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RIDE A Roadmap for Interoperability of eHealth Systems in Support of COM 356 with Special Emphasis on Semantic Interoperability RIDE is a roadmap project for interoperability of eHealth systems leading to recommendations for actions and to preparatory actions at the European level. This roadmap will prepare the ground for future actions as envisioned in the action plan of the eHealth Communication COM 356 by coordinating various efforts on eHealth interoperability in member states and the associated states. Objectives of the project vision, the emerging trends and opportunities to achieve the vision statement, the required advances in It is not realistic to expect to have a single universally the state of the art research, technology and standards accepted clinical data model that will be adhered to all will be identified. over the Europe and that the clinical practice, termino- logy systems and EHR systems are all a long way from such a complete harmonization. Therefore, the RIDE Project Description project will address the interoperability of eHealth sys- RIDE is a roadmap project for research and develop- tems with special emphasis on semantic interoperabi- ment in interoperability of eHealth systems leading to lity. recommendations for actions and to preparatory In order to create RIDE Roadmap, first the European actions at the European level.This roadmap will prepare best practices in providing semantic interoperabi- the ground for future actions as envi- lity for eHealth domain will be assessed and the “RIDE project, sioned in the action plan “eHealth – quantified requirements to create a valid road- we will address Making Healthcare Better for Euro- map will be identified. Based on these require- interopera b i l i t y pean Citizens: An Action Plan for a ments, the goals, and the economical, legal, finan- o f e H e a l t h European e-Health Area” by coordina- cial and technological challenges of the industry systems with ting various efforts on eHealth inter- for the 21st century for achieving interoperability s p e c i a l e m p h a s i s operability in member states and the in eHealth solutions will be elaborated. RIDE will on semantic associated states. also focus on the limitations of the policies and interopera b i l i t y A number of EHR standards and fra- strategies currently used in deploying interopera- with the aim of meworks have been developed to ble eHealth solutions. Through eight RIDE l a y i n g a ro a d m a p ” assist with the interoperability and workshops a shared vision for building a Europe- integration of distributed EHR infor- wide semantically interoperable eHealth infra- mation. Ideally, all EHR systems would structure will be created. After assessing the gaps bet- adopt common and systematized hierarchies of com- ween the “as-is” situation and the “to-be” eHealth ponent names, use multi-lingual clinical coding systems Scenario The family doctor, Bob Smith wishes to refer a patient named John Doe to a diabetic specialist named Mary Brown in Istanbul Hospital. The referral note of Bob Smith should be available to Mary Brown to continue the care process. This has several requirements some of which are presented here: The Patient Identifiers used by the document source and document consumer should be matched; the communication protocol used by these parties should be fixed; the interoperability of the messaging and EHR standards used by the parties should be facilitated. 100 with perfect cross-mappings and use identical reference models for mea- surements. However, this has not been realized yet. R I D E It is unrealistic to expect a single universally accepted clinical data model A Roadmap for Interoperability of eHealth that will be adhered to by all of these groups. Clinical practice, termino- Systems in Support of COM logy systems and EHR systems are all, hence, a long way from such a 356 with Special Emphasis complete harmonization.Therefore this problem can better be addres- on Semantic Interoperability sed at the semantic interoperability level. Intelligent Healthcare Monitoring based on RIDE project, we will address interoperability of eHealth systems with Semantic Interoperability special emphasis on semantic interoperability with the aim of laying a Platform roadmap by coordinating various efforts in Europe to prepare the Project co-ordinator : ground for future actions as envisioned in the eHealth action plan. Middle East Technical University – Software R&D Center, (TR), Contact person: Achievements & Results Prof. Dr. Asuman Dogac The following achievements of the RIDE Project are available in the Tel: +90 312 2105598 project web site (http://www.srdc.metu.edu.tr/webpage/projects/ride/ Fax: +90 312 2101004 modules.php?name=Calendar): Email: email@example.com Website: www.srdc.metu.edu.tr • European Best practices in providing semantic interoperability in eHealth domain have been surveyed, where the Current eHealth Practices in European Countries, USA, Australia and Canada have been elaborated. Par tners: • Kuratorium Offis E.V., OFFIS, (DE) • Standardization efforts for providing semantic interoperability in • Institute for Formal Ontology eHealth domain have been surveyed.The challenges on the standards and Medical Information Science, for semantic interoperability, standardization activities on Electronic IFOMIS, (DE) Healthcare Records, content of Patient Summaries, Ontologies, • European Institute for Health Terminologies and Coding schemes have been summarized. Records, EuroRec, (FR) • The Requirement Analysis of RIDE Roadmap has been finalized and • National Council of Research, reported. In this document, requirements of eHealth Interoperability Institute for Biomedical for a wide range of issues that are important in Europe are provided. Technology, CNR, (IT) Furthermore, in “RIDE Vision”, current and envisioned situation for all • National Technical University of Athens, Institute of these issues are provided. Communication and Computer • The Goals and Challenges of RIDE Roadmap have been finalized and Systems, NTUA, ICSS, (GR) reported. Nine goals have been identified and described with exem- • National University of Ireland, plary scenarios.The main challenges affecting these goals are also dis- Digital Enterprise Research cussed. Also, the alternative implementation plans for the goals are Institute, NUIG, DERI, (IL) detailed. • IHE-D e.V., Integrating the Healthcare Enterprise – • The gaps between the “state of the art” research ongoing in the Deutschland, IHE-D, (DE) eHealth domain and the desired future description identified in the • OLE Office Line Engineering NV, RIDE vision statement for achieving semantic interoperability in OLE, (BE) eHealth are identified. Timetable: from 01/06 – to 12/07 • Analysis of the current trends and opportunities in health care IT inter- operability with special emphasis on those trends and opportunities Total cost: € 1.223.766 which affect semantic aspects of interoperability is made. • RIDE Project has made a proposal to OASIS ebXML Business Process EC funding: € 1.156.269 Technical Committee entitled “ebBP Profile for Integrating Healthcare Instrument: CA Enterprise (IHE)” to facilitate establishing electronic relationship among IHE Actors. Project Identifier: Keywords: • The first and second ver- IST-2004-027065 sions of RIDE Roadmap eHealth networks and architectures, have been finalized. Semantic Interoperability of eHealth in Europe. 101
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