ISQ 2021 One Digital Health

1

24/11/2021

AB

Oscar Tamburis

University of Naples Federico II, Department of

Veterinary Medicine and Animal Productions, Naples, Italy

Arriel Benis

Holon Institute of Technology, Faculty of Industrial Engineering and Technology Management, Holon, Israel

Catherine Chronaki

HL7 Europe, Brussels, Belgium

Anne Moen

University of Oslo, Institute for Health and Society, Faculty of Medicine, Oslo, Norway

ISQ 2021 One Digital Health

2

24/11/2021

Timeline

1. Introducing core concepts One Health, Digital Health, and One Digital Health;
• Objectives and challenges from clinical, research and educational perspectives
• Standard for interoperability, more needed than ever

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2. Capacities and new roles for citizens;
• Why is ODH so important for Global Priorities post COVID-19?

3. Training new generations of ODH professionals;
• Building awareness via ODH-ness & Next steps

Q&A and Take Home Message

What is One Digital Health?

The Core concepts

Calls for integrating digital technologies into the living- and society-related aspects of various fields, to enhance population health, efficiency, precision, and personalization in health care delivery

12 Manhattan Principles (2004) called for an international, interdisciplinary approach to prevent animal-human transmissible and �communicable diseases.

The paradox of the ‘’abundance of knowledge’’

• All science fields strongly interconnected to each other

each health specialty depends on others

• Researchers and professionals often confined within their own expertise silos.

One Health

encompassing disciplines that deal with the interconnectedness between human health, animal health, and their surrounding environments.

Digital Health

evolution technology resulting in an acceleration of biomedical research discovery and the strengthening of public health efficacy.

ISQ 2021 One Digital Health

4

24/11/2021

Technologies

One Digital Health

Steering Wheel

Keys

Perspectives

Dimensions

Holistic view

Data integration

Dynamic�and�Proactive actions

DRIVING COMMUNITY�VIGILANCE

• Commission Recommendation on a European Electronic Health Record exchange format (C(2019)800) of 6 February 2019.
• Lab observations and results
• Diagnostic Imaging observations and results
• Discharge reports
• Patient Summaries also for rare diseases
• ePrescription/eDispensation

One Health, Digital Health,

One Digital Health

European EHR Format

• European Health Data Space
• Effective use of high-quality data sets

• Digital Health Services, Sustainable Health Systems
• Citizen Empowerment and Engagement
• Neighborhoods and communities that are safe

• Across standardization bodies on International Patient summary (IPS)

The aim of IPS is patient safety with access to health data when and where needed.

• IPS Success depends on
• high quality data, rich in context
• trust and data-centric care pathways
• IPS provides the fabric for Health safety of communities

One Health, Digital Health,

One Digital Health

xSDO Cooperation

• Think Patient summary as:
• Active window to a person's health data across locations and jurisdictions
• Dashboard with key information on current situation & to navigate in detailed data

• We need:
• Resources to accelerate �implementation and sharing �of experience
• Situations for the productive use �of patient summaries
• Examine provenance, �granularity, and decision power

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Contribute to Governance of interoperability standards specifications

Deployers

SDOs

Patients

Vendors

Policy Makers

Actors

Clinical Guidelines

Products

Terminologies

Validators

APIs

System Functional

Models

Computable

Logical Models

Educational

Material

…..

One Health, Digital Health,

One Digital Health

Towards an EHRxF Ecosystem

• Enhance national coordination mechanisms and implement a data governance framework
• Leverage the power of data to operationalize the concept of One (Digital) health
• Develop a pan-European roadmap that includes an interoperable health data network
• Respect and empower individuals to control the data they produce and develop their data skillsets.

One Health, Digital Health,

One Digital Health

Actions against pandemic

WHO Europe launches a Pan-European call to strengthen data in response to COVID-19

• Elegant solutions for complex ecosystems
• Connect the full chain of stakeholders from veterinary and human health care
• Everyday choices make immense potential impact
• Disruptive innovation demanding integration of big, smart, and multidimensional data into digital health technologies, including perspectives of human and animals in their ecosystem.
• Three perspectives (individual/population/ecosystem) as a triad.

• Citizen help - essential to fabric of interconnections
• Citizen-centeredness adding to Global priority post-COVID 19:
• Engage in health prevention and care activities.
• Proactive - self-monitoring, control and collaboration.
• Community vigilance as core of the effort.
• Security - privacy concerns and interoperability standards for making it right.

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One Health, Digital Health,

One Digital Health

How can citizen help?

• Education and Citizen Science
• Prevention – everyday choices that leverage smart data – for engagement and digital health literacy

• Citizen Engagement
• Citizen as a part of the monitoring and alert systems
• Create opportunities to contribute, share, support ODH
• Vaccine as an example – trust, willingness to participate and ethics changes over time

• Community vigilance
• Proactive engagement and resilience
• Early detection, rapid testing, contact tracing and distancing
• Monitor treatment and recovery

• Health Care Digital Transformation 4.0
• Connected tools that do not exploit but drive on trust and commitment to integrity

One Health, Digital Health,

One Digital Health

How can citizen help?

• Basic Digital infrastructure to support One Digital Health
• Security – privacy – integrity
• Interoperable solutions

• WHO’s Sustainable Development Goals / Empowerment through Digital Health
• 17 goals with 169 targets that all UN Member States have agreed to work towards achieving by the year 2030
• Adoption of interoperable digital technologies for clinical and public health decision-making struggles to overcome technical and political hurdles

• (One) Digital Health Interventions
• Set of digital functionalities designed and deployed to:
• support specific initiatives that address human, animal, and environmental systems’ needs and challenges.
• assess and study these systems’ expected outcomes, unexpected outcomes, and effects, and collect related data.
• (selection of timely metrics for the outcomes of multicriteria decision analyses).

Digital–ities

ODH–ness

One Health, Digital Health,

One Digital Health

ODH Interventions

ISQ 2021 One Digital Health

12

24/11/2021

ODH–ness

Technologies

Digital

human-ities

Digital

animal-ities

Digital�environmental-ities

Community

empowerment

Internet of Things

Digital health narratives

Computational modelling

🡪 artificial society

Circulating knowledge

🡪 Biocommunicability

Artificial Intelligence�Machine Learning

Surveillance

Animal as a medium

Digital disease detection

Biodiversity

Internet of Animal Health Things 

Human

decision–making

Natural

disaster

Telework

Geoinformation

Surveillance

Smart

environments

Robotics

Possible pandemic-related interactions

within the technology ring

• Incorporating new knowledge into ODH
• Core challenges of ODH include:
• establishing a systemic and integrated understanding of the health and wellness of humans and animals in their common ecosystem
• establishing how digital systems may support and improve human and animal health and wellness

• Global priorities
• Create supports for an integrative, systemic, and syndemic decision-making process�that can be assessed from a multidisciplinary perspective
• Shaping future health ecosystems, providing novel learning opportunities for citizens, and educating the next generations of Health Informatics practitioners
• Global Health communication
• Anticipation and accidents and disasters

One Health, Digital Health,

One Digital Health

Next steps

• Incorporating new knowledge into ODH
• Core challenges of ODH include establishing (for humans and animals):
• a systemic, ecosystem-based integrated understanding of the health and wellness
• how digital systems may support and improve health and wellness
• Digital-ities to addressing Global Priorities
• ODH is FAIR (Findable, Accessible, Interoperable, and Reusable)
• FAIR provides guidelines for the publication of the digitalities
• whose combination and implementation set up the shape of an FAIR ODH intervention
• Systems and Network Medicine
• Developing a multimodal technology that fuses the predictions of predictive algorithms;
• Consensus among different predictive methods that exceeds the performance of the best individual pipelines of drugs assessment (eg, Personalization for COVID-19 patients)
• Improving the One Health Model for COVID-19
• Minimize the economic burden of disease (Processes, Patterns)
• Improve understanding of disease mechanism, health problems, disease emergence and reemergence to respond in a proportionate & timely manner (Patient/Citizen engagement)
• Preventing, detecting, and reacting, to future epidemics/pandemics based on COVID-19 outbreak mitigation. (Preventive)

One Health, Digital Health,

One Digital Health

Next steps

Q&A�and�Take Home message

AB

ISQ 2021 One Digital Health

16

24/11/2021

Cite this work:

Benis A, Tamburis O, Chronaki C, Moen A�One Digital Health: A Unified Framework for Future Health Ecosystems�J Med Internet Res 2021;23(2):e22189�URL: https://www.jmir.org/2021/2/e22189

DOI: 10.2196/22189

PMID: 33492240 PMCID: 7886486

Contact:

Dr. Arriel BENIS: arrielb@hit.ac.il