HWISC (TEHIK) and X-road

Transcription

1 HWISC (TEHIK) and X-road Artur Novek Health and Welfare Information Systems Center/ IT architect

2 Health and Welfare Information Systems Center (HWISC, TEHIK) HWISC is a ICT competence center founded on 1 st of January 2017 which consolidates the roles and responsibilities of former ICT department of Ministry of Social Affairs and Estonian ehealth Foundation.

3 X-road protocol wishes? Two reasons: Modern IT development and standards move away from SOAP International projects use some other standard

4 Electronic Exchange of Social Security Information EESSI

5 cmp Estonian EESSI architecture EESSI National architecture EHK (Health Insurance Fund) TK (Unemployment Insurance Fund) SKA (Social Insurance Board) EHK clerk TK clerk SKA clerk Health Insurance IS EHK clerk: Web browser TK clerk: Web browser SKA clerk: Web browser MTA (Tax and Customs Board) MTA clerk MTA clerk: Web browser EHK TK SKAIS2 EE web: Public internet TEHIK (Health and Welfare Information Systems Center) TEHIK EESSI AP domain TEHIK domain EESSI AP SKA MTA TEHIK system services (National Access Services - NAS) Repository Identity and Access Management Antimalware solution Archiv ing Message monitoring Audit Trail and Reporting Versioned media repository Testa NG EESSI Backbone Network Other Countries Repository sharing: Public internet Central services EESSI AP CSN EESSI repositry and codebase

6 EESSI national solution needs secure communication between central services provider (HWISC) and social security body cmp Secure communication needed HWISC Access point Messaging interface EESSI AP Social security body with installation Technical Messaging Interface (TMI) TMI is based on AS4 protocol Technical Messaging Interface (TMI) Social security body connected to HWISC Case Processing Interface (CPI) Case Processing Interface (CPI) National Application CPI and NIE are based on REST/JSON National Information Exchange Interface (NIE) National Information Exchange Interface (NIE) Public internet

7 EESSI ASN4 and REST/JSON over X-road for transparent secure communication If we want to secure communication between EESSI component using X-road we need AS4 adapter and REST/JSON adapter for X-road. cmp usage HWISC Social security body with installation EESSI AP Access point AP adapter (AS4) Security Serv er adapter (AS4) National Application Security Serv er Social security body connected to HWISC adapter (REST/JSON) Security Serv er adapter (REST/JSON) National Application

8 STATE AGENCY OF MEDICINES - Coding Centre - Handlers of medicines HEALTH CARE BOARD - Health care providers - Health professionals - Dispensing chemists POPULATION REGISTER BUSINESS REGISTER HOSPITALS 2009 FAMILY DOCTORS 2009 SCHOOL NURSES 2010 september Estonian ehealth architecture PRESCRIPTION CENTRE 2010 january HEALTH INSURANCE FUND REGISTER, ID-card, State IS Service Register PATIENT PORTAL 2009 v v2 DOCTOR PORTAL 2013 SOCIAL INSURANCE BOARD PORTAL 2012 X-ROAD GATEWAY SERVICE 2009 PHARMACIES AND FAMILY DOCTORS X-ROAD GATEWAY FOR EMERGENCY SERVICES 2014 EMERGENCY SERVICE MOBILE WORKSTATIONS NATION- WIDE HEALTH INFORMATION SYSTEM 2008 december ANONYMIZED HEALTH DATA FOR STATISTICS 2013 STATISTICS PORTAL 2013

9 HIS integration through X- Road HL7 CDA document Digidoc HL7 interaction Healthcare provider IS National Central HIS message

10 HL7 FHIR - new popular standard in e- health FHIR - fast healthcare interoperability resources FHIR common interface is REST/JSON If we want to implement FHIR in Estonian Central Health Information System, X-road is required for secure communication. REST/JSON over X-road?

11 Thank You! Artur Novek