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PRACTICAL TECHNOLOGY LEGAL Vietnam Health Information Technology Program Global Healthnet To provide medical information technology at each level of services ©  Alain Bergeron, VHITP,  2010
“  Healthnet have emerge in a context  of economic recession, international cooperation  and a general request for transparency  in health care management ”
“  healthnet.vn is an integrated network of dedicated portals providing information and services applications for users, patients, professionals and health care manager.   The main purpose of the network is to distribute health information to the community and secures data collection in a purpose to provide a better quality of service, a better support to the doctor-patient relation in a digital age and offers realtime data aggregation for managers and decidorsdation of the data collection and data exchange (HL7)” ©  Alain Bergeron, VHITP,  2010
Main Objectives “ To collect and secures health clinical data in the purpose of providing to authorized professionals actualized information related to the health situation of a person (Electronic Health Record) or of a group of persons (Epidemiology Researcher Access) and by combining these information to provide  to the health services decisional instances a real-time view of the health situation and medical services utilization of a community”
Practicaly ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Knowledge Resources Information Governance + + = Securing the professional relation between the patient , his doctor and health services providers inside a unique transactional electronic health record when collecting  health data  requested for the planning  and the management of health services Increasing the quality of health care by providing to health professional advisory services related to base evidence medicine and providing continuous training facilities Reducing the cost of health services by providing to population health information and tutorial related to basic care and medical condition  Facilitate the management of health community  programs by providing online redaction, management and reporting tools for governmental agencies and NGO Secures the connection access and validate identity of online health professional and services providers organizations Structutal Objectives of healthnet.vn
Planning & Research Roles at Decisional Level Agency HHR Planning Role Local health care facility Coordinate care of individual patients in multidisciplinary environment Regional Health Authority Evaluate patient needs within region; Work with local health care facilities to ensure delivery of service; Implement recruitment/retention strategies ,[object Object],[object Object],[object Object],Establish RHAs to carry out regional health care delivery; Establish HHR regulatory frameworks; Establish and manage health care programs and systems; Work with colleges & universities to set quotas for health care provider training Provincial/Territorial Regulatory Authorities Assess credentials; Issue licenses National Government and Professional Agencies Set standards for certification; Accredit training institutions; Compile national level data and information for planning purposes
Development Tasks of VHITP (NOT COMPLETED) Website development 2011 - 2015 Vietnam Health Information Technology Program ©  Alain Bergeron, VHITP,  2010
PRACTICAL TECHNOLOGY LEGAL Legal aspect
Decisional  and   Executive Structure  2011 Vietnam Health Information Technology Program Ministry of Health Vietnam Health Information Technology Committee (Decisional Instance) Medical Services Administration Department Vietnam Health Information Technology Program (Executive Instance) Development &Support * Dataset & Events Line Company Support & Services Development Company Support & Services Development Company Support & Services Development ©  Alain Bergeron, VHITP,  2010
ROLE  VHITC 2011 Vietnam Health Information Technology Program Vietnam Health Information Technology Committee (Executive Instance) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],©  Alain Bergeron, VHITP,  2010
Vietnam Health Information Technology Program (Executive Instance) ROLE VHITP 2011 Vietnam Health Information Technology Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],©  Alain Bergeron, VHITP,  2010
Coordination Tasks of VHITC 2011 Vietnam Health Information Technology Program Industry Transformation Standards Harmonization Compliance Certification Nationwide Health Information Network Privacy / Security Health IT Adoption Ministry of Technology & Technology Industry Consumer Value Coordination of Policies,  Standards, Architecture,  Interoperationality, Resources, and Priorities Epidemiology Bio surveillance Resource Management Chronic Care Service Electronic Health Records Ministry of Health & Health Care Industry ©  Alain Bergeron, VHITP,  2010
Development Tasks of VHITP Website development 2011 - 2015 Vietnam Health Information Technology Program Vietnam Health Information Technology Program (PUBLIC – COMMERCIAL -  http://www.hoiphuc.net/healthnetvn) User Access Type Web Services Accessed ©  Alain Bergeron, VHITP,  2010
Event Line National Electronic Patient Record  INCOMPLETE Ministry of  Finance Ministry of  Health Ministry of  Technology Ministry of  Security Ministry of  SS & WI Population Database International  Classification Of Desease For Services &  Procedures  Result Form for Services & Procedures Request CP4 Code of Procedure xxx International Classification of  Disease Database Medical Facilities Database Health Professional Database URL Mapping Healthnet URL Database xxx
PRACTICAL TECHNOLOGY LEGAL Some answers Health Information Technology Company
Registration & Validation Process
Personal Health Record Lifetime Full Personal Health Record Pediatric Records HIS Records Employer and Insurance Carrier  Records Military  Records Death Certificate and Autopsy Records Birth Certificate and Prenatal Records Research Records Public Health Records Environmental Records Genomic Records Links Access  Login  from Trusted URL ©  VHITC, 2010 Alain Bergeron,  vhitc
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IF AND IF  CREATE MY EMR IS YES:  #pinEMR# ,[object Object],[object Object],IF * #linkID# #linkID# For Student #studentID# For Professionals #professionalID# For Health Organization #resourceID# HIS Database ,[object Object],[object Object],[object Object],USER TABLE Healthnet.vn Database ,[object Object],[object Object],[object Object],[object Object],EMRID TABLE ,[object Object],[object Object],[object Object],[object Object],USER TABLE Health Professional Database * ,[object Object],[object Object],USER TABLE Resources Database
Vietnam   Healthnet   Zone Healthnet approach to HER Clinical data Event Line Private Practice Provincial Hospital  (Provincial Heath Structure) Community  Services (Provincial Structure) Healthnet (Healthnet Interface) Online  consultation eHealth.vn (National Online Medical  Services Structure) eHealth.vn (Online Form - Consultation Room) VN-HN-EHR (Events Line Server) Specialized Hospital  (Government  and/or  Private) Distant Medicine (Telemedicine &  Home Care Program) H .I .S. (Hospital Information System) Distant Medicine ( Onsite urgency Services -  Home Care Program)
©  VHITC, 2010 Alain Bergeron,  vhitc
THE HEALTH PROFESSIONAL DATABASE ,[object Object],[object Object]
Health Professional Database Professional ID Population Database CMND Health Formation Database Institution ID Health Facilities Database Facility ID Professional ID CMND DOB
Health Professional Database Professional ID Health Facilities Database Facility ID HealthNet Formation Warehouse CMS ID Professional Exercise Code Infraction ID
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proposed Improvement for the  Professional Health ID  Number for Medical Services Management in Vietnam Number show on the card VNDR-321456987 – 1 -  63 – 14021967 Management System Country Code Profession CODE National  ID Number Province CODE Date of first related diploma Number in the Database Identification HNVNDR – 321456987 – 1 -  1 – 14021967 – 00 Vietnam Health Information Technology Program ©  Alain Bergeron, VHITP,  2010
Proposed  EHR ID  Number for Medical Services Management in Vietnam Number show on the card VN – 321456987 – 1 -  1 – 14021967 – 00 Management System Country Code National ID Number Sex of the  ID Number Owner Is Owner of  The National ID Number Date of birth of the Owner Children rank  If child of the National ID Number Number in the Database Identification HNVN – 321456987 – 1 -  1 – 14021967 – 00 Vietnam Health Information Technology Program ©  Alain Bergeron, VHITP,  2010
Proposed Improvement for the  Health Services Provider ID  Number for Medical Services Management in Vietnam Number show on the license VN - 0001- 004 - 11122003 -  01 Management System Country Code Health  Resources  Provider CODE Province ID Date of the  first registered License (dd-mm-yyyy) Counter (01-02-…) Number in the Database Identification HNVN – 001 – 004 - 11122003 -01 Vietnam Health Information Technology Program ©  Alain Bergeron, VHITP,  2010
Registration & Security 2011 Vietnam Health Information Technology Program Public level Online Public Services  Healthnet Registration DATA ENTRIES / EXCHANGE Provincial Level EHR Data Aggregation REGISTRATION MANAGEMENT National Level EVENTS LINE Data Aggregation Department specific tools DESAGREGATION  TOOLS National Database Maintenance DATA ARCHITECTURE Database maintenance Standard & HR Dataset www.hoiphuc.net/maint National Statistics and Planning www.hoiphuc.net/admin Professionals and Health Services Providers Registration System HER Data Aggregation  Entries related to the identification  and  the exchange between the population and the professionals www.hoiphuc.net/healthnetvn Entries related to  identification and the exchange o information between professionals and health care providers managers and  the health administration www.hoiphuc.net/ Public level Online Public Services  Healthnet Registration DATA ENTRIES / EXCHANGE Entries related to the identification  and  the exchange between the population and the professionals www.hoiphuc.net/healthnetvn Entries related to  identification and the exchange o information between professionals and health care providers managers and  the health administration www.hoiphuc.net/ ©  Alain Bergeron, VHITP,  2010
Therapeutic relation: Construction of the GUI NUI THEORY: 2011 Vietnam Health Information Technology Program ©  Alain Bergeron, VHITP,  2010
healthnet ock: Securise  the therapeutic relation 2011 Vietnam Health Information Technology Program ©  Alain Bergeron, VHITP,  2010

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Introduction to Global Healthnet

  • 1. PRACTICAL TECHNOLOGY LEGAL Vietnam Health Information Technology Program Global Healthnet To provide medical information technology at each level of services © Alain Bergeron, VHITP, 2010
  • 2. “ Healthnet have emerge in a context of economic recession, international cooperation and a general request for transparency in health care management ”
  • 3. “ healthnet.vn is an integrated network of dedicated portals providing information and services applications for users, patients, professionals and health care manager. The main purpose of the network is to distribute health information to the community and secures data collection in a purpose to provide a better quality of service, a better support to the doctor-patient relation in a digital age and offers realtime data aggregation for managers and decidorsdation of the data collection and data exchange (HL7)” © Alain Bergeron, VHITP, 2010
  • 4. Main Objectives “ To collect and secures health clinical data in the purpose of providing to authorized professionals actualized information related to the health situation of a person (Electronic Health Record) or of a group of persons (Epidemiology Researcher Access) and by combining these information to provide to the health services decisional instances a real-time view of the health situation and medical services utilization of a community”
  • 5.
  • 6. Knowledge Resources Information Governance + + = Securing the professional relation between the patient , his doctor and health services providers inside a unique transactional electronic health record when collecting health data requested for the planning and the management of health services Increasing the quality of health care by providing to health professional advisory services related to base evidence medicine and providing continuous training facilities Reducing the cost of health services by providing to population health information and tutorial related to basic care and medical condition Facilitate the management of health community programs by providing online redaction, management and reporting tools for governmental agencies and NGO Secures the connection access and validate identity of online health professional and services providers organizations Structutal Objectives of healthnet.vn
  • 7.
  • 8. Development Tasks of VHITP (NOT COMPLETED) Website development 2011 - 2015 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
  • 10. Decisional and Executive Structure 2011 Vietnam Health Information Technology Program Ministry of Health Vietnam Health Information Technology Committee (Decisional Instance) Medical Services Administration Department Vietnam Health Information Technology Program (Executive Instance) Development &Support * Dataset & Events Line Company Support & Services Development Company Support & Services Development Company Support & Services Development © Alain Bergeron, VHITP, 2010
  • 11.
  • 12.
  • 13. Coordination Tasks of VHITC 2011 Vietnam Health Information Technology Program Industry Transformation Standards Harmonization Compliance Certification Nationwide Health Information Network Privacy / Security Health IT Adoption Ministry of Technology & Technology Industry Consumer Value Coordination of Policies, Standards, Architecture, Interoperationality, Resources, and Priorities Epidemiology Bio surveillance Resource Management Chronic Care Service Electronic Health Records Ministry of Health & Health Care Industry © Alain Bergeron, VHITP, 2010
  • 14. Development Tasks of VHITP Website development 2011 - 2015 Vietnam Health Information Technology Program Vietnam Health Information Technology Program (PUBLIC – COMMERCIAL - http://www.hoiphuc.net/healthnetvn) User Access Type Web Services Accessed © Alain Bergeron, VHITP, 2010
  • 15. Event Line National Electronic Patient Record INCOMPLETE Ministry of Finance Ministry of Health Ministry of Technology Ministry of Security Ministry of SS & WI Population Database International Classification Of Desease For Services & Procedures Result Form for Services & Procedures Request CP4 Code of Procedure xxx International Classification of Disease Database Medical Facilities Database Health Professional Database URL Mapping Healthnet URL Database xxx
  • 16. PRACTICAL TECHNOLOGY LEGAL Some answers Health Information Technology Company
  • 18. Personal Health Record Lifetime Full Personal Health Record Pediatric Records HIS Records Employer and Insurance Carrier Records Military Records Death Certificate and Autopsy Records Birth Certificate and Prenatal Records Research Records Public Health Records Environmental Records Genomic Records Links Access Login from Trusted URL © VHITC, 2010 Alain Bergeron, vhitc
  • 19.
  • 20. Vietnam Healthnet Zone Healthnet approach to HER Clinical data Event Line Private Practice Provincial Hospital (Provincial Heath Structure) Community Services (Provincial Structure) Healthnet (Healthnet Interface) Online consultation eHealth.vn (National Online Medical Services Structure) eHealth.vn (Online Form - Consultation Room) VN-HN-EHR (Events Line Server) Specialized Hospital (Government and/or Private) Distant Medicine (Telemedicine & Home Care Program) H .I .S. (Hospital Information System) Distant Medicine ( Onsite urgency Services - Home Care Program)
  • 21. © VHITC, 2010 Alain Bergeron, vhitc
  • 22.
  • 23. Health Professional Database Professional ID Population Database CMND Health Formation Database Institution ID Health Facilities Database Facility ID Professional ID CMND DOB
  • 24. Health Professional Database Professional ID Health Facilities Database Facility ID HealthNet Formation Warehouse CMS ID Professional Exercise Code Infraction ID
  • 25.
  • 26. Proposed Improvement for the Professional Health ID Number for Medical Services Management in Vietnam Number show on the card VNDR-321456987 – 1 - 63 – 14021967 Management System Country Code Profession CODE National ID Number Province CODE Date of first related diploma Number in the Database Identification HNVNDR – 321456987 – 1 - 1 – 14021967 – 00 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
  • 27. Proposed EHR ID Number for Medical Services Management in Vietnam Number show on the card VN – 321456987 – 1 - 1 – 14021967 – 00 Management System Country Code National ID Number Sex of the ID Number Owner Is Owner of The National ID Number Date of birth of the Owner Children rank If child of the National ID Number Number in the Database Identification HNVN – 321456987 – 1 - 1 – 14021967 – 00 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
  • 28. Proposed Improvement for the Health Services Provider ID Number for Medical Services Management in Vietnam Number show on the license VN - 0001- 004 - 11122003 - 01 Management System Country Code Health Resources Provider CODE Province ID Date of the first registered License (dd-mm-yyyy) Counter (01-02-…) Number in the Database Identification HNVN – 001 – 004 - 11122003 -01 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
  • 29. Registration & Security 2011 Vietnam Health Information Technology Program Public level Online Public Services Healthnet Registration DATA ENTRIES / EXCHANGE Provincial Level EHR Data Aggregation REGISTRATION MANAGEMENT National Level EVENTS LINE Data Aggregation Department specific tools DESAGREGATION TOOLS National Database Maintenance DATA ARCHITECTURE Database maintenance Standard & HR Dataset www.hoiphuc.net/maint National Statistics and Planning www.hoiphuc.net/admin Professionals and Health Services Providers Registration System HER Data Aggregation Entries related to the identification and the exchange between the population and the professionals www.hoiphuc.net/healthnetvn Entries related to identification and the exchange o information between professionals and health care providers managers and the health administration www.hoiphuc.net/ Public level Online Public Services Healthnet Registration DATA ENTRIES / EXCHANGE Entries related to the identification and the exchange between the population and the professionals www.hoiphuc.net/healthnetvn Entries related to identification and the exchange o information between professionals and health care providers managers and the health administration www.hoiphuc.net/ © Alain Bergeron, VHITP, 2010
  • 30. Therapeutic relation: Construction of the GUI NUI THEORY: 2011 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010
  • 31. healthnet ock: Securise the therapeutic relation 2011 Vietnam Health Information Technology Program © Alain Bergeron, VHITP, 2010

Editor's Notes

  1. Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  2. Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  3. Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  4. Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  5. Event type refer to class of medical that can be involved Ex: accident -  Accident classification chirurgy -  Chirurgy table consultation  The event will the sub-clas, but this inofrmation already containt the main class (event type) ? Action  Medical Act definition
  6. Presentation logic We got everything for the information warehousing part but no concensus & no coordination. No guide line. We will come back because this problem is similar for the evnt line. No transparency & no communication. Where is the state of the ynique ID Number after 12 yrs.
  7. In fact what is a EPR
  8. Mais une philosophie, approche rogérienne à un établissement. Touchent tous les membres de l’établissement
  9. The security is the base on online application furthermore when the person in need is more incline to divulge sensitive information and place the helper on a higher status. He have broke a leg is not th same as that’s the 5 time that he broke is legs. When the odorat and other sense use in the constyruction of the image of the others, we most doinference, generalisation and constance buffing for compensate the lost of information and create a projectable image (on witch we can depends). CLI – GUI – NUI (command line to Graphic user interface to natural user interface)
  10. The lock part is based on restricted and confidential choose for each Line record in a table. It’s the table that is look record. The user can declare Family History as restricted (view – share ?telemedicine support ask transfer information. Witch part). The EMR Lock can be use or not. In fact outside a clinic or an hospital, a doctor can easily (can be more easily) manage is Case Load (example the lot of a medication). But the emr lock is use for the Exchange Clouding Warehouse (Global Warehouse). An element