healthcare needs standards but which and for what?

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HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

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Page 1: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

HEALTHCARE NEEDS STANDARDS BUT WHICH

AND FOR WHAT?

Page 2: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

LEVEL OF STANDARDS

• local• regional/national• European• global

Page 3: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

COUNCIL DECISION 87/95/EEC

"Member States shall take the necessary steps to ensure that reference is made to:- European standards and European pre- standards….[and];- international standards when accepted in the country of the Contracting Authority;in public procurement orders relating to information technology so that these standards are used as the basis for the exchange of information and data and for ensuring systems interoperability."

Page 4: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

A BODY COVERED BY PUBLIC LAW

“Any body financed, for the most part, by the State, or regional or local authorities or other bodies governed by public law, or subject to management supervision by those bodies, or having an administrative, managerial or supervisory board, more than half of whose members are appointed by the State, regional or local authorities or by other bodies governed by public law”.

Page 5: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

CURRENT STANDARDS MAKING

Thinking horizontally without knowing what for

Page 6: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

WG I - Information Models

WG II - Terminology & Knowledge Bases

WG III - Security, safety & quality

WG IV - Technology for Interoperability

CEN TC 251 STRUCTURE

Page 7: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

PRIORITIES FOR THE APPLICATION OF ICT

STANDARDS

EHTEL T1 Report

Page 8: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

TOP PRIORITY APPLICATIONS

• communications particularly prescribing• health records• protecting personal data

Page 9: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

e-PRESCRIBING

• business model, structure of messages and content • medicinal products classification• organisation & patient identifiers• security, encryption, PKI• data card standards• payment• Web standards, quality, CoP

Page 10: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

WHAT STANDARDS MAKERS NEED TO DO

• ally to policy makers• understand business needs for IT• analyse business needs (models)• identify standards required• gap analysis to see what needs to be done

Page 11: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

TOP PRIORITY APPLICATIONS

• communications particularly prescribing• health records• protecting personal data

Page 12: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

HEALTHCARE NEEDS STANDARDS BUT WHICH

AND FOR WHAT?

Page 13: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

‘OTHER’ INTERNATIONAL

BODIES• IEEE• HL7• DICOM• WHO• SNOMED• W3C

Page 14: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

THE STANDARDS WORLD

IEEE HL7 DICOM

ISO TC 2155 published

40 programmed

SNOMED CT WHO

CEN TC 25150 published

50 programmed

National Standards Bodies

Web and internet standards

General international standards e.g. ISO 17799

Page 15: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

ALTERNATIVE WORLD VIEW

HL7

IEEE

ISO

CENDICOM

COUNTRY AFFILIATES

Page 16: HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

Ray Rogers

[email protected]