eSanté-CARA

Members Area

The objective of the CARA project is to set up a National Electronic Medical Record for each patient, which will contain the radiological history with the reports and pictures, following the article 10 of the 'règlement grand-ducal du 16 mars 2001' on the sanitary radioprotection of people against X-rays dangers.

1. The doctors (general practitioners / specialists)

• Consult the radiological history of the patient with the reports and the radiological images
• Realize prescriptions of radiological examinations directly in the system

2. The establishments of health, notably the services of imaging (radiology, nuclear medicine)

• Receive electronic prescriptions created by the doctors

3. The Direction of the Health

• Access to an anonymous database dedicated to the statistics

4. The Patients

• will have the right and the possibility if they wish it to restrict the access to their electronic radiological record and even not to authorize the creation

• Facilitate the radioprotection of the patient by obtaining a maximum of clinical information with a minimum of irradiation ;
• Reduce the costs by a decrease of the redundancy of the radiological acts ;
• Establish a concept which will be reusable on similar projects: mode of collection of the information ; modalities of access to the patient index ; anonymisation of the data ; supply of a database for statistical purposes.

A first project launched in 2005 has established throughout a pilot application the feasibility of exchanging data from RIS with medical software and the feasibility of a catalog of radiology exams based on an international recognized nomenclature.

The scope of new eSanté-CARA is to implement

• A standardized detailed catalog (codes, terminology, organization) for radiology exams
• A patient history with results (reports, images illustrating the diagnose) of the exam integrating patient consent for accessing the data
• Producing anonymised / pseudonymised data for statistics and research
• Inserting data from RIS/PACS
• Consulting of the history from medical software

Realization will be done progressively.

Besides other more conceptual works will concentrate on:

• Elaborating a definition and selection procedure for images illustrating diagnoses and other relevant images needed for second consultation
• Defining the content and structure of the prescription for implementing electronic prescription later on
• Defining the content and structure of the report for implementing electronic reporting and the structure of patient history
• Concept for archiving images and reports

eSanté-CARA and eSanté-LABO will be build on a common interim platform offering common services for both data: patient history, prescriber folder, patient consent, security, infrastructure with common identity and usermanagement, Single-sign on authentication to the platform

Find below the validated project results. We have tried to order them in locial constructive manner. The list will be complete if new results are available.

Results:

1. Report describing the structured content of the radiological report
2. Gap analysis of the metadata of the structured radiological report
3. Description of the RIS/PACS infrastructures of the hospitals in Luxembourg
4. Current RIS/PACS interoperability capacity
5. Use case analysis
6. Cahier des charges fonctionnel
7. Cahier des charges technique
8. Gap analysis and roadmap

• Project Contact: Andreas Jahnen
• Team: Guido Bosch, Hanan Bouzid, Heiko Zimmermann
  

Centre de Recherche Henri Tudor
29, Avenue John F. Kennedy

L-1855 Luxembourg

phone : +352 42 59 91 - 250
fax : +352 42 59 91 - 333

Project Leader
Direction de la Santé - Chef de division
M. Carlo Back
carlo.back@ms.etat.lu