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Dialysis Card

Dialysis Card. presented by Gabor Avar. http://www.bull.hu. Claude MEYER E-mail: C.Meyer@frlv.bull.fr Gábor AVAR Email : Gabor.Avar@bull.hu. Hungary : Facts & Figures. N°1 worldwide Nobel Prize / capita N°1 in CEEurope in Healthbudget / capita

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Dialysis Card

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  1. Dialysis Card presented by Gabor Avar

  2. http://www.bull.hu Claude MEYER E-mail: C.Meyer@frlv.bull.fr Gábor AVAR Email : Gabor.Avar@bull.hu

  3. Hungary : Facts & Figures • N°1 worldwide Nobel Prize / capita • N°1 in CEEurope in Healthbudget / capita • N°1 worldwide Health Professional Smart Card • N°1 in Europe in Student Smart Cards • Population 10 Million • Health card 15 Million – paper based • One Health Insurance Institute • cca.10 Health Cassa

  4. Active Memory Card In theDialysis card is a microprocessor (usually referred to as ‘ smart card ’) the memory of which can be written for updates.The card is made of hard plastic, the size of a credit card and capable of containing up to eight pages of information (size 21x29,7 cm). The card is used and distributed for patient under dialysis and after transplantation.

  5. Smart card : unique answer to Security PIN • Consumer authentication • Health professional authentication • Electronic signature • (Non-repudiation) • Emergency authentication PIN

  6. Multi application Health Card Emergency datas Health passport Health Networks Insurance Status, Therapy Treatment file Previus history Health insurance card Administrative datas Pharmacy Loyalty of local Pharmacyl GSM Prescriptions Internet Identification

  7. ISO 7816 complient Multifunctional card 3 level hierachical file system Memory Capacity: 8 KByte EEPROM. Security algorithm: DES Technológy: HCMOS CPU: 8 bit Communication: 9600 ─ 115000 baud, half duplex Protokoll: T=0 (ISO 7816/3) Datastorage capacity: 10 years Operational temp: -30ºC ─ +60ºC TB1000 Card Specifications

  8. Health Data on the Card • - The patient ’s name and first names, • - Emergency data (blood, allergy, acut disease,etc) • - His or her social security number, • - The identity of his or her benificiaries, • - His or her social security scheme,fund, right • - Current status report, • - Last five control laboratory results, • - Prescriptions, • - Others TBD.

  9. Certification Authority Prerequisite Certification Transplant Clinics Dialysis Centers Patient Electronic Medical Record Applied Standards • Smart Card standards are stabilized • Security tested in banking & communication sectors • Requirements of Health Sector defined by CEN TC251& oth.

  10. Participants & Connections Laboratories 19 Dialysis Centers & 4 Transplant. Clinics Pharmacies Public Health Networks Data Base 38k Doctor Cards Personal electronic mail 3 k Dialysis Cards

  11. Network • SOTE Transplantation Clinic • SZOTE,POTE,DOTE Transplantation Unit • Institutes helping the dialisation and transplantation activities ( Blood, tissue typing,Pathology, Radiology) • Fresenius Network in Hungary 19 sites

  12. Minimum Hardware and Software Requirements • Personal computer • Pentium II or above min 32 MB RAM, HHD • Win98 or higher • Serial port • TLP224 compliant reader/writer

  13. Development phases • 1st version 1994 • Bull development own source • 2nd version 1998-2001 • Eu financed RETRANSPLANT • FP4 project • 3nd version • under development

  14. Patient Identification Module

  15. Emergency Care Module (ECM)

  16. Health Care Dislocation Module (HCDM)

  17. Dialysis Module (DM)

  18. Total Quality Management and Control Module (TQMCM)

  19. Future Trends • Europwide implementation of Social & Insurance Applications • Electronic Authorisation & Communication via Internet • Combined patient cards for treatment and control the dialysis equipments

  20. Special Thanks • Imre Fehérvári MD. Adjunct Prof. Of Semmelweis University Budapest for the idea of dialysis card, • Pál Simon MD. Ph.Sc. Medical Card Expert – for the definition of the card structure and environment, • Sándor G.Vári MD. CEO of Varimed Ltd. Coordinator of RETRANSPLANT and Transplant Information Portal Projects – for the realisation of the pilots, • and • Fresenius Team leaded by • Otto Árkossy MD & László Koroknai MD.

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