24 February 2020

FSE – interventions to support the creation of the Electronic Health Record

  • Period: From 2009 to today: 7 agreements between AgID and CNR
  • Actors involved: Working group on health sector coding systems
  • Activities:
  • Creation of web services for accessing and managing coding systems: Integrated Terminology Service (STI )
  • Creation of a web service for the compilation of the synthetic health profile: AnalizzaPSS
  • Exploratory survey on the state of implementation of the ESF and the health record keeping services
  • Drafting of Implementation Guide CDA Rel.2 HL7 Italy
  • Impact and challenges:
  • Allow for a consistent definition of document management processes and significant reuse and exchange of clinical information for social, political and scientific purposes.
  • Efficient organization, management and exchange of clinical knowledge ensuring the semantic interoperability of health data

Optimization of the workflow and processes of the Electronic Health Record (ESF7)

  • Period: 2018-2021
  • Funds: AgID-CNR agreement
  • General objective: Optimization of the document management process within healthcare companies
  • Preparation of the technical annex to the Guidelines on the preservation of digital health documents
  • Other activities:
  • Drafting of Implementation Guide in CDA Rel.2 HL7 Italy
  • Inclusion of STI in the list of sw reused for the PA

Integrated Terminology Service (STI)

  • Period: November 2016 – December 2018
  • Funds: AgID-CNR agreement
  • Partner: LINKS MANAGEMENT AND TECHNOLOGY S.p.A.
  • General objective: To develop an Integrated Terminology Service in the form of a web service to facilitate the use, management and integration of clinical standards within the ESF which is:
  • Based on the Common Terminology Services – Release 2 (CTS2) HL7 semantic interoperability standard protocol;
  • Open source;
  •  Scalable and extendable;
  •  Used as a common platform for coding systems and terminology updates used in the ESF context

Analyze PSS

  • Period: February 2016 – September 2017
  • Funds: AgID – CNR agreement
  • Partner: IIT-CNR, Bruno Kessler Foundation, Italian WHO Collaborating Center for the Classification Family
  • Objective: To develop, within the ESF, a validation system to support GPs during the encoding of the Synthetic Health Profile (PSS), in particular as regards the encoding in ICD-9-CM of the list of relevant problems, procedures and interventions
  • Compliance with HL7 CDA Rel. 2.0 standard
  • Based on the definition and formalization of coding rules
  • Based on textual similarity algorithms

The PSS:

  • summarizes the patient’s clinical history and current situation by facilitating the exchange of information between the various actors involved in the provision of health services
  • to promote continuity of care, allowing a quick overview of the patient at the time of contact with the NHS, proving useful in emergency and first aid situations.