaron Motsoaledi, Minister of Health, eHealth Strategy South Africa,

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Page 1: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

eHealth

Matthew Chetty

Page 2: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

eHealth Defined

Page 3: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

“Historically, health information systems in South Africa have been characterised by fragmentation and lack of coordination,

prevalence of manual systems and lack of automation, and where automation existed, there was a lack of interoperability between

different systems.”

Dr Aaron Motsoaledi,Minister of Health, eHealth Strategy South Africa, 2012-2016

Page 4: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

Health Normative Standards Framework

(HNSF)

Page 5: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

Health System Requirements• NIDS• NHI• Burden of disease scenarios• Continuity of care

Normative Standards Framework for eHealth in

South Africa (HNSF)

Global eHealth base standards eHealth standards

stacks • Health Level 7

(HL7) V3• ISO 13606• Integrating the

Health Enterprise (IHE)

Proposed stack - IHE

Health Functions• Identification, authentication and

authorisation• Search or retrieve patient record• Lookup or update patient record• Admission, discharge and transfer• Scheduling• Generate metrics• …

Selection CriteriaScalability, Implementability, testable, cost, maturity, extendibility, flexibility

Page 6: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

eHealth Standards – Basis for Interoperability

Page 7: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

Primary Healthcare Patient Information

Systems Assessment

Page 8: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

PHC-PIS Overall Scoring

Page 9: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

Health Patient Registration System

(HPRS)

Page 10: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

HPRS

Page 11: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

HPRS

Page 12: EHealth Matthew Chetty. eHealth Defined Historically, health information systems in South Africa have been characterised by fragmentation and lack of

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