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From YouTube: RED HAT Fernando nuñez PRESENTACION
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A
Good
afternoon,
my
name
is
fernando
núñez:
first,
national
director
of
governance,
integration
of
health
systems.
Firstly,
thank
everyone
who
is
present
listening
to
this
presentation
to
the
redhat
team.
That
summoned
me
to
be
able
to
tell
you
everything
that
the
ministry
of
health
has
been
working
on
and
precisely
Because
of
this
issue.
That
I
wanted
to
tell
you
about
today,
that
we
are
going
to
work
over
the
next
few
years
regarding
the
federal
national
digital
health
plan,.
What
are
the
strategic
lines
of
this
plan?
In
principle,?
A
We
have
to
start
working
on
connectivity,
fundamental
connectivity
so
that
the
devices
are
online
and
be
able
to
be
interacting
with
the
different
tools
and
services
of
the
digital
network,
and
it
is
important
to
highlight
that
it
is
necessary
to
somehow
obtain
the
primary
data
of
the
patient's
health
care
and
for
this
for
this
event,
for
this
this
situation,
the
key
tool
in
the
clinical
history
is
in
the
tool
that
captures
the
primary
data
of
the
patient.
They
can
typify.
It
can
achieve
its
traceability
in
a
health
episode.
It
can
upload
family
history.
A
Then
this
tool
is
fundamental
and
in
a
strategic
life
of
this
general
plan
of
health,
the
entire
project
is
based
on
timely,,
accurate
and
complete
records,.
This
allows
homogenizing
all
of
the
services
and
lola
and
the
interoperability
standards
that
are
going
to
happen
or
that
are
going
to
transit
within
a
software
instrument
that
is
the
interoperability.
Bus
It
is
important
to
have
these
timely
records
to
be
able
to
make
decisions.
A
At
this
moment,
the
epidemiological
data
is
fundamental
and
the
vital
statistics
to
be
able
to
take
better
care
of
the
population
are
very
important
for
decision
making.
So
another
strategic
law
with
accurate
and
complete
timely
records
is
also
fundamental.
To.
Take
into
account
is
the
training
of
both
professional
teams
and
technical
teams
that
have
to
specialize
in
health.
Informatics.
A
This
is
not
minor,
because
health
informatics
has
its
particular
characteristics
where
the
complexity
is
different
from
other
specialties.
within
the
computer
science
branch,
and
it
is
necessary
to
retrain
these
technical
teams
very
well
and,
of
course,
the
health
professionals
to
work
in
the
management
of
change
where
there
is
a
transition.
It
is
very
important
that
it
happens
from
a
manual
or
semi-automatic
record
and
paper
towards
a
digital
record
through
the
different
tools
that
the
jurisdiction
can
offer
in
this
sense,.
A
Another
strategic
line
is
the
health
teams
empowered
with
technological
tapes,.
This
greatly
facilitates
communication
between
professionals,
between
professionals
and
patients,,
giving
efficiency,
giving
quality,
giving
access
and,
above
all,
equity
equity
in
health
care
equity,
where
we
have
a
country
that
exists
in
some
jurisdictions.
A
large
equity
gap
with
which
empowering
the
teams
is
important
to
reduce
those
gaps
in
equity
of
access
and
quality.
A
A
Another
aspect
that
we
want
to
address
with
the
strategic
lines
is
the
management
of
cost
recovery,,
which
means
this
is
when
a
patient
goes
to
a
public
health
establishment
and
has
a
social
work,.
The
public
health
establishment
can
recover
that
expense
or
that
cost
through
the
social
work
to
which
that
patient
is
affiliated
and
in
this
way
to
be
able
to
feed
back
that
recovery
of
the
cost
in
the
investments
within
the
point
sector.
A
In
a
context
where
the
efficiency
of
the
use
of
resources
is
important,
it
is
essential
we
have
to
start
working
as
a
line,
strategic
tools
to
improve
cost
recovery
and,
finally,
another
strategic
line.
That
is
also
very
important
is
information,
security,
information
security
from
the
point
of
view
of
achieving
relationships
of
trust
between
different
tools
of
the
health
ecosystem,
to
be
able
to
interoperate
These
tools,,
but
always
with
the
degree
of
security
that
the
software
platforms,,
the
local
tools
give
us,
in
this
sense,.
A
A
The
security
aspects
are
guaranteed
for,
for
example,
access
to
remote
consultations
to
obtain
an
online
appointment,
and,
above
all,
also
for
the
patient
portals
and
everything
that
is,
the
exchange
of
information
from
different
tools
has
to
be
secure
and
the
interoperability
bus
platform
helps
us
to
make
that
really
happen.
There
are
different
axes
of
which
we
promote
the
federal
digital
health
plan
and
the
main
one
and
the
one
that
already
We
have
a
consensus,
and
we
are
working
to
strengthen
the
interoperability
standards
that
we
have
adopted,
among
them.
A
All
this
runs,
or
is
managed
by
an
error
by
my
software
instrument,
which
is
the
interoperability
bus.
Is
this
interoperability.
Bus
is
a
development
that
we
have
worked
on
in
collaboration
with
the
entire
network
team,
where
we
can
somehow
establish
secure
rules
to
transfer
information
between
the
different
tools
of
the
health
teams.
This
woman
operability
is
scalable,
that
is,
today
it
has
lost
a
number
of
services
that
are
essentially
endesa
of
the
nation,.
The
identification,.
A
The
coverage
consultations,
the
transfer
of
the
medical
history
summary,,
and
it
can
be
scaled
as
the
network
returns,
that
is,,
we
can
add
n
number
of
services
to
this
bus
interoperability
because
it
is
prepared
for
that.
It
is
prepared
to
be
scaled
from
the
functional
point
of
view,
and
it
is
prepared
to
scale
from
the
technological
point
of
view,
that
is
to
say
that
the
technology
will
support
more
traffic.
The
technology
will
support
more
use
of
this
bus
and
that
more
actors
work
with
that
bus
because
it
is
designed
for
that.
A
Thanks
to
the
openshift
platforms
provided
by
the
network,
financial
incentives
are
fundamental
and
it
is
a
main
axis
for
the
adoption
of
the
federal
plan.
It
will
promote
the
nothingness
of
the
plan.
The
federal
government
has
to
see
that
freely
available
funds
can
be
transferred
through
the
different
national
programs,
are
adapted
to
a
result
and
that
it
is
desirable
to
continue
complying
with
the
results,.
A
It
is
also
important
to
work
in
the
work
teams
articulated
among
the
nation,
the
province
and
the
municipalities,
and
this
is
somehow
encouraged
through
financial
incentives,,
that
is,.
If
a
province
has
a
provincial
counterpart
with
the
different
profiles
that
the
health
network
requires
in
order
to
function,,
the
nation
sends
financial
incentives
to
that
jurisdiction
for
the
fact
After
constituting
this
work
team,,
then
these
financial
incentives
begin
to
generate
a
virtuous
circle
of
investments
that
allow
technologies
to
continue
evolving
within
the
jurisdiction
and
to
be
able
to
provide
more
services
to
the
population,
that
is,.
A
We
not
only
consider
that
the
assembly
of
the
equipment
is
important.
and
the
articulation
of
the
provincial
teams
with
the
nation,,
but
they
also
stimulate
you
from
a
financial
point
of
view.
We
also
promote
collaboration
between
jurisdictions,
because
it
is
possible
that
a
jurisdiction
finds
a
solution
to
a
problem
and
it
can
be
shared
with
the
other
actors
in
the
health
system.
A
They
will
continue
to
be
fundamental
through
an
event
that
we
call
standards
conferences,,
which
I
believe
is
being
supervised
virtually
today,,
but
we
are
going
to
add
the
face-to-face
modality
also
when
the
situation
allows
it
and
in
the
meantime,
we
will
continue
to
strengthen
through
love
in
the
virtual
modality
and
well,.
But
with
this
teaching
that
this
pandemic
scenario
has
left
us,,
we
are
going
to
continue
working
on
the
virtual
modalities
to
reach
more
people.
A
A
Then
the
open-source
tools
somehow
ensure
that
there
is
no
going
out
They
help
to
avoid
this
distortion,
and
it
is
a
matter
of
continuing
to
maintain
this
tool.
Regardless
of
the
changes
in
the
scenario
where
installed
capacity
is
encouraged
in
the
health
establishments
and
the
provincial
health
ministry.
To
maintain
this
'open
source'
tool..
That
is
the
requirement
for
it
to
continue
working,.
It
does
not
need
any
more,.
A
It
does
not
need
any
particular
license
or
any
particular
agreement
with
a
particular
firm,,
but
the
opensource
tool
is
going
to
evolve
this
directly
with
the
installed
capacity
that
I
am
creating
in
the
passage
of
time
and
finally,
as
one
more
axis
of
implementation,,
which
are
the
projects
of
the
adoption
packages,.
These
projects
tone
defined
by
the
provincial
jurisdiction,
where
these
jurisdictions
somehow
determine
the
prioritized
different
processes
that
they
want
to
implement.
A
These
projects
are
agreed
upon
with
the
national
team
and,
in
addition
to
being
consensus,,
they
are
also
stimulated
with
financial
incentives,,
that
is,
to
say,
a
project
that
is
prioritized
by
the
province
that
is
approved
by
the
national
team
and
that
complies
with
different
standards
and
adaptations
to
be
able
to
try
through
the
operability
course
as
well.
They
are
incentivized
from
the
financial
side,.
A
This
occurs
with
each
one
of
the
jurisdictions
and
they
are
customized
solutions
presented
by
each
province
and
according
to
their
reality
or
according
to
the
level
of
mountains
of
the
local
digital
agendas.
Well,.
Here
we
are
going
to
talk
a
little
about
the
interoperability
standards
that
we
made
a
short
introduction
a
little
while
ago.
A
Were
defined
by
ministerial
resolutions
but
above
all,
they
were
conceptualized,.
This
is
the
important
part,
because
many
things
are
defined
by
regulations,
but
then
they
are
not
applied,
because
there
is
no
consensus.
In
this
case,
there
is
already
a
consensus
of
the
standards
that
we
are
going
to
use.
We
are
actually
using
and
they
have
to
do
with
in
principle
the
master
tables
of
professional
establishments
and
pharmacies.
A
So
we
already
started
with
these
master
tables,,
which
are
that
they
directly
impact,
for
example,
the
electronic
prescription,
a
park
that
directly
impact
the
electronic
prescription
of
medication,
with
the
creation
of
these
different
digital
function
that
we
are
working
with
the
Ministry
of
the
Interior
and
against
what
is
to
say
that
they
are
different
services
that
can
be
consumed
both
by
the
provincial
applications,
by
the
provincial
generic
histories,
by
the
health
or
health
management,
prescriptions
that
the
different
jurisdictions
may
have,,
but
In
addition,.
They
are
consumed
by
national
entities.
A
To
represent
knowledge.
We
are
working
with
a
vocabulary:
standard
called
snowboard,
worker,,
a
logical
term
called
snow
men,
and
for
communication
between
different
and
the
different
computer
tools.
We
work
with
a
standard
that
is
hl7
file,
using
all
the
resources
that
hl7
provides
us
to
represent
the
different
events
and
objects
that
are
transferred
through
the
instrument
of
the
registry,
of
not
forgetting.
A
Well,
we
arrive
at
the
bus,
that
is
the
bus
of
interoperability.
Elwood
interoperability
is
a
service
platform
that
connects
with
these
different
tools,
thanks
to
a
relationship
of
trust
that
exists
between
different
tools
and
that
relationship
of
trust
is
achieved
by
the
interoperability
bus
through
the
points
of
different
attributes
that
have
to
do
with
security,
With
the
use
of
standards
with
the
high
availability
of
these
attributes
that
make
some
of
them
a
super
tool,.
A
This
versatile
and
very
scalable
allows
us
to
achieve
this
interoperability
between
the
different
actors
of
the
health
system
that
we
can
see
that
can
be
jurisdictions
such
as
pre-sale
provinces.
from
mendoza
neuquén
that
are
developed
are
quite
developed
in
their
clinical
history.
The
same
as
san
juan
and
cava
is,
but
also,
as
we
said
in
due
time,
they
can
be
consumed
or
can
be
used
by
private
hospitals
by
municipalities,
in
particular
by
registries.
A
And
something
important
that
the
interoperability
bus
can
transfer
and
is
one
of
its
services
is
the
summary
of
patients,
the
ips,
that
we
call
ips
where,
through
this
patient
summary,
we
can
transfer
medicines,
that
we
can
transfer
allergies,
problems,
vaccines,
results
or
procedures
that
this
can
be
transferred
in
a
single
resource.
That
is
the
ips
that
is
called
this.
A
This
is
a
clear
teamwork,
a
clear
collaboration
between
those
who
provide
the
data.
The
servers-
let's
say
all
that
is
the
hardware-
is
Arzáte
in
conjunction
with
the
ministry
of
health
that
buys
equipment
that
has
recently
acquired
to
be
able
to
reinforce
this
infrastructure,
the
standards
and
this,
of
course,
the
software
tool.
That
is
the
only
one
prior
to
this
software
instrument
that
we
have
worked
with
the
red
hat
team
and
we
have
worked
on
on
more
projects.
A
A
This
is
important
because
a
twig
of
clinical
history
is
often
expensive.
It
is
expensive.
Its
development
is
often
acquired
through
subscriptions
or
through
licenses
that
are
interrupted
with
the
changes
to
the
procedures,
so,
in
short,
a
being
a
typical
municipality
of
the
province,
some
Aires,
for
example,
could
be
from
Córdoba
or
a
province
of
Santa,
Fe
or
Mendoza,,
which
are
municipalities
that
have
autonomy
to
be
able
to
acquire
the
tool,.
They
cannot
do
it
because
of
the
costs,,
because
a
certain
level
of
knowledge
is
also
required
to
build
a
political
history,.