Presentation given at Medicine 2.0, London, UK

1. The electronic Discharge Letter
Mobile App
The London man who went to the Tokio Olympics
Dr. Leonardo Lezcano
Dr. Hendrik Drachsler
CELSTEC
Open University of the Netherlands

2. • exchange of electronic
Discharge Letters
• NFC based
• JSON file
• Structured and Simple
No complex EHR
structure
• Heterogeneous
Systems integration

3. Semantic
Interoperability
• SNOMED-CT
• RXNORM
• English -> UMLS

4. Bridging the communication gap
Specialist
•
•
•
•
•
Patient
No Wi-Fi connection
No setting up
No pairing
Max. distance 4 cm
Automatic app launch

5. Cellulitis in Tokio
• MDRJPN
• MSHJPN
• Japanese -> UMLS

6. Toward Patient
Empowerment

7. Allergy Alerts

8. Summary of Benefits
Provider
① Mappings to SNOMED-CT, MDLPLUS, UMLS. (SIOp)
② NFC exchange reduces communication gaps
③ Supports heterogeneous systems (decentralization)
④ Preserves the privacy offered by paper based letters
⑤ Patient empowerment
Patient
⑥ Alerts for Allergies & Contraindicated Prescriptions
⑦ Medications notifications & reduced security issues
⑧ Follow up and appointments management

9. Dr. Leonardo Lezcano
leonardo.lezcano@ou.nl