Project REMEI

REal-time MEdical Reporting ServIce

The goal of the project is to implement and validate an asynchronous, real-time and online medical case report service built upon a secure, fast and reliable telemedicine platform for remote assistance and telediagnostic of diseases in emergency scenarios.

This service facilitates the cooperation and coordination among professionals of different medical centres; as well as it aids to the diagnosis by associating medical images to the case report. In addition, the platform also provides a videoconference service increasing thus communication capabilities for remote assistance between e.g. medical specialist and the emergency physician.

The figure below depicts the hardware system components and illustrates the deployment of the service with the remote and reference hospitals.

The service is being tested and clinically validated at Sant Joan de Déu Hospital (http://www.hsjdbcn.org) in a teleophthalmology scenario among ophthalmologists, opticians and neonatologists.

The principal functionalities of the service built upon the telemedicine platform are:
· Asynchronous and real-time edition of medical case reports using Flex technology (http://en.wikipedia.org/wiki/Apache_Flex).
· Use and sharing of medical images associated to medical case reports, incl. DICOM (http://en.wikipedia.org/wiki/Dicom).
· Videoconferencing technology allowing real-time communication.
· Use of HTTPS and RTMPS (videoconference) secure protocols to protect patient data.

This project has been funded by Generalitat de Catalunya, Departament d’Innovació, Universitats i Empresa.

Pleaso download this brochure for further information.

Health Interoperability Forum

3rd Meeting of Health Interoperability Forum

i2Cat attended the 3rd Meeting of Health Interoperability Forum organized by the Spanish Society of Health Informatics (SEIS) held in La Granja de San Ildefonso on days 7th and 8th of May. The conference website is: http://www.seis.es/jsp/base.jsp?contenido=/jsp/congresos/inicio.jsp&id=4.1&categoria=7&idcongreso=201

The conference, organized annually and maintaining the continuity focus of the Standardization Forum on Health, disclosed the latest advances in interoperability in health information systems statewide. In this context, the presententations of the work of various university groups, businesses, hospitals and government, with the goal of getting new platforms to enable effective and efficient exchange of clinical data of patients between different organizations and different levels (from primary , through tertiary hospitals until the Ministry of Health and the estates with the delegated competences).

In summary, we highlight some of the most discussed presentations:

Opening Act: Luciano Ayerra Saez, president of the SEIS, opened the conference, with Cristina Hernan Hernan (AENOR, technical committee for standardization in healthcare computer systems).

Ariadna Rius from Integration Competence Centre of the Department of Health of Catalonia: highlighted new Catalan public policies on enhancing the care model and with approvals (guidelines, recommendations and best practices), integration environments (Mirth, Ensemble), Terminology (SNOMED-CT, semantic interoperability and terminology services). This model of care is part of the program iSalut (http://www.isalut.cat/ ), for sharing experiences among hospitals with the implementation of ICT in the health field.

Miguel Martinez of Espronceda Public University of Navarra: about the medical devices interoperability centered in personal health systems (PHD, Personal Health Devices). Highlights the work done by his group in achieving a standard that is open, free, and not subject to royalties to provide Plug & Play capabilities and accessibility to connect medical devices focused on home health care. This work is based on ISO 11073 standard (X73) and the new version for personal health devices (X73PHD). The conclusions are the decentralization of Point of Care which has led to further work in PHD.

Pablo Serrano as Medical Director of the Hospital de Fuenlabrada: on the standardization of organizational concepts based on standard UNE EN ISO 13940 ContSys normalizing concepts to support continuity of care and its implementation in projects like epSOS.

In summary, some of the comments that concluded this conference would be: give freedom to hospitals to see if they choose models or archetypes based on HL7 and CEN 13606, development of new platforms and Telecare Telecare interoperable, and this in conjunction with the development of new projects to organizational interoperability.