Reliable Infrastructures for e. Health 1
Welcome and Introduction The reality of a reliable infrastructure for the exchange of healthcare information across the Internet can only be achieved when, international standards organizations agree to coordinate efforts and extend foundational standards to the healthcare domain in a way that is relevant to the entire community. Provider and HL 7 Perspective 2 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Workshop Agenda Module Provider and HL 7 Perspective NHS Insight HIPAA and Finance Time 9: 15 – 9: 45 – 10: 15 10: 30 – 11: 00 Norwegian Perspective 11: 00 – 11: 30 Medical Business Process Map 11: 30 – 12: 00 Epidemiology History and Introduction Epidemiology Panel 1: 15 – 3: 00 Epidemiology Pilot 3: 15 – 4: 00 Applying Standards to the Business Process Map 4: 00 – 4: 45 OASIS e. Health Technical Committee 3 1: 00 – 1: 15 4: 45 – 5: 00 Innovation Process
Rules Source: BCM Lubash Pyramid Core Components Motivation Nouns Content Assembly Mechanism - CAM Digi tal Bag Norwegian Perspective e. GOV TC Norway EPR Forum BCM-EPR SC CUNY Semantic Content Mgmt. SC Semantic Registry TC Provider and HL 7 Perspective NHS Insight HIPAA and Finance METU W 3 C Home Healthcare Pilot Content Assembly Mechanism TC Norwegian Perspective e. GOV Norway USA Forum 9000 Norway SINTEF OMG Informatics Stds. Open. EHR, HL 7, etc. Medical Business Process Map Epidemiology History and Introduction 4 Business Centric Methodology TC Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Electronic PRocess for Home Healthcare Forum 9000 Quality Systems for Quality Care Dan Pattyn Chief Technical Officer Provider and HL 7 Perspective 5 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
The Electronic PRocess (EPR)Pilots • Extending the eb. XML Model to e. Government Service Solutions • e-Healthcare for the Home • e-Government in local communities • e-Building • Deliverables • Templates and Specifications for epr. XML based implementations of semantic interoperability in different • Communities of Interest • Open Implementation Framework • Legacy System Migration and/or Integration Provider and HL 7 Perspective 6 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
EPR Pilot 1: Hjemmebasert Pleie&Omsorg Integrert tjenesteplanlegging og rapportering. (Oppgavebeskrivelse/Rapportering med PDA-phone. SIM-kort = Digital signatur ) Provider and HL 7 Perspective 7 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
EPR Pilot 2: Digitalt Byggesakskontor Elektronisk samarbeidsarena (Oppgavebeskrivelse/Rapportering/Inspeksjon med PDA-phone. SIM-kort = Digital signatur ) Provider and HL 7 Perspective 8 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
EPR Uses Workcards as a GUI Metaphor Participant and Context Based Architecture Participant can be: 1. Traditional User 2. Machine or Device acting as a Proxy for a User Environmental Context dynamically modifies Declarative Display Metaphor Provider and HL 7 Perspective 9 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
e-Healthcare Pilot Participants Business Centric Methodology TC e. GOV Norway e. GOV TC USA Forum 9000 Norway EPR Forum BCM-EPR SC Norway SINTEF CUNY Semantic Content Mgmt. SC METU OMG Home Healthcare Pilot W 3 C Semantic Registry TC Provider and HL 7 Perspective 10 NHS Insight HIPAA and Finance Content Assembly Mechanism TC Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Informatics Stds. Open. EHR, HL 7, etc. Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Perspective The e. Government Challenge Tools 1. Need Structured Specifications 2. Medical Eco. System Centric 3. Collaborative Services Centric 4. Dynamic Contextual Information 5. Context Control Mechanisms 6. Shift from “System” to “Workspace” Focus 7. Occasionally Connected Workspaces Provider and HL 7 Perspective 11 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Experience Enablers Miniaturization Environmental Sensing Embedded Intelligence Adaptive Learning Networked Communication Experience Innovation Levers Granularity Extensibility Linkage Evolvability Events Event Context Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Medtronic Care. Link Patient Co-Creation Experience Primary Doctor Patients with Similar Condition Medical Specialists Scan and Diagnostics Clinic Patient Pacemaker Manufacturer Doctor on Call at Out-of-Town Hospital Source: The Future of Competition, Figure 1 -1, Page 9 Emergency Services Provider and HL 7 Perspective 12 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Step 2 : Step 1 : Use Layers to Define Business Needs Step 3 : Build Templates with Familiar Business Tools Deploy with Declarative Component Operations While Referencing the Information Architecture Provider and HL 7 Perspective 13 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Semantic Interoperability Standards Stack Digita l Bag Collaboration Partner Agreements- CPA Contract BP Specification Process Workflow ti Ar Content Assembly Mechanism - CAM Collaboration Partner Profiles - CPP s hip es ns ion ervic tio tat ela sen ry S o tr e Pr irect D Specifications Schema Rules Motivation Nouns Roles Time Verbs Data/Codes Core Components Events XForms fac Messages People Transport Routing, Packaging Services/Functions Network MSH SOAP WSDL Source: BCM Lubash Pyramid Provider and HL 7 Perspective 14 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Commitment Pattern Template Send. Agent Primary Care Physician Recieve. Agent Dialysis Clinic Alter Accept Contract Patterns Accept Request Dialysis - Agreement Patterns - Commitment Patterns Alter Task Request Dialysis Treatment Task Priority: Urgent Dialysis Treatment Friday 4 Apr 04 2 pm Priority: Urgent Response. By. Date Dialysis Treatment Friday 4 Apr 04 2 pm Priority Dialysis Treatment Accepted Schedule Provisional Schedule Accept Task Two Hours from Receipt of Request Provider and HL 7 Perspective 15 Friday 4 Apr 04 2 pm Proposed New Schedule Rule Information Why What Information Rule What Why Dialysis Treatment Accepted Schedule When How Event Action How When Action Event Dialysis Treatment NHS Insight HIPAA and Finance Priority: Urgent Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Open Implementation Framework Services for Occasionally Connected Applications Collaboration Services Digital Bag Metadata Services When How Action Event (Autonomous Portal Agent) Where / Who Provider and HL 7 Perspective 16 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Digital Bag How Action Service Oriented Open Implementation Framework Rule Why Information What Process Service s Epidemiology History and Introduction When Event Rule Why Information What Where / Who Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Social Network Aspects of Digital Bags Social Worker Primary Care Physician Collaboration Services Process Digital Services Bag Metadata Services Digital Bag Provider and HL 7 Perspective 17 NHS Insight HIPAA and Finance Digital Bag Social Network Metadata Services Home Dialysis Equipment Collaboration Services Process Digital Services Bag Norwegian Perspective Metadata Services Medical Business Process Map Epidemiology History and Introduction Digital Bag Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Business Collaboration Specification Business Agreement Languages (RINs) Collaboration Profile Agreement (CPA) Choreography & Coordination Lang. (BPSS) Context Driven Information Exchanges (CAM) Semantic Registry Provider and HL 7 Perspective 18 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Perspective The e. Government Challenge Tools • Federated Registry Services • Informational and Terminological Model Integration • e-ID Services • e-Authentication Services • Declarative Access Rights Provider and HL 7 Perspective 19 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
e. GOV Super. Structure Portal Credential Service Provider Access Point E-Authentication Service hands off Authenticated User Collaboration Services Digital Bag Collaboration Services Process Services Digital Bag Metadata Services Digital Bag e. GOV Norway Registry Collaboration Services Process Services Digital Bag Metadata Services Collaboration Digital Bag Services Process Services Digital Bag Metadata Services Provider and HL 7 Perspective 20 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Issues • Secure Authenticated Delivery and Tracking: • Messaging system, envelope format and payload with exchange source profile controls • PKI Adoption Challenges (from PKI Action Plan) • Software Applications Don’t Support It • Costs Too High • PKI Poorly Understood • Too Much Focus on Technology, Not Enough On Need • Poor Interoperability PKI Challenges Source: http: //www. oasis-open. org/committees/pkiactionplan. pdf Provider and HL 7 Perspective 21 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
BCM-EPR Tasks • Integration of BCM Choice Point technology to provide flow control and linking and switching for EPR. • Create BPSS of discrete workflow components – especially intra-enterprise exchanges. • Create BCM contract and CPA templates for EPR participant roles and agreements. • Look at applicability of CAM templates formalizing information quality control and context rules. Provider and HL 7 Perspective 22 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Additonal Information and Contacts OASIS eb. XML Business Centric Methodology TC http: //www. oasis-open. org/committees/tc_home. php? wg_abbrev=bcm http: //www. oasis-open. org/ committees/download. php/5931/BCM%20 Executive%20 Brochure. pdf http: //www. businesscentricmethodology. com OASIS eb. XML Registry Semantic Content SC http: //www. oasis-open. org/ committees/sc_home. php? wg_abbrev=regrep-semantic OASIS Content Assembly Mechanism TC http: //oasis-open. org/committees/cam/ EPR Forum http: //www. epr. Forum. org Provider and HL 7 Perspective 23 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Additonal Information and Contacts OASIS Business Centric Methodology Technical Committee (TC) Chairs: Mike Lubash – mike. lubash@dfas. mil Carl Mattocks - carlmattocks@checkmi. com OASIS Business Centric Methodology EPR Subcommittee (SC) Chairs: Hans A. Aanesen – hans@iti. as ; epr. XML System Architect Dan Pattyn – danpattyn@austin. rr. com ; BCM Methodologist David Webber – david@drrw. info ; XML Specialist OASIS eb. XML Registry Semantic Content Management Subcommittee (SC) Chairs: Carl Mattocks - carlmattocks@checkmi. com Norway EPR Forum Hans A. Aanesen – hans@iti. as Provider and HL 7 Perspective 24 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Perspective Value Co-Creation via Customer Centric Collaboration Perspective Tools • Customer relationships based on experiences rather than products • The product is no longer the basis of value • Real-time customer experiences on-the-fly, shaped by the customer "context" is the value proposition • Real-time insights required to deliver ondemand customer value and service that's meaningful to individuals within the context of their day and location Provider and HL 7 Perspective 25 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Norwegian Perspective Backup Slides Provider and HL 7 Perspective 26 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Architectural Framework Metaprocess 1988 -1992 Role Interaction Networks (RINs) 1990 -1992 Agility Forum 1994 World Wide Web 1999 W 3 C XML, RDF 1996 Foundation for Intelligent Physical Agents (FIPA) 1994 Cooperative Clinical Information Systems 2000 -2003 FIPA Agent. Cities Project 1997 SINTEF WORKWARE Interactive Process Modeling 2000 eb. XML, Semantic Registry and OASIS Stds. 2001 IOM Crossing the Chasm Report 2003 OASIS Business Centric Methodology (BCM) Provider and HL 7 Perspective 27 NHS Insight HIPAA and Finance Norwegian Perspective 2002 Open Source Commodity Portals Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Open Implementation Framework Prototype Care Team Collaboration Services Digital Bag Metadata Services Traditional Architecture Provider and HL 7 Perspective 28 NHS Insight -Workflow Form Debugger / Stepper - Execution Workflow Tracking and Workflow Resumption after interruption - Reactive ECA Rule Engine integrated with Schedule and Process Virtual Machine Workflow (Sharable Schedules - j. CAM, Blackboard, rule. Core among users who are patients) Rule. Engine, etc. Simple-to-Use Development Tools ZOPE Web Management Interface, DTML/SQL/Python Process Services Patients are Users -Plug & Play Web Forms for portable medical records - Plug & Play Workflows, Medical Protocols, Clinical Guidelines - User-Defined Patient Lists and Populations Customizable Workflows - Hierarchical Modeling: Question Items Forms Workflows Complex Workflows - Automatic Creation of Web Forms Automatic Generation of DBMS Schema Automatic Linking of Code Between Forms and Data - Five Minutes to Learn Preview / Test forms during editing Forms Repository Meta. Data Engineering Architecture - Meta Model Support - Deployment Metadata for Introspection - Web Browser Metadata Creation Tools - Mozilla Web Browser - Apache with SSL Web Server- Systematic Method of Metadata Management for Interactive Process Models - ZOPE Application Server (SINTEF) - Postgre. SQL RDBMS - Portable via Simple XML upload / - Linux, Windows OS download -Skinnable User Interface Epidemiology - Separation of. History and identifiers from other Epidemiology patient HIPAA and Norwegian Medical Business Epidemiology Finance Perspective Process Map Panel Pilot Introduction data Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
OASIS Business Case Semantic Interoperability Barrier $ Data Exchange Costs $ Data Quality Costs Structuring Barrier $ Time Provider and HL 7 Perspective 29 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Value Stream Management in a Co-Creation Environment Artifacts with Durable Business Value” can be re-sequenced for more value extraction “ If Value is created by Context, how much infrastructure investment is needed for definition, capture, and movement of Context Distributed Context Management with Persistent State Information Distributed Decision Support based on Environmental Context Currently need Standards Effort focused on a Collaboration Environment with eb. XML business primitives that add value to Service Oriented Architecture (SOA) Provider and HL 7 Perspective 30 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Specification Value Stream Management Current Practice Value Barriers Monolithic “blob” of linear text in proprietary word processor format - “ignorance wrapper” Little focus on Business Protocols Little emphasis on sequence and interactions Roles and Responsibilities Exception Handling Focus on Documents No common and controlled vocabularies No fine granularity configuration management No Structured Documentation Product Planning by looking in the “Rear View Mirror” Provider and HL 7 Perspective 31 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map No common understanding No packaging of business operational procedures (services) No accountability based on roles and responsibilities Artifacts have no Durable Business Value because of the lack of re-composable document fragments No Reuse No Reconfiguration Scaleability Problems Data Scale Barriers Structuring Barriers Integration Barriers Precludes Automation & Outsourcing IT / Business Alignment Issues Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Business Process Evolution Cross-Enterprise Service Centric Digitization Value Co-Creation via Customer Centric Collaboration Extreme Mobility Infrastructure Transaction Centric Digitization of Simple Task & Processes Occasionally Connected Application Process Re-Engineering Wearable Computing Process Improvement Provider and HL 7 Perspective 32 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
The Digital Bag - A Universal Nomadic Work Object • A Digital Bag is an architectural model for a universal nomadic work object that maintains data, process and work context independently from any one system. • In technical terms, a Digital Bag is a compound XML document that exists independently from all applications, persistent data stores and processing technologies. Provider and HL 7 Perspective 33 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Digital Bag Architectural Model • directory services information • data in appropriate format and structure for the collective intent of participants • work flow processes • work process metadata, which determine what work steps are intended for the current instance of the digital bag, the genealogy of the instance as created, and the recent history of interactions executed between the current digital bag instance and any participant. Provider and HL 7 Perspective 34 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Epidemiology and Introduction Provider and HL 7 Perspective 35 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Epidemiology and Introduction Feeling feverish, tired, or achy? When we think of plagues, we think of AIDS, Ebola, anthrax spores, and, of course, the Black Death. Influenza never makes the list. But in 1918 the Great Flu Epidemic felled the young and healthy virtually overnight. An estimated forty million people died as the pandemic raged. More American soldiers were killed by the 1918 flu than were killed in battle during World War I. And no area of the globe was safe. Eskimos living in remote outposts in the frozen tundra succumbed to the flu in such numbers that entire villages were wiped out. If such a plague returned today, taking a comparable percentage of the U. S. population with it, 1. 5 million Americans would die, which is more than the number killed in a single year by heart disease, cancers, strokes, chronic pulmonary disease, AIDS, and Alzheimer's combined. Provider and HL 7 Perspective 36 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Plague Ring around the rosies, A pocket full of posies, Ashes, ashes! We all fall down. Provider and HL 7 Perspective 37 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Interesting Point -Napoleon lost thousands of his men to typhus in Russia as did the Russians who caught it from the enemy. Many historians believe that Napoleon would have won were it not for the might of his opponents "General Winter, General Famine and General Typhus. " Provider and HL 7 Perspective 38 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Deliberate Epidemics In May 2002, the World Health Assembly passed a resolution, Global public health response to natural occurrence, accidental release or deliberate use of biological and chemical agents or radionuclear material that affect health. http: //www. who. int/csr/delibepidemics/en/ http: //www. who. int/emc/pdfs/WHA 55. 16. pdf Provider and HL 7 Perspective 39 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Economic Consequences According to the February 6, 2004 Taipei Times Not stated in the WHO recommendations and demands is the economic consequences of a major outbreak of an infectious disease. It is estimated that economic losses suffered in the SARS outbreak of 2002/2003 was in the tens of billions of dollars. In the case of the Avian Flu, Thailand alone shuttered its poultry industry (estimated to be worth $1 billion per year) Provider and HL 7 Perspective 40 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
World Health Organization EB 107. R 13 Perspective The WHO: 3. Demands Member States report cases promptly and transparently and to provide requested information to WHO; Tools World Health Organization EB 107. R 13 Global health security: epidemic alert and response 4. Calls upon Member States to enhance collaboration with WHO and other international and regional organizations in order to support epidemiological and laboratory surveillance systems, and to foster effective and rapid responses to contain the disease; 6. Requests Member States to exchange information and experience on epidemics and the prevention and control of emerging and re-emerging infectious diseases in a timely manner, including among countries sharing land borders. Provider and HL 7 Perspective 41 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
WHO Communicable Disease Surveillance & Response (CSR) Provider and HL 7 Perspective 42 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
Thank You and Conclusions Provider and HL 7 Perspective 43 NHS Insight HIPAA and Finance Norwegian Perspective Medical Business Process Map Epidemiology History and Introduction Epidemiology Panel Epidemiology Pilot Reliable Infrastructures in e. Health OASIS e. Health Technical Committee
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