collaboration feup ministry of health designing a...
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Collaboration FEUP – Ministry of Health
Designing a sustainable Electronic Health
Record: from Service Ecosystem to
Information Architecture
Coordinators:
Lia Patrício, António Brito
PhD students:
Nelson Pinho (P1), Miguel Oliveira (P2), Eduardo Pinto (P3)
International advisors
Raymond P. Fisk, Texas State University
Rick Kazman, University of Hawaii, Carnegie Mellon
University
Hong-Mei Chen, University of Hawaii
FEUP - July, 6th, 2012
Context – EHR Definition
A National EHR is:
A patient centered service that carries clinical information and is
accessible regardless of location or time of health care delivery.
Challenges
• A successfull development and implementation of a EHR requires addressing several challenges – Technological
– Human
– Organizational
• Developing a PDS requires a systems approach that integrates technology and human processes.
Service Science Management Engineering and Design (SSMED)
Collaboration FEUP – Ministry of Health Objectives
• Support the development and implementation of EHR in
three areas :
– P1 - Service design: supporting the design of EHR as a service
with a focus on the service experience and creating value for the
different healthcare stakeholders
– P2 - Processes: contribute to a better implementation of EHR by
analyzing and framing the EHR within the operational processes
of the different stakeholders, proposing recommendations for
process evolution change management
– P3 - Information architecture: contribute to the design of an
information architecture that enables an effective
implementation of EHR and promotes collaboration among
healthcare stakeholders
Integration
EHR Core
Architecture
Extended Service
Stakeholders
Internal Processes
Information Needs
P2 – Analysis of operational processes and information needs
P1 – EHR Service Design
P3 –EHR Information Architecture
Progress Report
Sept. 2010
2011
2012
Mar.
Jul.
Dec. 2012
Activity 1 Project framing
Activity 3 Service Design, Process Modeling
and Information Architecture
Activity 4 Support EHR implementation
Activity 2 Study / Elicitation
Jul.
P1 – Service Design
Designing the Service Offering
Nelson Pinho, Lia Patrício, Raymond Fisk,
Qualitative study - Objectives
EHR Service Design
Stage 1 – Understanding Stakeholders
• Design the stakeholder map with all the entities involved in EHR Service.
• Identify the most relevant entities from both the healthcare professionals and patient perspectives.
• Investigate the type of information exchanged between the different stakeholders.
• Identify the benefits (value) obtained from the interaction between the different stakeholders.
Stage 2 – Designing the Service Offering
• Study and map the experience of different stakeholders.
• Design the service concept of the EHR and its components for the different stakeholders.
• Architecture and navigation of EHR service system.
• Define the service ecosystem borders.
• Design the Service Blueprints for critical PDS processes
Citizen
Family
National Health System
Other Healthcare Providers
Health Practitioners
Sponsors
Teaching Institution
Private Institutions of Social Security
Exams
Public Health
Medicine
Health Research
Central Administration
Organization Board
Primary care
Differentiated Care
Continuity Care (Mission Units)
Emergency Care (INEM)
Integrated Care (Local Health
Units)
Central Hospital Regional
Hospital
Level 1 Hospital
Group of Health Centre Health
Centre Family
Health Unit
Private Hospital
Doctor’s Individual
Office Private Practice
Military Hospital
Associations
Doctor
Nurse
Pharmacist
Technician
Doctor’s Assoc.
Nurses Assoc.
Pharmacists Assoc.
Psychologist
Physiotherapist
Audiologist
Radiotherapist
Mercies Religious Hospitals
Public Insurance
Insurance Companies
Social Security
Health Plans
Pharmacy
Infarmed
Pharmacy Associations
Pharmaceutical Companies
Health National Institute
Blood Institute
Drug Institute
Health General
Management
Other Providers
Hardware Suppliers
Software Suppliers
Other Services Suppliers
Medical Material Suppliers
Administrative Staff
CIO – Chief Information
Officer
CEO
Operational / Service / Clinical Manager (UGI)
Investigation Labs (Clinical
Trials)
Central Admin. of Health System
University
Other Schools
National School of
Public Health
Regional Admin.
Autonomous Regions
Shared Services Of Ministry of
Health
Health Regulatory
Entity
Azores
Madeira
North
Centre Algarve
Lisbon and Tagus
Valley
Alentejo
Labs
Radiology
Group of Stakeholders
Sub-group of Stakeholders
Individual / Organizational Stakeholder
Nutritionist
Internist
Specialist
Surgeon
Dentists Assoc.
GP
Individual Stakeholders
Social Assistant
Most Important Stakeholders
Study Results Stage 1 - Stakeholder Map
Health Line 24/7
Dietist
Qualitative Study - Sample
Sample Design Central Hospital Private Hospital Primary Care
Citizens/Organizati
ons
Stage 1 – Exploratory Study -
Interviews
1 Doctor (CHVNG)
1 Nurse (CHVNG)
1 Pharmacist
(CHVNG)
1 Citizen from Porto
1 Member of the
Ministry of Health
Stage 2 –
Focus
Group
Doctors 5 Doctors (CHLO)
2 Doctors (José
Mello, Personal
Office)
2 Doctors (Health
Centers from ARS
LVT)
Nurses
7 Nurses (CHLO,
CHLN) 3 Nurses (MAC)
1 Nurse (Health
Center from ARS
LVT)
Pharmacists
4 Pharmacists
(CHLO, FX, CHLO -
EM, HGH)
2 Pharmacists (CUF
- IS, CUF -
Descobertas)
1 Pharmacist
(Communitarian -
Lisbon)
Citizens
8 Citizens from
Lisbon
Stage 2 – Interviews 1 Doctor (CHVNG)
1 Doctor (ML)
1 Nurse (ETG)
1 Pharmacist
(Viseu)
1 Nurse (Viseu)
1 Doctor (Viseu)
1 Citizen (Porto)
Citizens 10
Doctors 13
Pharmacists 9
Nurses 13
Physiotherapist 1
Ministry of Health 1
Total 47
Qualitative Method
– Interviews and Focus Groups (60 – 180 min)
– Grounded Theory
Designing the PDS with the MSD in a Many to Many reality
PersonalHealthRecord
Pa entSummary(EmergencySitua ons,
secondopinion,etc.)
Public&Privateintegra on
Informa onAccess
Management
Ci zen
Core:Ci zen
CenteredandIntegratedHealthInfo.
Trust,Confiden ality,
Privacy
GoodUsabilityFastAccess
EasytoUnderstand
Ci zenCenteredInfo.
RecordsshouldbecompleteandUp
toDate
How? What?
EasytoUnderstand(Clinicaltermsexplained)
Pa entSummary
BiometricInfo.
Ci zenPortal
Allergies
Alerts
NurseNotes(Dischargeand
Consulta on)
Exams
Pa entCenteredandIntegratedClinicalInfo.
Diagnosis/Results
ExamReport
Prescrip onInfo
PrescribedMedica on
ChronicMedica on
R&D,PublicHealth,Health
PolicyAggregated
Data
AnonymizedData
Repor ngTools(Business
Intelligence)
Habits
HealthcareProfessional
Portal
Vaccines
AuditSystem
Therapeu cInforma on
InformalCaregiver
IntensityofCareandDependence
Levels
SocialContext
Collabora onPla orm
ExamPrescrip on
Auth.Mechanism
ChronologicviewofHealth
episodes
EpisodeDates
KeyH.Professional
Healthepisode
Types
MedicalDischarge
Note
Image/Graphics/
etc.
SurgeryWai ng
ListPersonalHealthRecord
Ac veMedica on
SpeakwithHealthcare
Professional
ScheduleConsulta on,
ExamsandVaccines
Referral
HealthAdvicesandGeneral
Info.
Info.AccessManagement
Family
SMSandE-mailAlerts
Administra veServices
FormsandDeclara ons
HealthUnitServiceList
(Wai ngTimes)
HealthBenefits
EmergencyEpisodes
SurgicalHistory
Vaccines
PhysicalandFunc onal
handicaps
Prosthesesand
ImplantsAntecedents(Ex.Oncologic)
ContentConfiden ality
Assurance
OutputDiagnosis
SurgicalProtocol
Ac ons/Interven ons
Surveillanceand
Monitoring
Data
Alerts
EmergencyContacts
Customer
Doctor
BackstageSupport
ServiceIn
terface
PDSInterface
LegacySystem
Authen ca onConsultand/orManagePa ent
Summary
InsertorManageDiagnosis
ConsultPa entdetailed
Informa on
InsertPa entDischargeNote
ManagePa entMedica on
Info.
Consultand/orInsertExams
Info.
SearchandExportR&DInforma on
Introducepa entidandDoctorauth.creden als
DisplayLogininterfaceandauthen ca on
result
Validatecreden als
ConsultoreditPa entSummary
DisplayPa entSummary
Retrieve/updatePa ent
Summary
CreateorChangeDiagnosis
Displaydiag.searchlist
Providestoreddiagnosisorrecordnew
one
Consultdetailsonchronologic
ortypeofepisodelist
Displaychronologicortypeofepisode
list
Providesearchlistsand
episodedetails
CreateDischargenote
AskfornewDischargenote
Recordnewdischargenote
Consultprescribed
med./Managechronicmed.
Displayprescribedand
chronicmedicine
Provideprescrip onandchronicmedicinelistorupdate
records
Consultorcreatenewexamresult
Displayexamssearchlistandexamdetails
Provideexamsearchlistandexamdetailsorcreatenewrecord
Searchfordata
Displayrepor ngtool
Retrieveanonymisedandaggregateddata
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
AskfornewDiagnosis
ManageChronicMedicine
Askfornewexamresult
DisplayLogininterfaceandauthen ca on
result
Insert/ManageAlertsandAllergies
Service Experience Blueprint
Service System Architecture
Customer Value Constellation
Use Cases and Data
Model
User Interface
xN
xN
xN
Doctor
Nurse
Citizen
xN
Value contellationexperience
Service experience
Service encounter experience
Service experience blueprint
Service system architecture and
navigation
Customer value constellation
Understanding the customer experience
Designing theService offering
Designing theService concept
Designing theService system
Designing theService encounter
• Weekly meetings with PDS National Commission (September
– December 2011)
– First versions of Service Concept, Architecture and Service Experience
Blueprint
• Workshops (Design & Validation)
Workshops Service Design - Sample
Sample Design Doctors Nurses Citizens Total
Workshop 1 –
Service Design
3rd January 2012
6
Porto
Viseu
Santarém
8
Porto
Madeira
Lisbon
7
Porto
Vila Real
Lisbon
21
Workshop 2 –
Results Validation
17th January 2012
7
Porto
Viseu
Santarém
Lisbon
8
Porto
Madeira
Lisbon
9
Porto
Vila Real
Lisbon
24
Service Design Workshops Results January, 3rd and 17th 2011
Designing the Service Offering
Design the Service Offering
PDS Detailed Service Concept
Doctor
Nurse
Citizen
PersonalHealthRecord
Pa entSummary(EmergencySitua ons,
secondopinion,etc.)
Public&Privateintegra on
Informa onAccess
Management
Ci zen
Core:Ci zen
CenteredandIntegratedHealthInfo.
Trust,Confiden ality,
Privacy
GoodUsabilityFastAccess
EasytoUnderstand
Ci zenCenteredInfo.
RecordsshouldbecompleteandUp
toDate
How? What?
EasytoUnderstand(Clinicaltermsexplained)
Pa entSummary
BiometricInfo.
Ci zenPortal
Allergies
Alerts
NurseNotes(Dischargeand
Consulta on)
Exams
Pa entCenteredandIntegratedClinicalInfo.
Diagnosis/Results
ExamReport
Prescrip onInfo
PrescribedMedica on
ChronicMedica on
R&D,PublicHealth,Health
PolicyAggregated
Data
AnonymizedData
Repor ngTools(Business
Intelligence)
Habits
HealthcareProfessional
Portal
Vaccines
AuditSystem
Therapeu cInforma on
InformalCaregiver
IntensityofCareandDependence
Levels
SocialContext
Collabora onPla orm
ExamPrescrip on
Auth.Mechanism
ChronologicviewofHealth
episodes
EpisodeDates
KeyH.Professional
Healthepisode
Types
MedicalDischarge
Note
Image/Graphics/
etc.
SurgeryWai ng
ListPersonalHealthRecord
Ac veMedica on
SpeakwithHealthcare
Professional
ScheduleConsulta on,
ExamsandVaccines
Referral
HealthAdvicesandGeneral
Info.
Info.AccessManagement
Family
SMSandE-mailAlerts
Administra veServices
FormsandDeclara ons
HealthUnitServiceList
(Wai ngTimes)
HealthBenefits
EmergencyEpisodes
SurgicalHistory
Vaccines
PhysicalandFunc onal
handicaps
Prosthesesand
ImplantsAntecedents(Ex.Oncologic)
ContentConfiden ality
Assurance
OutputDiagnosis
SurgicalProtocol
Ac ons/Interven ons
Surveillanceand
Monitoring
Data
Alerts
EmergencyContacts
Customer Value Constellation
xN
PDS Detailed Service Concept – Citizen, Doctor and Nurse
Patient Summary
Biometric Info.
Citizen Portal
Allergies
Alerts
Nurse Notes (Discharge and Consultation)
Exams
Patient Centered and
Integrated Clinical Info.
Diagnosis / Results
Exam Report
Prescription Info
Prescribed Medication
Chronic Medication
R & D, Public Health, Health
Policy Aggregated
Data
Anonymized Data
Reporting Tools (Business
Intelligence)
Habits
Healthcare Professional
Portal
Vaccines
Audit System
Therapeutic Information
Informal Caregiver
Intensity of Care and Dependence
Levels
Social Context
Collaboration Platform
Exam Prescription
Auth. Mechanism
Chronologic view of Health
episodes
Episode Dates
Episode Location
Key H. Professional
Health episode Types
Medical Discharge
Note
Image / Graphics /
etc.
Surgery Waiting
List Personal Health Record
Active Medicatio
n
Speak with Healthcare
Professional
Schedule Consultation,
Exams and Vaccines
Referral
Health Advices and General
Info.
Info. Access Management
Family
SMS and E-mail Alerts
Administrative Services
Forms and Declarations
Health Unit Service List
(Waiting Times)
Health Benefits
Emergency Episodes
Surgical History
Vaccines
Physical and Functional handicaps
Prostheses and
Implants Antecedents (Ex.
Oncologic)
Content Confidentiality
Assurance
Output Diagnosis
Surgical Protocol
Actions / Interventions
Surveillance and
Monitoring Data
Alerts
Emergency Contacts
Design the Service Offering
PDS Experience and Service Architecture
Doctor
Nurse
Citizen
xN
Customer
Doctor
BackstageSupport
ServiceIn
terface
PDSInterface
LegacySystem
Authen ca onConsultand/orManagePa ent
Summary
InsertorManageDiagnosis
ConsultPa entdetailed
Informa on
InsertPa entDischargeNote
ManagePa entMedica on
Info.
Consultand/orInsertExams
Info.
SearchandExportR&DInforma on
Introducepa entidandDoctorauth.creden als
DisplayLogininterfaceandauthen ca on
result
Validatecreden als
ConsultoreditPa entSummary
DisplayPa entSummary
Retrieve/updatePa ent
Summary
CreateorChangeDiagnosis
Displaydiag.searchlist
Providestoreddiagnosisorrecordnew
one
Consultdetailsonchronologic
ortypeofepisodelist
Displaychronologicortypeofepisode
list
Providesearchlistsand
episodedetails
CreateDischargenote
AskfornewDischargenote
Recordnewdischargenote
Consultprescribed
med./Managechronicmed.
Displayprescribedand
chronicmedicine
Provideprescrip onandchronicmedicinelistorupdate
records
Consultorcreatenewexamresult
Displayexamssearchlistandexamdetails
Provideexamsearchlistandexamdetailsorcreatenewrecord
Searchfordata
Displayrepor ngtool
Retrieveanonymisedandaggregateddata
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
Updateauditsystem
AskfornewDiagnosis
ManageChronicMedicine
Askfornewexamresult
DisplayLogininterfaceandauthen ca on
result
Insert/ManageAlertsandAllergies
Service System Architecture
Doctor Experience
Doctor Daily Experience
Doctor PDS Experience
Authentication Consult and/or Manage Patient
Summary (*)
Insert or Manage
Diagnosis
Consult Patient detailed
Information
Insert Patient Discharge Note
Manage Patient Medication
Info.
Consult and / or Insert Exams
Info.
Search and Export R&D Information
Doctor
(*) Only General Practitioners are allowed to Manage the Patient Summary
Doctor PDS Service Architecture
Cu
sto
me
r
Doctor
Bac
ksta
ge S
up
po
rt
Serv
ice
Inte
rfac
e
PDS Interface
Legacy System
Authentication Consult and/or Manage Patient
Summary
Insert or Manage
Diagnosis
Consult Patient detailed
Information
Insert Patient Discharge Note
Manage Patient Medication
Info.
Consult and / or Insert Exams
Info.
Search and Export R&D Information
Introduce patient id and Doctor auth. credentials
Display Login interface and
authentication result
Validate credentials
Consult or edit Patient
Summary
Display Patient Summary
Retrieve /update Patient
Summary
Create or Change
Diagnosis
Display diag. search list
Provide stored diagnosis or record new
one
Consult details on chronologic
or type of episode list
Display chronologic or type of episode
list
Provide search lists and
episode details
Create Discharge note
Ask for new Discharge note
Record new discharge note
Consult prescribed
med. / Manage chronic med.
Display prescribed and
chronic medicine
Provide prescription and chronic medicine
list or update records
Consult or create new exam result
Display exams search list and exam details
Provide exam search list and exam details or
create new record
Search for data
Display reporting tool
Retrieve anonymised and aggregated data
Update audit system
Update audit system
Update audit system
Update audit system
Update audit system
Update audit system
Update audit system
Update audit system
Ask for new Diagnosis
Manage Chronic
Medicine
Ask for new exam result
Display Login interface and
authentication result
Insert / Manage Alerts and Allergies
Design the Service Offering
PDS Service Experience Blueprint
Doctor
Nurse
Citizen
xN
Service Experience Blueprint
Use Cases and Data
Model
User Interface
PDS
Service Blueprint
PS - C1
Doctor and Nurse
Consult Patient Summary (PS /
RCU2 (Pt))
Assumptions: • Authentication on legacy system verified • In hospitals, the PS consult requires the patient to be in the scope of an active episode • In Primary Care, the PS consult don’t require the patient presence • Every interaction between an HCP or other system with the PS (RCU2) must be auditable
fro
nts
tage
b
acks
tage
Line of visibility
Backend Citizen Portal Line of interaction
Line of interaction HCP
LegacySystem Hospital /PC
Line of interaction
PS (RCU2) Interface
Backend PS(RCU2) Line of interaction
Line of interaction
Legacy System Interface
Line of interaction
RNU
Search Patient
Presents search option
Return list of possible Patients
Presents Patients
list
Selects Patient
Return Patient
data
Present Patient data and link to
PS (RCU2)
Access PS (RCU2)
Ask for PS (RCU2)
Patient Authorize access to his PS (RCU2)
No
Yes
Returns Error
Presents Authorization Error Message
Returns Emergency
Contacts
Ask for remaining PS (RCU2) Info.
Returns PS (RCU2)
Info.
Validates HCP Profile and
Local
Returns GP and Patient associated
care unit
Patient don’t belong to HCP care unit
Patient belongs to HCP care unit
Blueprint PS – G1
Presents PS (RCU2) in consultation
mode
W W
FFF
F W W
W W
FFF
F W W
FFF
F W W
FFF
F W W
W W
W W
Returns Patient
Data
Verify Patient Identity
Ok
Not Ok
Service Design Conclusions
• EHR should have customized views for the
different groups of stakeholders.
• At the same time we provide an aggregated
service concept (Doctor, Nurse and Citizen)
providing a holistic vision about what should be
the PDS service: globally and for each
stakeholder.
• The study also contributes to improving
healthcare by designing a robust EHR system
that withstands the challenges of a complex
service reality.
P2 – Operational Processes
Miguel Oliveira, António Brito, Lia Patricio, Rick
Kazman, Hong-Mei Chen
Methodology – Case Study
Research Questions
How do Information Systems impact the daily routine of health care professionals?
How do inter-institutional IS affect the institutions functioning?
How will an EHR system impact current organization processes?
26
ARS Norte
ACES Gondomar
Hospital da Prelada
• Public (NHS)
Type of care Institution type Duration
• Public (NHS)
• Social
• Public (NHS) with private administration
• Primary
• Primary
• Secondary / Hospital
• 6 days
• 3 days
• 2 days
• Secondary / Hospital
• 15 days Hospital de Vila Nova de Gaia
INEM Porto
• Public (NHS) • Emergency
Methodology – Sample Design
27
• 3 days
People involved
• 20
• 14
• 2
• 27
• 10
Methodology – Data Collection
28
• Direct observation of the daily routine of health care professionals,
taking notes and asking questions whenever necessary
• Direct observation was complemented with in-depth semi-structured
interviews with key health care practitioners and administrative staff
• Leverage the interviews to identify and gather documents of interest
Workshop “PDS – Implementação de Registos Clínicos” 31/01/2012
Workshop Agenda
• Clinical representatives work group - PDS: Implementation of
clinical records
• 40 participants were split into 4 work groups
• Patient summary information
• Reality assessment
Part I: Challenges
• Exercise 1: identification of types of information that shall integrate the patient summary
The participants shall select the information that shall be on the patient summary from a list of clinical
types of information and being able to add relevant new types of information.
- Allergies - Clinical alerts - Citizen contacts/responsible relative - Active diagnostics - Clinical procedures and interventions history (e.g. surgeries) - Citizen ID - Drug prescription - Vaccines
Clinical history
Consultation history
Scheduled (future consultations)
Emergency episodes Hospitalization discharge letter
Emergency discharge letter Exams’ results
Social condition assessment report
Outpatient consultation summary
Reference requests for outpatient consultation
Implanted medical devices
Interventions history
Exams’ history
Active problems
Medical consultation summary (primary care)
Nursing consultation summary (primary care)
Patient Summary
Exercise 2: Reality Assessment (setup)
Importance
IS satisfaction
0 1 2 3 4 5 6 -6 -5 -4 -3 -2 -1
5
4
3
2
1
Exercise 2: Reality Assessment - Result
1. Citizen ID 2. Contactos do cidadão/familiar
responsável
3. Allergies
4. Active diagnostics
5. Clinical history
6. Vaccines 7. Outpatient consultation
summary
8. Sumário de consulta médica
nos CSP
9. Nursing consultation
summary (CP)
10. Vigilance history (e.g. vital
signs)
11. Diário clínico
12. Notas de enfermagem
13. Drug prescription
14. Exams results 15. Consultation
history
16. Scheduled (future)
consultations
17. Surgical procedures
18. Discharge letter summaryde
internamento 19. Procedures and interventions
history
20. Surgery report
21. Emergency episodes
22. Emergency discharge letter
23. Reference requests for outpatient
consultation 24. Social assessment
report
25. Psychological assessment
report
26. Clinical alerts
Costs
Registo de consultas internas
Phothology history
Dispositivos médicos
implantados
Phamaco-vigilance e
Hemo-vigilance
“Não conformidades”
registry
Accidents and occurrences
records
Meteorology
Exams results
Informed consent
Refusal declaration
Recommendations
Implant records
Ambulatory drug prescription
P3 – Information Architecture
Studying relevant architectural
models and frameworks
Eduardo Pinto, António Brito, Lia Patrício, Rick
Kazman, Hong-Mei Chen
Research Guidelines
• Support the PDS project for quick-win solutions
• Prevent the adoption of solutions that might preclude future
requirements and needs
• Offer a medium/long-term vision to the project
• Promote the finding of solutions that could easily be able to
integrate different kind of systems
The Metropolis Model
The Metropolis Model (Rick Kazman and Hong-Mei Chen)
identify one of its target as the ‘crowdsourced systems’:
• Community Based Service Systems (CBSSs)
• Value co-creation
• Prosumers (producers who are also consumers of content)
The Metropolis Model
The Architecture
The Metropolis Model – application to PDS
• delimitate the scope of PDS
as a platform for sharing
data
• split the logical domain from
the presentation one
The Metropolis Model – application to PDS
• allow external entities to
develop apps to interact
with those interfaces:
– development of mobile
applications;
– PDS data integration in
the HIS;
Service-oriented Architectures
• Services are reusable
• Services are loosely coupled
• Services are ‘composable’
Service-oriented architectures promote the development of
information systems that enable interoperability and
integration with legacy systems
Service-oriented Architectures – application to PDS
• Examples of services:
– Data anonymizer: receives
some data and returns it
without being possible to
reveal the patient identity
– Data Dispatch Manager:
receives the data to be
transfered to some
institution and assures that
it arrives the destination
PDS Data
Anonymizer
Data Dispatch Manager
Process and Architecture Contributions
• RCU2 project
– Local and central module architecture discussion
– Information model definition
• epSOS integration
• Professional Portal
– Discussion and definition of the data sharing and access architecture
• Quality Attribute Workshop
– Promote the long-term discussion of the project key attributes
FEUP Collaboration contributions
• Embedding a service perspective to create value for all stakeholders
• Involving the most important stakeholders along the different PDS stages
• Providing concrete inputs for the development of the PDS
• Exploring new architecture solutions
• Promoting the alignment between business goals and architecture solutions
Thank you for your attention!
PDS service will change our lives…