EFA Projectathon 2016

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About Elektronische FallAkte (EFA)

The electronic Case Record (Elektronische FallAkte, EFA) is an initiative launched by the German stationary sector in 2006. Electronic case records provide a structured and integrated viewpoint of medical data that can be associated with an individual case. A case begins with an initial diagnosis and integrates as many in-stances of billing or treatment as required. A physician oversees the eCR, with the various attending physicians being responsible for the case records contents and completeness.

The decentralized handling and maintenance of case records is based on the metaphor of a supply network as a community of interest composed of autonomous actors working on a specific task. Since it is generally preferred that the actual place at which medical data and administrative information (e.g. user accounts) remains constant, the case record may be implemented quickly and efficiently in existing networks, and may furthermore facilitate the initiation of co-operation at a regional level as well as at a national scope.

The further development of the EFA technical specifications is sponsored by German hospitals, private hospital chains, and regional care networks who are organized within the EFA Verein (EFA Association). The recent release version 2.0 of EFA is fully compliant to IHE profiles and has been developed as a joint effort between EFA Verein, German IT vendors and Fraunhofer FOKUS. The IHE white paper "Access Control" was highly influenced by the EFA security architecture and the initiative that resulted in the forthcoming IHE profile supplement on digital patient consent was originally fueled by respective EFA requirements.

All EFA technical specification are open and available to the public at http://wiki.hl7.de/index.php?title=cdaefa:EFA_Spezifikation_v2.0.

Links and Documents

EFA Projectathon

In preparation for the 2016 EFA Projectathon EFA Verein and Fraunhofer FOKUS prepared several documents on the overal procedures and the EFA specific test cases:

  • Projectathon Concept Paper (PDF, German): This paper sets the overall framing for the EFA Projectathon by documenting all agreements that have been made among the affected parties (EFA Verein, IHE Europe, bvitg, Fraunhofer FOKUS)
  • Sketch of the Storyboard (PDF, English): This document sketches the storyboard that will be used as a baseline for the EFA Projectathon tests. For each step of the stroyboard the relevant links to the EFAv2.0 specification are given.
  • Actors and Transactions (PDF, English): This document was used by IHE Europe for registering the EFA actors and transactions into gazelle. It defines the certifiable actors and EFA transactions that have to be implemented by EFA-compliant solutions. For each EFA transaction the underlying IHE transactions and EFA constraintes on these transactions are referenced.

IHE Connectathon

IHE Europe set up a Google Group for Connectathon participants. All webinar announcements and Connectathon-related news will be posted to this group by IHE Europe.

Additionally IHE provides vendors with various Connectathon Training Materials. For many IHE Profiles links to existing testing tools are given on that site which enable vendors to tests their solutions in advance to the Connectathon.

IHE Webinars

IHE is offering a series of webinars for Connectathon participants:

14. December 2015 (Connectathon registration and important dates)

Action Items

What Who When Status/Result
Register for EFA Actors within gazelle Vendors 15. January 2016 open
Resolve accepted change proposals to the EFA specification FOKUS 15. January 2016 Progress can be tracked here
Provide an overview on the gaps between IHE "standard" profiles and EFA extensions/constraints FOKUS 7. January 2016
Setup of an EFA Identity Provider for obtainig EFA-compliant XUA assertions. Registered vendors shall be able to connect to the Identity Provider via an open WS Trust interface. FOKUS 29. January 2016
Provisioning of Schematrons for all relevant EFA transactions. FOKUS 12. February 2016
Setup of an EFA Provider actor for testing. Registered vendors shall be able to connect to the EFA Provider via internet. FOKUS 1. February 2016
Provide a list of validation tests that EFA Provider vendors need to perform on EFA Identity Assertions. FOKUS 29. January 2016
Distribution of contact data for all EFA Projectathon participants FOKUS 29. December 2016
Provide further information and sample document/policy for "Digital Consent" Option FOKUS 29. December 2016
List contact data of FOKUS technical support team on the Projectathon Wiki. FOKUS asap

EFA Projectathon TCons

Contact

For questions about EFA in general and the EFA Projectathon organization please contact joerg.caumanns@fokus.fraunhofer.de.

For questions related to EFA technical specifications, EFA Projectathon technical implementation, EFA transaction samples and pre-projectathon testing support please contact ben.kraufmann@fokus.fraunhofer.de or raik.kuhlisch@fokus.fraunhofer.de.