TripCom: Development of a patient summary at European level E. Della Valle, D. Cerizza, D. Foxvog, R

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TripComDevelopment of a patient summary at
European levelE. Della Valle, D. Cerizza, D.
Foxvog, R. Krummenacher, L. J. B. Nixon, E.
Paslaru-Bontas Simperl, Martin Murth
COCOON Conference Sharing Medical Data and Risk
Management Istituto Veneto di Science, Lettere ed
Arti, Venice, Italy, 27 February 2007
Dario Cerizza Semantic Web Activities
group CEFRIEL Politecnico di Milano email
cerizza_at_cefriel.it web http//swa.cefriel.it
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e-Health ongoing challenges European strategies
in e-Health

• a concise clinical document of crucial citizen
  health data
• an enabling factor for an European infrastructure
  for accessing and sharing citizens health data

Ilias Iakovidis (Deputy Head of Unit ICT for
Health, DG INFOSO, EC) "European Commission
activities in e-Health The achievements and
future prospects." Med-e-Tel Luxembourg, April 5,
2006
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e-Health ongoing challenges The European Patient
Summary (EPS)

• An infrastructure for a patient summary at
  European level
• 104 health authorities
• 106 users (clinicians and administrative staff)
• 8108 summaries

Hospitals, clinics
Laboratories
General Practitioners
Citizens
Specialists
Administrations, Assurance companies
EPS
e-Health Information System
Ambulances
Researches
Home care services
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e-Health ongoing challenges Requirements for
such EU infrastructure

• A Multilateral Solution
• Virtual common infrastructure distributed among
  healthcare organizations
• To enable access to citizens health data anytime
  and anywhere
• Data Ownership
• To let health authorities maintaining the control
  over the data produced by treating patients
• The Principle of Subsidiarity
• Flexible solution to overcome the heterogeneity
  of data and applications among existing systems
  and e-Health standards
• Multilingualism
• To capture information in a linguistically
  neutral manner (using structured data and medical
  coding systems)
• Privacy
• To assure that only authorized caregivers access
  citizens data

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The TripCom project

• IST STREP of 5th call of FP6, from April 2006
• Unit Intelligent Content and Semantics

Message
Publishing
Email
Web
Human net
Triple Space
So-called Web Services
Machine net
Communication platform for Semantic Web services
based on Web principles Persistently publish
and read semantic data that is denoted by unique
identifiers
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The TripCom project

• Develop an highly scalable, semantically enhanced
  communication infrastructure
• Web Service technologies
• Tuple Space technologies
• Shared Space supported by parties
• Persistent publication of information
• Retrieval of information by decoupling in time,
  location and reference
• Semantic Web technologies

Triple Space Computing
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The TripCom projectSemantic Web technology

• The proposals for e-Health standards similarly
  address interoperability by
• Defining a shared conceptual model (e.g. HL7 RIM)
• Deriving message structure from such conceptual
  model
• Coding the information carried by messages using
  medical terminologies (e.g. SNOMED or ICD)
• Binding the resulting messages to the technology
  of the day meaning EDI in the 90s, XML and Web
  Services today
• This is very similar to the Semantic Web approach
  in which interoperability is achieved by
• modelling the domain knowledge at conceptual
  level
• interconnect applications using the modelled
  concepts

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The TripCom projectCapabilities of the TripCom
infrastructure

• Decentralized and Distributed Shared Space
• Each healthcare party provides a node of the
  shared space
• Highly scalable
• Healthcare parties publish patient summary in
  their own node
• Enforcing data ownership
• Decoupling interactions in time, location and
  reference
• Ensure a good level of fault-tolerance
• Semantic Interoperability
• To cope with heterogeneity among data, protocols
  and processes of e-Health standards and e-Health
  systems
• Security and Trust mechanisms
• To define local and global policies for accessing
  and sharing citizens data
• To comply with the privacy regulations for the
  treatment of data

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The TripCom projectWork Plan

• April 2006
• Project start
• April 2007
• Detailed definition of the European Patient
  Summary scenario
• February 2008
• First Prototype of the European Patient Summary
  over the Triple Space Computing
• March 2009
• Final Prototype of the European Patient Summary
  over the Triple Space Computing

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The TripCom projectLong Term Vision

• The European Patient Summary over TripCom enables
• asynchronous
• reliable
• meaningful communication
• among heterogeneous e-Health systems
• If TripCom would prove to be a suitable
  middleware for the EPS
• Then it could also be adopted as a new technology
  to accomplish European challenges in e-Health

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Thank you very much for your attention
Dario Cerizza Semantic Web Activities
group CEFRIEL Politecnico di Milano email
cerizza_at_cefriel.it web http//swa.cefriel.it