University of Groningen
An e-health driven national healthcare ecosystem
Schiza, Eirini
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Publication date: 2018
Link to publication in University of Groningen/UMCG research database
Citation for published version (APA):
Schiza, E. (2018). An e-health driven national healthcare ecosystem. University of Groningen.
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Contents
List of figures Acknowledgements
1 Introduction 1
1.1 Background . . . 1
1.2 European Union Context . . . 3
1.3 Scope and Objectives . . . 6
1.4 Thesis organization . . . 8
2 A Patient Centered Electronic Health System: An Example for Cyprus 13 2.1 Introduction . . . 13
2.2 Issues to be considered for implementing EHR systems: Maturity Level 14 2.3 The example of Cyprus . . . 15
2.4 Discussion . . . 16
3 A Patient Centered Electronic Health eHealth System Development 19 3.1 Introduction . . . 19
3.2 Methods and Objectives . . . 23
3.3 Application to Cyprus . . . 27
3.4 Discussion . . . 32
4 Proposal for an eHealth Based Ecosystem Serving National Healthcare 35 I Introduction . . . 35
II Foundations of a National eHealth System . . . 38
III Method . . . 42
IV The Patient-Centered Approach . . . 44
V Technical Framework . . . 45
A EHR Summary Standards . . . 45
B Standardization for Storage Retrieval and Communication . . 46
C Technical solutions and tools developed . . . 49
VI Financial Framework . . . 51
VII Legal Framework . . . 54
VIII Discussion and Conclusion . . . 58
5 Data Protection Issues Of Integrated Electronic Health Records (EHR) 61 1 Introduction . . . 61
2 Electronic Health Record . . . 62
3 Privacy-Preserving Data Publishing (PPDP) . . . 64
4 Access Control of EHR . . . 65
5 Cryptography . . . 66
1 Secrecy and Integrity . . . 66
2 Authentication . . . 66
3 Digital signatures . . . 67
6 Conclusion . . . 67
6 Electronic Health Record Application Support Service Enablers 69 1 Introduction . . . 69
2 Electronic Health Record - EHR SE . . . 71
3 Patient Summary - epSOS SE . . . 72
4 Imaging Platform : Picture Archiving And Communication System -PACs SE . . . 73
5 Integrated Interoperable eHealth Services . . . 75
6 Concluding Remarks . . . 76
7 eHealth Services for the European Reference Network on Rare Anaemias (eENERCA) 79 1 Introduction . . . 79
2 Information needed for patient and doctor services . . . 80
3 Functionality of the proposed eRegistry . . . 80
1 Demographics . . . 81
2 Diagnosis . . . 81
3 Clinical Data . . . 82
4 Discussion . . . 82
8 The use of eRegistries in building and upgrading services 83 1 Introduction . . . 83
1 eRegistries: A by-product of the Electronic Health Record . . 85
2 Conclusion . . . 90
9 Teaching and Integrating eHealth Technologies in Undergraduate / Post-graduate curricula and Healthcare Professionals’ education & training 91 1 Introduction . . . 91
2 eHealth Education Curriculum . . . 95
1 Undergraduate Level . . . 95
2 Postgraduate Level . . . 101
3 Continuous Professional Education - TelePrometheus Paradigm 105
3 Current & future eLearning technologies in Health Care Education . 109
10 Summary and Outlook 111
1 Future work and open issues . . . 111
