ESANTÉ PLATFORM CONNECTIVITY OVERVIEW COPAS - 27/11/2015 Heiko Zimmermann Responsable pôle Interopérabilité
AGENDA 1 2 3 esanté Platform Interoperability with DSP Validation process (conformity assessment) 2 Présentation COPAS - 27/11/2015
PLATFORM ESANTÉ 3 Présentation COPAS - 27/11/2015
SERVICES Healthcare Provider Directory Master Patient Index Authentication and SSO service Authorization service Patient portal Health professional portal Collaborative workspace Secure messaging service Document storage and indexing service Electronic Health Record (DSP) Traceability service Oncology workgroups (RCP) Workflow support Cloud applications for HIS Open-source solution for medical offices Services for anonymisation and pseudonymisation + more to come: eprescription efacturation Présentation COPAS - 27/11/2015
Grand public Patients Professionnels de santé SERVICE SCHEME Portail Multi services Système de communication et diffusion des informations de la plateforme esanté Acteurs EAI Hôpitaux Portail Professionnel Messagerie sécurisée E-RCP Portail Patient Médecins Portail d administration Provider Signature Et chiffrement Index XDS-B XDS-I Entrepôts XDS SOA Web services Laboratoires Pharmacies Aides et soins Annuaire de structures PS Annuaire de sécurité SSO Traçabilité Habilitation Serveur de Terminologie API Services d urgence CNS EAI NCP epsos Annuaire patient national MPI Annuaire référentiel national HPD Logiciel de Médecine de Ville Application Médicale en mode SaaS Présentation COPAS - 27/11/2015
INTEGRATION SCENARIOS Hospital 1 Hospital 2 EAI HL7 v2 / MLLP Https / SOAP SOA Web services Annuaire de structures PS Index XDS-B XDS-I Entrepôts XDS Annuaire de sécurité SSO Habilitation XDS.b and Auth./Authorization Services esanté platform (partly) Cabinet Internal network EAI Internet Possibilites: WebService Integration Directly in primary application Indirect via EAI Health Professional Portal integration Institution 6 Présentation COPAS - 27/11/2015
AGENDA 1 2 3 esanté Platform Interoperability with DSP Validation process (conformity assessment) 7 Présentation COPAS - 27/11/2015
INTEROPERABILITY FRAMEWORK 8 Présentation COPAS - 27/11/2015
DSP CONNECTION KIT Technical: Described in DSP-Connectivity Specification Semantic: CDA-Spec, Value-Sets, Metadata spec => Connection Kit for DSP 9 Présentation COPAS - 27/11/2015
DSP-CONNECTIVITY SPECIFICATION Covers the following topics: Identificiation Patients Health professionals Authentication Health professionals Institutions Authorization Health professionals via Matrice habitilation Mandate/Profile/Blacklist/Whitelist/Document confidentiality Document management Document lifecycle Document management functions 10 Présentation COPAS - 27/11/2015
IDENTIFICATION Patient: Via MPI (only for hospitals) Via WS Interface Health professional: Usage of ehealthid (provided by Agence esanté) Via WS-Interface (only for initial mapping) Local mapping 12 Présentation COPAS - 27/11/2015
AUTHENTICATION Health professionals: Either individually using Smartcard / SigningStick /OTP Via Institution using ehealthid Institution: Via X.509 Certificate provided by Agence esanté As part of DSP-10/11/12 Mandatory for mandate «Établissement» 13 Présentation COPAS - 27/11/2015
AUTHORIZATION Mandate: Required to get access to DSP of a patient Different mandates exist (e.g. Établissement, Consultation, MR, ) Profile: Profile related to the profession Grant access to different types of documents Blacklist/Whitelist: Revoke or Grant explicit rights Confidentiality level: Visibility of document (normal, rectricted, private) 14 Présentation COPAS - 27/11/2015
DOCUMENT MANAGEMENT IHE XDS.B COMPLIANT 15 Présentation COPAS - 27/11/2015
DOCUMENT MANAGEMENT IHE XDS.B COMPLIANT Document lifecycle and states: Approved or Deprecated New, Replacement, Cancellation, Addendum Document management functions: For storage, search and retrieval IHE XDS.b Profile compliance 16 Présentation COPAS - 27/11/2015
SEMANTIC INTEROPERABILITY WITH DSP Specification of common codes / value sets to be used for metadata values in IHE XDS.b SubmissionSet and DocumentEntrySet for entries in CDA Document ValueSets and Codesystems shared on the SVS format 17 Présentation COPAS - 27/11/2015
SEMANTIC INTEROPERABILITY WITH DSP Definition of Object identifiers to use (OID) Agence esanté is the national ehealth OID register (1.3.182) OIDs will be provided for each organization by Agence esanté 18 Présentation COPAS - 27/11/2015
SEMANTIC INTEROPERABILITY WITH DSP Specification of XDS-Metadata to be provided Based on ebxml (see IHE XDS.b Profile) Metadata about the transaction Metadata about the content 19 Présentation COPAS - 27/11/2015
SEMANTIC INTEROPERABILITY WITH DSP Specification of the document content structure CDA Header (multi-domain) CDA Body Level 1 PDF/A-1 format must be supported CDA Body Level 3 (later) Currently used only for special documents like e.g. fiche prévention Specification for other document types will follow 20 Présentation COPAS - 27/11/2015
SEMANTIC INTEROPERABILITY WITH DSP Specification of the document content structure leads to: Conformance rules catalogue Constraints on elements Defined code systems/value-sets to be used Schematron & Gazelle validation service Live validation during ProvideAndRegisterDocumentSet 21 Présentation COPAS - 27/11/2015
AGENDA 1 2 3 esanté Platform Interoperability with DSP Validation process (conformity assessment) 22 Présentation COPAS - 27/11/2015
HIGH LEVEL PROCESS Demand to access the service Implement and test your implementation Demand for verification of conformity Perform tests required in labeling procedure Verification of tests by Agence esanté Demand for connection to production system 23 Présentation COPAS - 27/11/2015
VALIDATION PROCESS (CONFORMITY ASSESSMENT) Detailed description in document: Procédure attestation conformité et connexion 1. Demand to access the service, provide information about: Service for which the request is made Type of use, use cases,... Health professionals and / or institutions that connect Description of the system (technical and functional) Contact person: name, first name, position, email, telephone, Company/Institution responsible for the system 2. Implement and test your implementation Use documentation and samples provided Contact us to support you Perform unit tests Perform validation of documents with our Gazelle system Connect to and use our integration system 24 Présentation COPAS - 27/11/2015
VALIDATION PROCESS (CONFORMITY ASSESSMENT) 3. Demand for verification of conformity Contact us Retrieve labellisation requirements document 4. Perform tests required in labelling procedure Perform required tests and provide evidences 5. Verification of tests (by Agence esanté) Provide evidences and filled labellisation requirements document Verification of tests (iterative) If successful passed: Get conformance confirmation 6. Demand for connection to production system Successful labellisation required Signed convention required 25 Présentation COPAS - 27/11/2015
G.I.E. Agence esanté Luxembourg Agence nationale des informations partagées dans le domaine de la santé Bureaux : 125, route d Esch L-1471 Luxembourg Tél: +352 27 12 50 18-1 Email: info@agence-esante.lu Siège social : Villa Louvigny Allée Marconi L-2120 Luxembourg RC Luxembourg C-69