Arsenàl.IT, on indication of the Veneto Regional Authority, provides the guidelines for the use of ICT standards, promoting homogeneity and the adaptation of the existing systems to new laws and monitoring their application. All this considering the indications that can be find inside the new regional Healthcare Planning that has a section dedicated to eHealth.
As for its function of Regional eHealth Centre, heritage of all the 23 LHAs and Hospital Trusts of the Region, Arsenàl.IT operates as an engine to activate and set up systems that have to be interoperational to guarantee the Veneto citizen with a more efficient and standardized service in the territory.
The team of Arsenàl.IT has worked a lot in the field of research, getting important achievement at international level in the field of the application of international standard, i.e.:
- The board on LOINC, spreading from the project Veneto ESCAPE, LOINC– Logical Observation Identifiers Names and Codes – is a database that gives names and universal ID codes to identify laboratory results and clinical tests. The aim is to simplify the exchange and sharing of results (i.e. haemoglobin, potassium level, etc.) or vital signs to improve clinical assistance, the management of the final results and the activity of research. 61.098 LOINC codes were already activated in June 2012. In particular, 44.945 of them are dedicated to laboratory data.
- The XDW profile, elaborated to answer specific needs emerged during the survey related to the projects Doge, Veneto ESCAPE and RENEWING HEALTH. This represents the creation of a workflow document in which it is possible to keep track of all the steps of the clinical process and of documents produced by the structures (hospital, Local Health Authorities, pharmacies, etc.) and of the health workers involved in the care process. Each step contains a direct link to the documents produced and traces all the information related to each single event.
- Two IHE profiles processed by the technical team were published at the end of August 2012, following from XDW. The first is called XTHM-WD (Cross enterprise TeleHome Monitoring Workflow Definition) and is a profile for the traceability of the home telemonitoring. The second, XBeR-WD (Cross enterprise Basic eReferral Workflow Definition) will be used in the realization of the project Drug Prescription related Health Research) concerning pharmaceutical ePrescpription and the Electronic Health Record, and within the extension of DOGE services, in the field of the Project Regional Electronic Health Record.
Three new very specific profiles have been developed in the last three months of 2012: PNOT Option, Intended Recipient and Folder Subscription and XDW extension to XCA. PNOT Option (Pull-style Notification Option) is a profile that aims at extending the guidelines defined in the DSUB profile (Document Metadata Subscription), determining an alternative approach to convey application notification. In particular, it goes beyond the notification "push-and-forget" to a "pull-style" and more preservative approach, usable by nonprofessional applications that do not guarantee the availability of service round the clock, i.e. the General Practitioners' case history. Tightly bound to this profile is the Intended Recipient and Folder Subscription, which extends further the guidelines defined in the DSUB profile, spreading more information by means of notifications. It also ensures the request of notifications dispatch after the publication of documents addressed to a specific target.
Finally, XDW extension to XCA is intended to extend the XDW profile and aims at building a platform for the management of clinical workflows in the context of a federate system, as is the one of the Veneto Region. This result confirms the high level of the work done up to now by the technical team of Arsenàl.IT that will host next March in Treviso the first IHE International face-to-face meeting in Italy, reserved to technicians and experts coming from all over the world.