This document discusses Atostek Oy, an IT company that provides services for the Finnish national healthcare archive called Kanta. Kanta allows for electronic prescriptions and health records. The document proposes innovations for Atostek's electronic record architecture (eRA) product, including allowing location-independent usage, using Kanta as the only storage backend, and developing applications quickly over an abstraction layer. Examples provided include a plugin to transfer old patient data to Kanta and an application for remote doctor consultations and prescription/medicine delivery. The presentation encourages innovative procurement processes that challenge current models.

1. Juho Leppämäki
17.10.2016
Business needs
innovative customers
Case: Finnish Kanta
Juho Leppämäki
Atostek Oy
Mindtrek 17.10.2016
1

2. Juho Leppämäki
17.10.2016
Atostek Oy
2
• Founded 1999
• 50 employees
• Located next to Tampere
University of Technology
in Hervanta, Tampere

3. Juho Leppämäki
17.10.2016 3

4. Juho Leppämäki
17.10.2016
Kanta Use case:
Electronic Prescription
• Backend to store prescriptions
– Used by healthcare units
– Used by pharmacies
• Frontend to create and view prescriptions (Kelain)
– Used by doctors
• Frontend to view prescriptions (MyKanta)
– Used by patients
4

5. Juho Leppämäki
17.10.2016
Kanta Use case:
Electronic Health Record
• Originally an end archive for patient data
– Kind of a write-only storage
– Patient data reading example:
• Patient travels outside his own area to a holiday and
suddenly needs medical assistance
– Reading use case for patients
• View own medical history through national MyKanta web
page
• Future is open, will this be a national electronic medical record or
more like a national patient management system?
5

6. Juho Leppämäki
17.10.2016
eRA cloud services
Healthcare
application
Atostek eRA
eRA business logic
layer
CDA R2
generation
Integratable
class library
(C#) or REST
interface
HL7 V3 broker
WWW-portal
for direct use
Authentication
authorization
and digital
signatures
National back-end
(Kanta + others)
Authenticatio
n services
Healthcare
professionals
Healthcare
organisations
eRA GUI layer
Web-GUI for
physicians
Mobile GUI
for physicians
Population
database
ePrescription
and eArchive
Medicine
database
Codes ServiceMobile
application for
direct use
Structured
document
management

7. Juho Leppämäki
17.10.2016
Innovation: Allow location-independent
usage
7

8. Juho Leppämäki
17.10.2016
Innovation: Use Kanta as the only storage
• Use national Kanta Archive directly
– Read all clinical patient data from Kanta in real-time
– Store all clinical patient data to Kanta in real-time
• Use private data to complement official structures
 All national patient data usable in real-time
 No need for a local database
 No need to separately archive patient data
 Avoid vendor lock-in
8

9. Juho Leppämäki
17.10.2016
Innovation: Quick application development
over an abstraction layer
• Abstraction layer enables rapid application development
– Focus on user experience and rapid development
• No need to study Kanta structures
– Create eHealth microservices without extensive knowledge of
Kanta structures
9

10. Juho Leppämäki
17.10.2016
Quick Application Example: Plugin to
transfer old patient data to Kanta
• Archive your old patient data to Kanta
• Plugin for eRA
– Reads locally stored database
– Maps local data structures to Kanta structures
• Old documents are permanently archived to Kanta
10

11. Juho Leppämäki
17.10.2016 11
Innovation example
Search for a
doctor
Remote
consultation
Prescription
Bids from
pharmacies
Medicine
delivery

12. Juho Leppämäki
17.10.2016 12

13. Juho Leppämäki
17.10.2016
Business needs innovative customers
• Define your future process when making a procurement
– The process will be applied in your near future (5-10 years)
Challenge current models and require something new!
13

14. Juho Leppämäki
17.10.2016 14
Thank You!
Juho Leppämäki
+358 45 113 8883
juho.leppamaki@atostek.com
www.atostek.com