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2016 Arsenl.IT Tutti i diritti riservati
Arsenl.ITCentro Veneto Ricerca e Innovazione per la Sanit
Digitale
Treviso, 18 marzo 2016
Servizi digitali per la saluteArchitettura FSER3
Claudio Saccavini Direttore Tecnico
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi ICT di terza generazione
The paradigm of numbered platforms sees the first platform as
the mainframe computer system and the second platform as the
client/server system. The Open Platform 3.0 initiative of The Open
Group aims to produce a consensus definition of the third platform,
and to identify open standards for it, in order to help enterprises
gain business benefit from these technologies. This has
produced an analysis of requirements.[8] In January 2016 The
Economist offered the following analysis: "The third platform is
based on the online computing "cloud" and its interaction with all
manner of devices, including wirelessly connected ones such as
smartphones, machinery and sensors (known
collectively as the "internet of things").[9]
The first platform is the mainframe computer system, which began
in the late 1950s and continues today. The second platform is the
client/server system, which began in the mid 1980s with PCs tapping
into mainframe databases and
applications.[10]
https://en.wikipedia.org/wiki/Mainframe_computerhttps://en.wikipedia.org/wiki/Client-server_systemhttps://en.wikipedia.org/wiki/Open_Grouphttps://en.wikipedia.org/wiki/Open_standardhttps://en.wikipedia.org/w/index.php?title=Business_benefit&action=edit&redlink=1https://en.wikipedia.org/w/index.php?title=Analysis_of_requirements&action=edit&redlink=1https://en.wikipedia.org/wiki/Third_platform#cite_note-8https://en.wikipedia.org/wiki/The_Economisthttps://en.wikipedia.org/wiki/Third_platform#cite_note-9https://en.wikipedia.org/wiki/Third_platform#cite_note-10
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi ICT di terza generazione: i 4 pillars
Social technologyGartner defined a social technology as, Any
technology that facilitates social interactions and is enabled by a
communications capability, such as the Internet or a mobile device.
This extends not only to social media but also to all social
technologies that make social interaction possible. A VoIP service,
for example, would be considered a social technology.
In a trend that has been described as social everything,
companies both big and small, will continue to inject a social
element into every product and service. The cloud provides the
infrastructure that makes the information accessible, the social
technology helps to organise the data and facilitate access, and
the
mobile devices will provide the means by which most people
receive the data.[14]
https://en.wikipedia.org/wiki/Third_platform#cite_note-commander-14
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi ICT di terza generazione: i 4 pillars
Mobile devicesThe third platform is designed to give everybody
access to big data via mobile devices; it is this mobility that
really defines the third platform. A company representative on the
road or working from home will have instant access to data through
his or her mobile device with this third platform whenever and
wherever they need it.
An example of the use of mobile devices in the third platform
would be a school that gives every student a tablet. The tablet
would take the place of textbooks and paper used in assignments,
but more importantly, the student will have
access to a virtual classroom at additional times.[14]
https://en.wikipedia.org/wiki/Third_platform#cite_note-commander-14
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi ICT di terza generazione: i 4 pillars
Analytics (big data)The concept behind big data is to maximise
the utility of all data. An executive at a company that streamlines
its business functions with the third platform would have easy
access to all of the data, including sales figures, personnel
information, accounting data, financials and so on. This data can
then be used to inform more areas of the business.
Big data can be further differentiated once we analyse its three
distinguishing features: variety, volume, and velocity.
Variety means that many forms of data are collected, with
formats ranging from audio and video, to client log files and
Tweets. Volume represents the fact that big data must come in
massive quantities, often over a petabyte. Finally, Velocity
signifies that big data must be constantly collected for maximum
effectiveness; even data that is a few days old is not ideal.
In summary, big data utilises and collects all forms of data,
gathered from both traditional and digital sources, in order to
complement a companys decision-
making processes.[14]
https://en.wikipedia.org/wiki/Petabytehttps://en.wikipedia.org/wiki/Third_platform#cite_note-commander-14
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi ICT di terza generazione: i 4 pillars
Cloud servicesCloud services are at the heart of the third
platform. Having big data and mobile devices is one thing, but
without the cloud, there will be no way to access this data from
outside of the office.
This differs greatly from the first platform, where computer
networks consisted of large mainframes. All of a companys employees
had access to the data in the mainframe but they could only access
it through their desktop computers. In the second platform, a
companys employees could access the data in the mainframe as well
as outside data, via an Internet connection.
The third platform will allow all of a companys IT solutions to
be available through the cloud, accessible via a variety of mobile
devices. Data storage,
servers and many IT solutions, which are on-site, can now be
cloud-based.[14]
https://en.wikipedia.org/wiki/Third_platform#cite_note-commander-14
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2016 Arsenl.IT Tutti i diritti riservati
Architettura FSER (FSE di prima generazione)
I FSE di prima generazione sono orientati a realizzare la
cosiddetta MyPage del cittadino con fnalit consultiva.
In molti casi il cittadino pu dare laccesso ai propri curanti
per visualizzare i suoi dati clinici precedenti.
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2016 Arsenl.IT Tutti i diritti riservati
Architettura FSER2 (FSE di seconda generazione)
I FSE di seconda generazione sono orientati a realizzare dei
servizi sanitari per i cittadini e gli operatori. Si basano
fortemente sul concetto di percorso di cura (PDTA) e permettono
interattivit fra cittadino ed operatori, e fra gli operatori
stessi.
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2016 Arsenl.IT Tutti i diritti riservati
Architettura FSER3 (FSE di terza generazione)I FSE di terza
generazione permettono di condividere non
solo i dati clinici, ma anche i processi al fne di poter gestire
la continuit di cura. Questa architettura permette di sfruttare le
opportunit oferte dai sistemi di terza generazione ovvero
applicazioni mobile, social, cloud e big data. Per fare questo
necessario estrarre dai tradizionali sistemi informativi non solo i
dataset caratteristici della interoperabilit, ma anche tutte le
informazioni e gli stati delle singole attivit (task) dei processi
clinici.
In particolare possiamo pensare che una volta che il sistema
informativo che gestisce un processo clinico, termina lo stesso,
nessun dato necessariamente rimane dentro al sistema.
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi Informativi Sanitari
CU
P
AD
T
Ord
er E
ntry
Ges
tore
pa
gam
enti
Ges
tore
F
arm
acia
Gruppo Sistemi Informativi Sanitari
Questi applicativi sono di supporto orizzontale alle funzioni
Cliniche, svolgono operazioni organizzative ed amministrative quali
gestione delle risorse, gestione delle prenotazioni, gestione delle
richieste per i processi interni alle aziende.
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi Informativi CliniciC
Art
ella
Clin
ica
Ric
over
o/A
mbu
lat
oria
le
CA
rtel
la C
linic
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pia
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rtel
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DI
CA
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A
Gruppo Sistemi Informativi Clinici
Questi applicativi sono di supporto verticale alle funzioni
Cliniche, permettendo la gestione del workflow clinico. Si
interfacciano con gli applicativi sanitari e a tutte le funzioni di
Decision Support Systems (DSS) sia internet agli stessi che
esterne.
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi Informativi Amministrativi
Am
min
istr
ativ
o co
ntab
ile
Ges
tore
lo
gist
ica
Ges
tione
pe
rson
ale
Gruppo Sistemi Informativi Amministrativi
Questi applicativi sono di supporto orizzontale alle funzioni
Sanitarie, svolgono operazioni amministrative quali gestione delle
risorse, gestione delle funzioni contabili, gestione della
logistica
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2016 Arsenl.IT Tutti i diritti riservati
Sistemi Informativi di Interoperabilit
FSE DataRepository Anagrafe 2.0
FSE Orchestratore
FSE Policy Manager IAP
Gruppo Sistemi Informativi di Interoperabilit Applicativa
Questi applicativi permettono la interoperabilit applicativa di
processo di tutti i sistemi informativi Clinici, Sanitari,
amministrativi
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2016 Arsenl.IT Tutti i diritti riservati
Architettura FSE Zero
FSE DataRepository Anagrafe 2.0
FSE Orchestratore
FSE Policy Manager IAP
CA
rtel
la C
linic
a R
icov
ero/
Am
bul
ator
iale
CA
rtel
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ncol
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ativ
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ile
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ale
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2016 Arsenl.IT Tutti i diritti riservati
Il FSE Zero si interfaccia verso la infrastruttura nazionale di
Interoperabilit (INI) per dialogare con gli altri FSE
Regionali.
FSE Zero vs infrastruttura INI
FSE DataRepository Anagrafe 2.0FSE Orchestratore FSE Policy
Manager IAP
CA
rtel
la
Clin
ica
Ric
over
o/A
mb
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oria
le
CA
rtel
la
Clin
ica
O
ncol
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a
CA
rtel
la
Vacc
inal
e
CA
rtel
la
Car
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CA
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AD
CA
rtel
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Dia
lisi
CA
rtel
la M
FR
RIS
LIS
End
osco
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CA
rtel
la P
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CA
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CA
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ativ
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Ges
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Infrastruttura Nazionale di Interoperabilit (INI)
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2016 Arsenl.IT Tutti i diritti riservati
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2016 Arsenl.IT Tutti i diritti riservati
Sanit km zero
https://youtu.be/NSyORFNvsA0
