MedCom – Danish Health Data Net
• Founded 1994• Owned by Goverment, Regions and Municialities
• Make IT projects between hospitals, doctors and homecare
• Design standardized solutions• Focus on large-scale national implementation
Using standards – why???
+60 IT vendors with +100 IT systems
IT
IT
IT IT
IT
IT
PrescriptionsReferralsHome Care ReportRadiology ReportDischarge LetterLab test OrdersLab test ReportReimbursementetc.
IT
IT
IT IT
IT
IT
Internnational standards
Hospital & LabsDischarge
Outpatient eRecord
LabresultsLabtest orders
Medication, FMK
HomecareNotification Care reportsPhycisian LettersMedication FMK
PharmacyMedication FMK
Drug register
GPReferrals
Medication FMKDDV
Lab ResultsLab test orders
CitizensSundhed.dkMedication,FMK
EHRLabresultsReferrals
Secure Health Net and NSP
Secure Health Net and NSP
On-Line access to Health Data
Medi cation
Diag noses
Labresult
s….
Denmark: GP e-Health 100 % e-Communication
E-Prescriptions = 90%
Disch.. Letters=100 %
Lab reports = 100 %
Lab test Orders = 100 %
E-Referrals = 95 %
•+6000 doctors, pharmacies, municipalities and hospitals•65 IT vendors•6 mill. messages each month•15% growth/year•70 - 90% of all documents
EX: Home care-
Hospital Co-operation
Municipality Hospital<< Admission Notify Admission Response >> Care Report >>
<< Rehabilitation plan<< Discharge Notify<< Care report
Homecare IT system Hospital PAS or EMR
PharmacyPrimary Care
National
SMR
Home Care
HospitalCitizen
From e-Prescription to SharedMedicationRecord
Ex: Home-monitoring
• Support patient treatment at home
• Transfer medical data to hospital /homecare/GP
• KIH Project:Clinical Integreted Homemonitoring
BIOCHEMISTRY,
HEMATOLOGY,
IMMUNOLOGYBlOOD BANKMICROBIOLOGY
HISTOPATHOLOGY
CERVIXCYTOLOGY
EX: Lab test orders on-line
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