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Juha Mykkänen (ed.)

University of Kuopio, HIS R&D Unit

Health Kuopio seminar

Brussels, 5 November 2004

Health Information Systems and Information Technology Research Network in Kuopio: Supporting the Healthcare Software Service Chain

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In this presentation

• Healthcare software service chain

• Research cluster on health IS and IT in Kuopio

• Projects and activities

• Contacts

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Needs

Softw. devel.

Sales & support

R & D

Applied research

Basic research

Teach-ing

Software companies

Healthcare / welfare service providers

IS-enabled

care

IS project

IT support

Educational and research institutions

Health/welfare services

Better life

Needs

Products, consultation

Needs

Actors, methods

Intl. links

Government

Guidance, resources

Communities, citizens

Healthcare software service chain:Integration research in the PlugIT project

4 research groups Companies: 12 health sw, 3 infrastructure

6 hospital districts, 2 municipalities

• National R&D project in Finland: Healthcare application integration• Oct 2001 – Aug 2004, 2 M€, National Technology Agency TEKES• Results: Interfaces, integration methods, centre of expertise

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The road to PlugIT and beyond: Health informatics in the Kuopio region

• University of Kuopio established in mid 1970s• Medical university → interest in health informatics research• Key partner in national hospital information system development in

1980s• The only “smorgasbord” of health informatics education in Finland• Healthcare IT is now a regional priority• Company / technology centre viewpoint in Mr. Vartiainen’s presenation

1980 1985 1990 1995 2000 2005

Data ECG

Finstar MUSTI HIS FileMan/Kernel FixIT C-FixIT INDEHELA Ife HELINA

PlugIT

HI continuing educ. HI Master’s

Wellness tech.

Cesar Elämisen alkuun

Software Engineering Computer Science

Sonetti Health Kuopio

SerAPI ZipIT

Export HIS

Research and development

Education

Avointa

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”Welfare IT network”: Focus on healthcare processes + software production

Tech

HealthKuopio

Welfare technology park

Centek: Centre for IT education and research

HIS R&D Unit

Shiftec Poly Welfare Tech Centre

Hospital’s R&D

WellTeknia: Business incubation

services

Health IT, welfare tech

Health

Welfare Centek Centek’s business services

Tech. Centre Teknia

Savonia Polytechnic

University of Kuopio

Univ. hospital region, city, …

Applied research units:

Educational departments:

Business Design

Health info mgt

IS, SE

Computer Science

Health policy &

econ

Health IS

Cont educ

• IT education and research by university and polytechnic → Centek• Healthcare IT education and research network within Centek’s umbrella

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Cluster of new research projects to support the “year 2007 target”

Decision support, mobile use, etc.

General intl. sw. research

Indehela

General evaluation research

General Information Systems and work

research

General Software Engineering research

product Y activity 1 product X

Pilot A Pilot B activity 2

product Z product X activity 2 activity 3 Pilot C Pilot D Pilot E

product Q

MoH pilot projects

activity 4

FinnWell R&D projects

experiences

results needs, methods guidance,

coordination

information, collaboration,

Coordination proj. Coordination services (Kuntaliitto, MoH) (Tekes)

Others

Stakes

HL7

MoH

Natl. Health Project

Other financiers

AvoinTA testing services

export proj 1

export proj 2

export proj 3

needs, experiences

concept, methods

Finpro Sw-

business Techno parks

Centres of expertise

ZipIT-TSR

Export HIS

FinnEHR Finnish health records research: data, structures, technology and

functionality

SerAPI integration, interfaces,

application devl.

ZipIT processes and requirements

internationalization

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ZipITZipITModel for connecting, "zipping together" the methods of work and IS development

Institution in charge: University of Kuopio, Shiftec, Dept. of Computer Science, HIS R&D Unit

Project partners:

• Savonia Polytechnic (Savonia Business)• 2 companies• 2 hospital districts• 1 municipal social and health care centre

Duration: 2004 – 2007

Contact persons: • Anneli Ensio, Research Director, Anneli.Ensio@uku.fi• Maritta Korhonen, Maritta.Korhonen@savonia-amk.fi• Marika Toivanen, Marika.Toivanen@uku.fi

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ZipIT: Work and IS development in parallel

1. IT needs- activity networks

-information system

Activity networksdevelopment

-Workflows, task descriptions

services and processes

introductions

Software Company

changes in the activitiessoftware

Health care organization

Health care organization

2. Information managementInformation system development needs

- processes, informationarchitecture

business

Tool of communication

3. Requirement specification-Use case descriptions

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SerAPI: Service-oriented Architecture and Web services in Healthcare Application Production and Integration

• Background– differences and changes in healthcare applications,

processes, health systems, local requirements - require adaptability in systems

Service-oriented architecture (SOA)– heterogeneity of application technologies, integration needs Web services

• Objectives– Choose information system and integration needs which can

be solved using application services and interfaces– reduce overlapping work and information, simplify

maintenance, effective and repeatable integration– Offer service interfaces in new generation software products

and integration solutions– Choose/develop an architecture, development model and

methods and tools to design and implement healthcare software in service architecture

– Continue application interface and integration work of the PlugIT project, participate in HL7 Finland and HL7 International Common Services

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SerAPI viewpoints: how to produce, provide, consume and manage services to..

– 10-13 companies, 2-3 hospital districts, duration 2004-2007– HIS R&D Unit, Shiftec, Dept. of CS, University of Kuopio– Contact: juha.mykkanen@uku.fi

– Effectively support changing processes and workflows of healthcare organizations..

– with adaptive, reusable and efficiently developed application products and integration solutions…

– based on open and coherent services, architecture and infrastructure.

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AVOINTA: Open Integration Testing Environment – goals

• To agree on common methods and practices to test system integration, interfaces and their conformance with specification in Health Information systems

• Specification of testing environment• Testing services:

– web-based testing service specification for regional health care systems (using both CDA R1 and CDA R2)

– testing service for context management and common services against PlugIT and HL7 specifications

– safeguard testing service (PKI architecture)• A common test data library with standard testing

material (patient journals)• duration: 09 / 2004 – 04 / 2006

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AVOINTA: Open Integration Testing Environment – overview

• Organisation of the project– VTT (Technical Research Centre of Finland) Information

Technology, in Tampere• contact: Vesa.Pakarinen@vtt.fi

– Centek/University of Kuopio • contact: Anne.Eerola@cs.uku.fi, Hannu.Virkanen@uku.fi• Groups: HIS R&D Unit, Shiftec, Software Engineering

– Prime Solutions Ltd., in Vantaa• contact: Jaakko.Vuolasto@primesolutions.fi

• Use of open APIs and implementation of PKI architecture are building pressure for the interoperability of systems (CDAr1, CDAr2, PlugIT, PKI)

• Conformance of an implemented interface needs to be tested against the specification

• Individual applications and regional information systems need testing environment for their interfaces and integration needs– gives feedback for software developers and developers of

specification– increases probability that products are implemented correctly

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FinnEHR: Finnish Electronic Health Record research and development

Background: • The national data requirements and structure for

EPRs have been defined in 2003 as a part of on-going National Health Project

• The core elements in electronic patient records will be piloted in regional projects during 2004-2007 in several health districts in Finland

Purpose:• to enhance the national health information

infrastructure through evaluation and research

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FinnEHR research and development

Aims• to model the reuse of clinical and health related data

of EPRs e.g. for quality improvement, resource allocation and national statistics

• to test the model of clinical minimum data set for benchmarking the delivery of health services from consumers’ and professionals’ perspectives

Institution in charge: University of Kuopio, Dept. of Health Policy and Management

• Shiftec and HIS R&D Unit participateContact persons: • Kaija Saranto, Research Director,

Kaija.Saranto@uku.fi• Kristiina.Häyrinen@uku.fi• Jari.Porrasmaa@uku.fi

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Export HIS:How to export Finnish healthcare software

• Finland has a long tradition of using information systems in healthcare, but few companies are exporting their products

• How can existing know-how, companies and software products from Finland be pooled together for exports?

Phase 1: Concept development in ShanghaiTechnology Centre Teknia and the City of Kuopio have well established relations in Shanghai

→ Study recent developments in Chinese healthcare system and analyse Hospital Information Systems needs in Shanghai

→ Evaluate the applicability of Finnish healthcare systems know-how and software to the Chinese market and establish contacts with local authorities and companies

→ Produce a plan for an actual export project, if feasible

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Export HIS:How to export Finnish healthcare softwareSoftware export / acquisition service chain

Software product company

In-house IS support

Healthcare organization

Management

Computer-supported healthcare activity Citizens

Supplier country: Finland User country: PR China, Shanghai

Information system development

Management

Software development

Consultancy , localization, distribution

Local solution provider

Management

International marketing, support, etc.

Mediator, e.g. trading house

Management

Software marketing

Needs

System in use

Government

Laws, rules, control, resources, standards

Localized package

Imported and local parts

Products, know-how

Service

• Phase 1 duration: June 2004 – September 2005• Institution in charge: HIS R&D Unit, University of Kuopio• 6 companies, Technology Center Teknia, Health Policy and Mgt. Dept.• Research Director Mikko.Korpela@uku.fi,

Project Manager Matti.Sipila@uku.fi

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Summary

• Kuopio has a long tradition and a multidisciplinary approach to health IS/IT research and development

• International networking within the EU– projects with similar interests wanted– R&D contacts in your region– contact directly our project of interest– discussion in the workshop: focus, goals,

pan-European viewpoint

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Thank you / Merci / Dank u / Danke schön / Gracias / Tak / Efharisto / Grazie / Obrigado / Tack / Dêkuji / Tänan / Paldies / Achiu / Köszönöm / Grazzi / Dziekuje / Dakujem / Hvala / Kiitos!

juha.mykkanen@uku.fi