HiGHmed is a project funded by the Federal Ministry of Education and Research (BMBF) as part of the Medical Informatics Initiative. The goal is to make data from research and care accessible to one another. Medical Data Integration Centers (MeDICs) are designed to integrate medical data from partner institutions to integrate heterogeneous and large supply and research databases and enable cross-site reuse to add value to research, care and ultimately patients.
At the core of the HiGHmed platform, a clinical data repository based on openEHR is intended to enable the management of structured data. In addition to the core functions of openEHR (including the REST interfaces), an integration of the software solution with IHE XDS is necessary.
As part of the HiGHmed project, a networked eHealth platform will be established to support research and care processes. To demonstrate and validate the added value of this platform, a total of 3 applications from the areas of oncology, infection control and cardiology will be implemented. For this purpose, an application system is developed against the platform. In addition, data from the MeDICs for generic research processes will be provided through IHE XDS and Archetype Query Language to other institutions. It is foreseeable that further research projects outside of HiGHmed will be implemented via this platform within the next 4 years in the MeDICs.
In practical terms, this means that one instance of the HiGHmed platform (including the openEHR Clinical Data Repositories) is to be implemented in / near the supply infrastructure and a second instance in the research infrastructure in the individual partner institutions, depending on the detailed design and scheduling of the data integration centers , The latter is intended to integrate pseudonymized utility and research data and their local and inter-facility queries using the Archetype Query Language. In order to implement patient consent and integration into the system landscapes of the facilities, the implementation of the openEHR Clinical Data Repository must also have the functionality of an IHE XDS Repository Actor. The licensing model offered should include the development and test environment. In addition to providing the tool, training is required for the various user groups (editors, reviewers, administrators).
The allocation is made in partial services with the following breakdown:
Part 1: Hannover Medical School - openEHR Data Repository
Part 2: University Medical Center Göttingen - openEHR Data Repository
Part 3: Heidelberg University Hospital / Department of Medical Information Systems (MIS) - openEHR Data Repository