Juha Mykk

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

• Juha Mykkänen (ed.)
• University of Kuopio, HIS RD Unit
• Health Kuopio seminar
• Brussels, 5 November 2004

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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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Healthcare software service chainIntegration
research in the PlugIT project
4 research groups
Companies 12 health sw, 3 infrastructure
6 hospital districts, 2 municipalities

• National RD 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.
  Vartiainens presenation

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Welfare IT network Focus on healthcare
processes software production

• IT education and research by university and
  polytechnic ? Centek
• Healthcare IT education and research network
  within Centeks umbrella

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Cluster of new research projects to support the
year 2007 target
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ZipITModel for connecting, "zipping together"
the methods of work and IS development

• Institution in charge University of Kuopio,
  Shiftec, Dept. of Computer Science, HIS RD 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_at_uku.fi
• Maritta Korhonen, Maritta.Korhonen_at_savonia-amk.fi
• Marika Toivanen, Marika.Toivanen_at_uku.fi

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ZipIT Work and IS development in parallel
Health care organization
services and processes

• 1. IT needs
• activity networks
• information system

business
Software Company
Tool of communication
2. Information management Information system
development needs - processes, information archite
cture
Activity networks development -Workflows, task
descriptions
3. Requirement specification -Use case
descriptions
introductions
changes in the activities
software
Health care organization
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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..

• 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.

• 10-13 companies, 2-3 hospital districts, duration
  2004-2007
• HIS RD Unit, Shiftec, Dept. of CS, University of
  Kuopio
• Contact juha.mykkanen_at_uku.fi

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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_at_vtt.fi
• Centek/University of Kuopio
• contact Anne.Eerola_at_cs.uku.fi,
  Hannu.Virkanen_at_uku.fi
• Groups HIS RD Unit, Shiftec, Software
  Engineering
• Prime Solutions Ltd., in Vantaa
• contact Jaakko.Vuolasto_at_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 RD Unit participate
• Contact persons
• Kaija Saranto, Research Director,
  Kaija.Saranto_at_uku.fi
• Kristiina.Häyrinen_at_uku.fi
• Jari.Porrasmaa_at_uku.fi

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Export HISHow 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 Shanghai
• Technology 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 HISHow to export Finnish healthcare
softwareSoftware export / acquisition service
chain

• Phase 1 duration June 2004 September 2005
• Institution in charge HIS RD Unit, University
  of Kuopio
• 6 companies, Technology Center Teknia, Health
  Policy and Mgt. Dept.
• Research Director Mikko.Korpela_at_uku.fi,
  Project Manager Matti.Sipila_at_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
• RD 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_at_uku.fi