Implementation & Infrastructures. Architecture & Components German Experience. Michael Bartkowiak

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2 Implementation & Infrastructures Architecture & Components German Experience Michael Bartkowiak gematik - Gesellschaft für Telematikanwendungen der Gesundheitskarte mbh Friedrichstraße Berlin ehealth Conference - Berlin 18 April 2007

3 The Challenge General Practitioner Clinics/Hospitals Pharmacist 270 Health Insurance Companies Rehabilitation Center Hospitals Pharmacies GPs/Medical Specialists/Dentists 80 Million People and to Prescriptions! Dentist Medical Specialist Musterkasse Additional Medical Care Professionals Insured Citizen ehealth card (egk) Psychotherapist

4 gematik GmbH Founded in January 2005 Founders and Associates of gematik GmbH are 15 Top Organizations of the German Health System Starting with 30 Employees in 2005 currently 130 People are working for gematik GmbH Headquarters in Berlin / Germany Working closely with - Federal Ministry of Health (BMG) - Federal Office for Information Security (BSI) - Federal Commissioner for Data Protection and Freedom of Information (BfDI)

5 Tasks Introduction, Maintenance and Enhancement of - an ehealth Card - an Electronic Prescription - and Additional Applications prescribed by the Federal Ministry of Health Introduction and Operation of - Sector Spanning Components and Applications for an Information-, Communication- and Security Infrastructure gematik has to ensure Interoperability - of the Complete System - of External Systems

6 Tasks Defining Technical Specifications for - Components, Services and Applications to be used in the Telematics Infrastructure Ensure testing of Components and Services Permission and Certification of Components Maintenance of Services in the Telematics Infrastructure

7 Migration Steps Application Release 0 Release 1 Release 2 Release 3 Personal Basic Insurance Data from ehealth Card eprescription Emergency Data Set both from ehealth Card Personal Basic Insurance Data Service (VSDD) eprescription Data Service (VODD) both via Telematics Infrastructure Management of eprescription Data (VODM) Enhanced Emergency Data Set Functionality Pharmaceutical Therapy Safety (AMTS) Services to be used by the Insured (AdV) Administration of Voluntary Services (VfA) offline online

8 Overview Application Service Provider Tier Service Consumer Tier Consumer Adapter Telematik Tier Peripheral side (Consumer/Provider Interaction Tier) Telematik Tier Central side (Consumer/Provider Interaction Tier) Broker Provider Adapter Service Provider Tier Primary System Practitioner & Dentist Primary System Hospital Primary System Pharmacy ekiosk IConnector Service VSDD VODD CMS/UFS Legacy and Existing Application Tier... Intermediate SOA Interaction Style

9 Physical Overview Primary Systems Peripheral Devices Gateways Application Gateways Application Area Primary System Practitioner & Dentist (PVS) Access VPN Gateway BrokerService (Application Gateway) VSDD egk HBA/SMC Primary System Hospital (KIS) Primary System Pharmacy (AVS) egk HBA/SMC Access Access VPN Gateway VPN Gateway Frontend- BrokerService (Application Gateway) BrokerService (Application Gateway) Backend BrokerServices Bus VODD CAMS b egk HBA/SMC Access VPN Gateway BrokerService (Application Gateway) Pharmaceutical Therapy Safety (AMTS) ekiosk Access VPN Gateway BrokerService (Application Gateway) epa Insured@Home egk SMC Value-added Services egk Access Gateway Value-added Services

10 Telematics Infrastructure with Sectoral Structures AVS egk Musterk asse Musterk asse KIS egk Musterk asse Musterk asse Mustername Mustername HPC Mustername Mustername HPC PVS egk Musterk asse Musterk asse Mustername Mustername HPC SMC/A A Card Terminal SMC/A A Card Terminal SMC/A A Card Terminal SMC/B B SMC/B B SMC/B B DSL/ ISDN/... Internet DSL/ ISDN/... DSL/ ISDN/... Sectoral Access Service (DAV) DNS Sectoral Access Service (KZBV) DNS Sectoral Access Service (KBV) DNS Sectoral Access Service (DKG) DNS Value-added Services Interface NTP PKI NTP PKI NTP PKI NTP PKI Sectoral Access Service (gematik) Front end Sectoral Broker (DAV) Broker Trusted Services TMS Sectoral Broker (KZBV) Broker Trusted Services TMS Sectoral Broker (KBV) Broker Trusted Services TMS Sectoral Broker (DKG) Broker Trusted Services TMS Sectoral Broker (gematik) OIDD OIDD OIDD OIDD Central Infrastructure DNS & NTP (gematik) DNS NTP Central Infrastructure SDS/Audit (gematik) SDS Audit Central Infrastructure PKI (gematik) TSL- OCSP- Proxy Responder TCS- Proxy MPLS Telematics- Net (NN) Back end Update-Service Primary System Service Update-Services /Card Terminal Available non-ti-services (Billing etc.) Time Service (NN) VODD (KBV) VSDD (div.) Application Service Interface PKI-Provider egk PKI-Provider HPC + QES DNS NTP PKI Broker Trusted Services TMS OIDD PKI-Provider SMC B PKI KT PKI Konn PKI VPN PKI Broker Trusted Component Services, TCS (NN) Trusted Service List, TSL (D-Trust) PKI-Provider Services

11 History & Milestones 06/2007 Expansion of Field Tests to 7 Regions 12/2006 Beginning of Field Tests in Flensburg and Loebau-Zittau 12/2005 Beginning of Laboratory Tests 01/2005 gematik GmbH was founded by Top Organizations of National Health System 2003 Law by Federal Ministry of Health to introduce an ehealth Card

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