Work package 6 is responsible for developing the software that connects C3-Cloud to the electronic health records at each of the healthcare organisations involved in the study, for developing the software to integrate data from different database representations and terminologies. It is also responsible for building all of the security features needed to ensure that only authorised staff can access the records of each patient, and the audit trail that keeps a record of every access to the system that is made. This work package will also make sure that all of the databases are secured against unauthorised access, and that all of the communications occurring between computer systems are encrypted. WP6 has three main objectives that are split into three tasks:


Task 6.1: Define FHIR C3-Cloud profiles and technical interoperability implementation guidelines; develop open source toolkits (Technical Interoperability Suite – TIS) implementing the guidelines; and integration of the open source toolkits with pilot sites: OSAKIDETZA, RJH, SWFT.


Task 6.2: Design a semantic interoperability platform that will enable common understanding of clinical data and resolve semantic mismatches due the use of different terminology systems between pilot sites and C3-Cloud top-level components.


Task 6.3: Implement the security and privacy components that are common for all pilot sites and progressing with the integration to pilot site specific security and privacy systems.


 Achievements to date

Task 6.1 has implemented the TIS component, integrated with OSAKIDETZA, RJH and SWFT, submitted the deliverable D6.1 on time, presented a demo in the project review meeting December 2017, and successfully passed review. In this period, the task has focused on integration activities.

Task 6.2 has integrated the SIS semantic and structural mapping services to staging and production environments of all 3 pilot sites. We submitted the deliverable D6.2 on time and presented successfully a SIS demo during the first project review meeting December 2017. Regular updates to reflect clinical concept reviews were performed. This by checking coding consistency, data coverage of realistic test data samples and feedbacks from partners.

Task 6.3 has implemented the SPS components and integrated with the other components in the project. Deliverable D6.3 was prepared and submitted on time. The work undertaken was presented in a demo during the First Project Review meeting in Brussel on 8 Dec 2017. SPS was deployed to staging environments of all 3 pilot sites by October 2018 (M30), and then to all production environments by March 2019 (M35).


Current status

The three main tasks in WP6 were completed in Year 2 with some continuing updates in Year 3 of the project. Ongoing actions in WP6 such as routine updates of the Semantic Mapper services, monitoring and update of SPS execution in the pilot site deployments support tasks in other WPs, such as in WP7 and mainly in WP8.


Intended outcomes

WP6 three tasks have achieved their objectives and implemented the technical layer of interoperability, the semantic layer of interoperability and components for the privacy protection and security layer of interoperability. All the required integration activities have been completed.