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Integration of information systems
Topics Here we explore practices of national level system integration. Also explore differences between international level system integration and national (local) system integration.
Cross-organizational  work-flow
Legacy problems Not just a different data and formats: Unfamiliar platforms -> lack of development competence Strange interfaces / protocols Business rules hard-coded to UI level  Missing documentation High integration expenses – every time when something must be fixed.
Integration nightmare
Options for integration Network level – Secured channels: VPNs, sTESTA  + secure communication between authenticated parties ? Multiple protocols, data formats, point-to-point integration Protocol level – all parties use standard protocols: SOAP, XML, or as agreed. Message/data level – standardized data formats and classification, interactions.
Technical aspects Technological issues: Architecture of integration framework Interfaces Protocols Interactions Message formats and transformations Routing Transformation Services repository – addresses, descriptions Semantic integration Semantic descriptions of services Use of common data models
Common Data models In the process, system interfaces account for 25% to 70% of the development and support costs.  The primary reason for this cost is that these systems do not share a common data model. Some common data models in use: Health: HL7 (Health Level 7) Differences between v2 and v3.! Retail: ARTS Telecom.: SID Human resources: HR-XML
Enterprise Service Bus
Organizational aspects Legal requirements (national level) Obligations and responsibilities of IS owners (between e-services providers and users) Change of work processes  Standards to be used Importance of co-ordination bodies, responsible for: Development of standards Coordination of tests Support of developers
National level Case: Estonia 13 April 2010 www.ega.ee 550 org. 5  110 DB  ~ 400 000 ~ 45 000 500 DB 1,100,000
International level (epSOS) Smart Open Services for European Patients Project aimed to develop a practical eHealth framework and an Information & Communication Technology (ICT) infrastructure that will  enable secure access to patient health information, Exchange of Patient Summaries and  ePrescriptions between different European healthcare systems. http://www.epsos.eu
epSOS Analysis of MS technical solutions, legal requirements Defined epSOS system technical requirements for exchange of prescriptions and Patient Summaries (interoperability) Semantic services – common document structures, translations (SNOMED-CT, ICD10 classifications) preserving content and structure of original documents Tests and pilots
epSOS
 
epSOS – semantic content workflow
Pains International regulations Missing technical standards Time consuming process to reach a mutual agreements. Importance of central body, responsible for development of standards and technical support for developers Testing period might take a x5 longer.

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Integration of information systems

  • 2. Topics Here we explore practices of national level system integration. Also explore differences between international level system integration and national (local) system integration.
  • 4. Legacy problems Not just a different data and formats: Unfamiliar platforms -> lack of development competence Strange interfaces / protocols Business rules hard-coded to UI level Missing documentation High integration expenses – every time when something must be fixed.
  • 6. Options for integration Network level – Secured channels: VPNs, sTESTA + secure communication between authenticated parties ? Multiple protocols, data formats, point-to-point integration Protocol level – all parties use standard protocols: SOAP, XML, or as agreed. Message/data level – standardized data formats and classification, interactions.
  • 7. Technical aspects Technological issues: Architecture of integration framework Interfaces Protocols Interactions Message formats and transformations Routing Transformation Services repository – addresses, descriptions Semantic integration Semantic descriptions of services Use of common data models
  • 8. Common Data models In the process, system interfaces account for 25% to 70% of the development and support costs. The primary reason for this cost is that these systems do not share a common data model. Some common data models in use: Health: HL7 (Health Level 7) Differences between v2 and v3.! Retail: ARTS Telecom.: SID Human resources: HR-XML
  • 10. Organizational aspects Legal requirements (national level) Obligations and responsibilities of IS owners (between e-services providers and users) Change of work processes Standards to be used Importance of co-ordination bodies, responsible for: Development of standards Coordination of tests Support of developers
  • 11. National level Case: Estonia 13 April 2010 www.ega.ee 550 org. 5 110 DB ~ 400 000 ~ 45 000 500 DB 1,100,000
  • 12. International level (epSOS) Smart Open Services for European Patients Project aimed to develop a practical eHealth framework and an Information & Communication Technology (ICT) infrastructure that will enable secure access to patient health information, Exchange of Patient Summaries and ePrescriptions between different European healthcare systems. http://www.epsos.eu
  • 13. epSOS Analysis of MS technical solutions, legal requirements Defined epSOS system technical requirements for exchange of prescriptions and Patient Summaries (interoperability) Semantic services – common document structures, translations (SNOMED-CT, ICD10 classifications) preserving content and structure of original documents Tests and pilots
  • 14. epSOS
  • 15.  
  • 16. epSOS – semantic content workflow
  • 17. Pains International regulations Missing technical standards Time consuming process to reach a mutual agreements. Importance of central body, responsible for development of standards and technical support for developers Testing period might take a x5 longer.