Reporting Required Diseases

MOH

The Ministry of Health operates to develop a new system for conducting Epidemiological investigations for diseases that must be reported.

Diseases that must be reported are defined in Public Health regulations as diseases which the medical official who diagnosed them, must report them to an healthcare agency by the power of updating the second appendix of Public Health command (list of diseases that must be reported).

The group’s study case

The Ministry of Health operates to develop a new system for conducting Epidemiological investigations for diseases that must be reported.
Diseases that must be reported are defined in Public Health regulations as diseases which the medical official who diagnosed them, must report them to an healthcare agency by the power of updating the second appendix of Public Health command (list of diseases that must be reported). https://www.health.gov.il/hozer/mr08_2011.pdf

The system’s objective

Identification of diseases at their earliest stages as possible
A tool for managing and optimizing the epidemiological investigations setup
Reducing and preventing, as much as possible, the spread of infectious diseases
A significant tool which provides a real time overview, both in emergency and routine
Support in decision making, establishing policy and drawing conclusions.

The project includes collecting information for about 100 diseases that must be reported:

A lab interface of all Health Care organizations, in order to report lab test results.
Diagnosis interface from clinical files in HMOs and hospitals

The Study Case

The data will be transferred to Public Health for monitoring the outbreaks and spreads of diseases and variants
The data will be transferred to investigations system, to trigger an opening of an epidemiological investigation
Analysis will be made about the data and a monitoring and reflecting array for all Health care officials

The project’s world of content

Lab tests
Diagnoses
Disease - an entity which is made by reporting a lab test and/or diagnosis.

The disease entity can be related to a number of reports (for instance: a diagnosis and a few lab tests)

Solution's Architecture

On HMOs end - Files in vault \ FHIR Server \ FHIR Façade

On MOH end - FHIR Server

Profiles to be characterized in the project

Patient
Encounter
Condition
Observation
Task
Service Request
Specimen
Practitioner
Document reference

Terminology to be used

SNOMED codes for reporting lab tests results
LOINC codes for reporting the procedure that was made with the sample
ICD9 codes for reporting diagnoses
EDM MOH - for establishing medical institutes codes
An internal coding system for completing codes that does not exist within the international codes for reporting diseases

Project Status

Business process characterization and data modeling on FHIR are finished.
Diagnoses - toward integration with Meuhedet HMO
Lab tests results -

Lab test reception from data suppliers process development is finished - as TXT / XML file
Integration with MOH’s labs is finished, now in development at Clalit HMO
In Leumit, Maccabi and government hospitals - a regular dialogue is taking place, in order to add it to 2024 work plans.