BitMedico

posta elettronica come firma leggera
email anonima o no? confusione tra firma e sottoscrizione - email = firma leggera
DUBBI AMLETICI DI UNA EMAIL ANONIMA
di Andrea Lisi (Scint.it) - Essere o non essere? Questa e' decisamente la questione per i messaggi di posta lettronica firmati, anonimi o scritti... forieri di un complesso dibattito giuridico. Ecco che cosa si cela dentro un'email
click qui per articolo originale
click qui per PDF stampabile

Avv. Andrea Lisi, Curatore del Portale www.scint.it, Direttore Scientifico del Corso di Alta Formazione post lauream in Diritto & Economia del Commercio Elettronico Internazionale SCiNT - Ed. Simone (www.scint.it/altaformazione)

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Middleware la nuova frontiera del software
"Middleware is an IT system that can significantly optimize results production as it sits strategically between your instruments"

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NCCLS Harmonized Terminology Database
Use this search for a term or concept and its preferred international definition. All related terms will appear. NOTE: The hierarchy of preferred terms and definitions is as followes: VIM, ISO, CEN, NCCLS, and/or other authoritative terminology documents.
Use this search when you want to see a term or concept every time it occurs in the database. This will include when a term or concept is used "inside" the definition of another term or concept. Initially, it will also include terms that are discouraged (deprecated) internationally, with references to the internationally accepted terms.

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I n t e r n e t ed Intra net : circuiti per informazioni
Marco Pradella
“ Il Tecnico di Laboratorio e i nuovi strumenti di lavoro: Information and Advanced Technology “
VILLA TACCHI Villalta di Gazzo Padovano (PD) 15 settembre 2003 10 novembre 2003 11 marzo 2004

INFORMATION AND ADVANCED TECHNOLOGY
IL TECNICO DI LABORATORIO E I NUOVI STRUMENTI DI LAVORO: INFORMATION AND ADVANCED TECHNOLOGY

1° edizione: 15 Settembre 2003 – Villalta di Gazzo Padovano (PD)

2° edizione: 10 Novembre 2003 – Villalta di Gazzo Padovano (PD)

3° edizione: 11 Marzo 2004 - Villalta di Gazzo Padovano (PD)
Rif. 64613 (per tecnico)
Sede: Centro Congressi “Villa Tacchi”; informazioni: Segreteria Organizzativa: M.A.F. Servizi - Sig.ra Antonella Russo, tel. 011-505900, fax 011-505976, e-mail: segreteria@mafservizi.it
CREDITI (Rif. 64613): 5 (per tecnico)

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USA PROMOTE PAPERLESS HEALTH CARE SYSTEM
...the Department has signed an agreement with the College of American Pathologists (CAP) to license the College's standardized medical vocabulary system and make it available without charge throughout the U.S....
...commissioned the Institute of Medicine to design a standardized model of an electronic health record. The health care standards development organization known as HL7 has been asked to evaluate the model once it has been designed....
NLM will distribute SNOMED through its Unified Medical Language System, which incorporates, links, and distributes in a common format 100 different biomedical and health vocabularies and classifications. Details of the SNOMED license arrangement as well as information on obtaining access to the SNOMED database may be found at: NLM site.

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Re-engineering the clinical laboratory. An overview
Clin Lab Med. 1999 Jun;19(2):265-76, v.
Lincoln TL.
Department of Medical Informatics, School of Biomedical and Health Information Sciences, University of Illinois at Chicago, USA.
This article provides an overview of processes involved in re-thinking the clinical laboratory. The author, also the Guest Editor of the issue, alludes to the work of the other authors in this issue and provides his own views on this increasingly important subject.
PMID: 10421955

SMS sanitari

Medical informatics: Other Medical Informatics
Patients will be reminded of appointments by text messages

Owen Dyer BMJ 2003;326 1281

UNI - norme tecniche per i sistemi informativi sanitari
Diffondere la cultura della normazione nell’ambito dell’informatica sanitaria; coinvolgere il maggior numero possibile di operatori nella elaborazione delle norme; costituire un preciso punto di riferimento sia per le strutture istituzionalmente coinvolte nella gestione della salute pubblica, sia per le industrie specializzate nella produzione di programmi e apparecchiature. Questi i principali obiettivi e gli impegni strategici emersi ieri al termine della giornata di studio organizzata a Milano dall'UNI sul tema "Norme tecniche e sistemi informativi sanitari".
click per intero resoconto della giornata
www.uni.com

CAP TODAY: May 2003 - Newsbytes

• Vendors join HIMSS in push for universal electronic health records
• SCC Soft Computer and IntraNexus forge relationship
• New thermal transfer printers
• Axolotl releases transcription management, accounting tools
• Contracts

TMED 2003
TMED 2003, 5° Mostra - Convegno di Telemedicina, Informatica e Telecomunicazioni in Sanità si svolge a Genova, dal 18 al 20 giugno 2003, presso il Centro Congressi Magazzini del Cotone, nel Porto Antico di Genova.

Norme Tecniche e Sistemi Informativi Sanitari
Milano 9 giugno 2003
Chi fosse interessato a partecipare, è pregato di inviare la scheda di iscrizione a: Uniclub - Via Battistotti Sassi 11/b, 20133 Milano - fax: 02 70024474
Per qualsiasi ulteriore informazione, si prega di contattare direttamente la segreteria organizzativa dell’UNIclub (tel: 02 70024379).

Computerized Physician Order Entry
Una nuova frontiera: accesso diretto dei medici per le richieste di indagini cliniche (da Clinical Laboratory News, May 2003): riduzione 80% errori

Telemedicina: glicemia via modem fa risparmiare
Diabetes Care 26:1475-1479, 2003
Modem Transmission of Glucose Values Reduces the Costs and Need for Clinic Visits
H. Peter Chase, MD1, Jerusha A. Pearson, BA1, Clare Wightman, BA1, Mary D. Roberts, MD1, Adam D. Oderberg, BA1 and Satish K. Garg, MD1,2
1 Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, Denver, Colorado - 2 Department of Medicine, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, Denver, Colorado
HTML - PDF

CDISC - Clinical Data Interchange Standards Consortium
CDISC is an open, multidisciplinary, non-profit organization committed to the development of industry standards to support the electronic acquisition, exchange, submission and archiving of clinical trials data and metadata for medical and biopharmaceutical product development. The mission of CDISC is to lead the development of global, vendor-neutral, platform independent standards to improve data quality and accelerate product development in our industry.
LOINC in CDISC

CDISC - Clinical Data Interchange Standards Consortium - Laboratory Standards Team (LAB)
CDISC announces the publication of the CDISC Laboratory Data Interchange Standard Version 1.0 Final. The CDISC Laboratory Data Interchange Standard has been developed over the past two years by the CDISC Lab Team, which includes representatives from pharmaceutical companies, central laboratories, contract research organizations (CROs) and technology application developers. The Laboratory Model has been developed by this team through multiple iterations and tested with representative laboratory data. The Model was then further revised to address comments provided by a 65 member Laboratory Review Committee of industry experts and a sixty day public review.
CDISC Laboratory Data Interchange Standard Version 1.0 Final, November 6, 2002 (pdf)
CDISC Laboratory Data Interchange Standard Transmission Data Fields November 6, 2002 (pdf)
CDISC Laboratory Data Interchange Standard Reference Range Transmission Data Fields November 6, 2002 (pdf)
Response to Comments on the LAB Model (pdf)

ISO/TC 215 - Health Informatics 18 May 2003 - 22 May 2003
Host / Invitant: Norwegian Standards Association (NSF)
Place / Lieu: Soria Moria Voksenkollveien 60 NO-0790 Oslo Norway
Secretariat / Secrétariat: USA (ANSI/ASTM International)

Dati e IT in Laboratorio
file TiranControlling.pdf 535 KB
Tiran, A., Appel, S., Asper, R., Henker, O., Köller, Ursula, Neumeier, D., Rodt, H., Stein, W. & Vogt, W. Controlling im Medizinischen Labor. Laboratoriums Medizin 26 (5-6), 254-260.

IHE Profile Proposal: Laboratory
IHE Profile Proposal

1 Proposed Profiles: Laboratory Scheduled Workflow (LSWF) and Laboratory Patient reconciliation (LPIR)

2 Summary

3 Use Cases 3.1 Laboratory Order Flow 3.2 Laboratory Results Flow 3.3 Patient Update Flow 3.3.1 Patient Update before Order 3.3.2 Patient update after creation of an Order 3.3.3 Patient Update after completion of tests 3.4 Order Change Flow 3.5 Exception Management Workflow

4 Standards & Systems 4.1 LAS-Analysers 4.2 ADT-Order Placer-Order Filler (LIS)

5 Technical Approach

6 Risks

7 Open Issues

8 Effort Estimates

Esperienze con la Firma Digitale: workshop 2002

37 Kb La Firma Digitale Lucia Bittesini (file .pdf)

567 Kb TIMBRO: la firma digitale in Laboratorio Stefano Floris (file .pdf)

610 Kb Lo stato della normativa in materia di firma elettronica Notaio Riccardo Genghini (file .zip)

373 Kb TIMBRO "FORTE" Dott. Antonio Redaelli (file .pdf)

firma digitale ISO
3.2.14 digital signature
data appended to, or a cryptographic transformation (see cryptography) of a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g. by the recipient [ISO 7498-2]

.. webbit 03 ..
Padova, PadovaFiere 9-10-11 Maggio 2003 (h 10-19)
Napoli, Mostra d'Oltremare 29-30 Maggio.

Rome 2003-01-27-28 WGIII meeting
14 Co-operation CEN/TC 251 and HL7
Good cooperations are going on. There are no financial implications.
What will be the procedure to send out comments to the HL7 organisation?
Tom Marley and Mark Shafarman will organise the way of commenting to the HL7 docs.
The board of HL7 has made the decision to release the following HL7 standards to ISO standards:

Version 2.4, the CDA level 1 ANSI approved standard and the HL7 RIM.
At this moment Mark can't give full clarity about the timing of HL7 and their planning about the data types.
The HL7 data types could be presented in a tutorial in Oslo. Gunnar will be contacted, about the organisation of this idea.

IDENTIFICATION OF SUBJECTS OF HEALTH CARE
SUPPORTING STATEMENT FOR WG1 NEW WORK ITEM PROPOSAL
Aims and reason for activity
Within most health care jurisdictions the delivery of health services is undergoing paradigm changes, including:

a shift from institution-centred care to consumer-centred care, together with greater empowerment of consumers

greater emphasis on continuity of services supporting quality and safety, health promotion and maintenance

decentralised health care, in which services providing evidence based effectiveness are provided such that the organisational / administrative boundaries are invisible to consumers
...unambiguous identification of the subjects of care is a critical success factor for health care reform.

CEN/TC 251 on 2003-03-18

WI 098 – prEN 1613: Health informatics - Messages for exchange of laboratory information

WI 112 – prEN 12538: Health Informatics - Messages for patient referral and discharge

WI 113 – prEN 12539: Health Informatics - Request and report messages for diagnostic service departments

the content of these standards are contained in the new standard (WI 130): Health informatics – Service request and report messages – Part 1. Basic services including referral and discharge, sent to CMC for the CEN Enquiry 2003-03-13
the Commission agreed in the amendment to the contract 2002-10 to replace the above mentioned Work items with WI 130.

Yun Sik Kwak biography
- Professor and Chairman, Department of Laboratory Medicine 6/1994 - 4/1999 Ajou University School of Medicine, Suwon, Korea
- Director, Medical Informatics Research Center, Ajou University Medical Center 5/1996 - 2/1998

- Licensed to Practice in Medicine in Korea (No. 5703) 9/1962
- Licensed to Practice in Medicine and Surgery in Maine (No. 7956) 1/1975 and New York (No.124532)
- Board Certified in Anatomic and Clinical Pathology in USA 5/1978
- Board Certified in Chemical Pathology in USA 5/1980
- Board Certified in Clinical Pathology in Korea (No. 365) 1/1994

- HL7-Korea – Chairman 2000 - Present
- Korean Society of Medical Informatics – President Elect 2001

- Organizing Committee of the APAMI Medical Informatics Conference 2003 2002 - Chairman

E-mail: yskwak@wmail.knu.ac.kr yunskwak@hotmail.com

patient identification in the process of care
CEN/TC 251 NEW WORK ITEM PROPOSAL
Health informatics – Guidance on good practice for patient identification in the process of care
Target: a technical report
SCOPE This technical report is intended to provide guidance to health organisations, system suppliers and standards makers on the problem area of patient identification and principles of possible solutions.
The report shall provide an introduction to the basic concepts for person identification. It shall also provide examples of a set of use cases where identification problems occur where informatics solutions are affected or can provide the solution.

nominated Dr. Yun Sik Kwak to the ISO/TMB for the position of Chairman of ISO/TC 215
Dear ISO/TC 215 National Member Bodies:
After much consideration and consultation, the Secretariat of ISO/TC 215 (ANSI) is pleased to announce that it has formally nominated Dr. Yun Sik Kwak to the ISO/TMB for the position of Chairman of ISO/TC 215 on Health Informatics.
Dr. Kwak has committed both the time and resources to effectively lead the committee in the years ahead. He brings with him technical expertise in the field of health informatics and has served as the head of the Korean delegation since 1999.
For more information please see the attached biography.
Should you have any comments kindly forward them to your national standards body for submittal to the ISO Central Secretariat and consideration by the ISO/TMB.
The Secretariat hopes that you will join in supporting the nomination of Dr. Kwak.
Sincerely,
Todd J. Sandler
Secretary, ISO/TC 215 on Health Informatics
ph: +1 610-832-9731
fx: +1 610-834-7085