In 1997, Bilal Hashmat founded CureMD – a New York - based company – to provide IT solutions to the growing US healthcare market. The first company in the world to offer cloud - based services to the healthcare industry, CureMD today is one of the top-ranked healthcare IT providers in the United States. Kubair A. Shirazee’s Ikonami Ltd. recently concluded an acquisition of its very successful suite of learning, competence, and performance management products focussed on the UK healthcare industry by Radcliffe Publishing Ltd., whose parent company, Electric Word plc, a specialist information publisher focussed on the healthcare vertical. With the product installed in 410 hospital trusts of the National Health Service (NHS), Ikonami Pakistan can pride itself on contribution to one of the largest healthcare providers in the world. Pakistan's Healthcare IT Industry - A Capability Profile
Transcript
In 1997, Bilal Hashmat founded CureMD – a New York - based company – to provide IT solutions to the growing US healthcare market. The �rst
company in the world to o�er cloud - based services to the healthcare industry, CureMD today is one of the top-ranked healthcare IT providers in the
United States. Kubair A. Shirazee’s Ikonami Ltd. recently concluded an acquisition of its very successful suite of learning, competence, and
performance management products focussed on the UK healthcare industry by Radcli�e Publishing Ltd., whose parent company, Electric Word plc,
a specialist information publisher focussed on the healthcare vertical. With the product installed in 410 hospital trusts of the National Health Service
(NHS), Ikonami Pakistan can pride itself on contribution to one of the largest healthcare providers in the world.
Pakistan's Healthcare IT Industry - A Capability Pro�le
While CureMD and ikonami adopted the inside-out approach of creating products in Pakistan for the worldwide market, iTack Solutions’ Fahad chose to do the outside-in when he decided to move back to Pakistan. iTack hopes to bring the high quality and functionality of the modern hospital information systems to the Pakistani and Middle Eastern market. iTack is not alone in this quest. A number of Pakistani companies are making signi�cant headway in this direction, as the country's growing middle class demands a more responsive service, and hospitals seek to arrive in the age of automation and eHealth. Companies such as Kabot International, SiS Services, Electronic Solutions Pakistan (ESOLPK), Netsol, and Micro Innovations are developing a range of healthcare IT products, such as, Hospital Information Management Systems (HIMs), Electronic Health Records (EHR), healthcare management systems, billing and patient management systems, compliance systems, laboratory management systems, and pharmaceutical systems, etc. These companies are joined, on the user-side, by a number of hospitals that have developed their own systems to add to this mix of frenzied development activity that has positioned Pakistan to aim for a share of one of the most exciting, albeit well kept, opportunities of modern times.
Healthcare: A trillion dollar global opportunity
Healthcare, globally, is more than a trillion dollar market. Analysis by OECD – the body representing the world’s 22 most developed countries – estimated that the United States spent $7,538 per person on health in 2008, well over double the $3,000 average of all OECD countries.2 The United States leads the countries in terms of proportion of output dedicated to healthcare – at 16% of GDP – followed by France, Switzerland, Austria, Germany, Canada, and Belgium (all above 10%) with the OECD average being 9.0% of GDP. This expenditure has since exploded, leading to persistent calls, in the United States, for instance, for fundamental healthcare reform, and an increasing pressure on US healthcare providers to stream-line processes, introduce automation and technology, practice evidence-based medicine, and introduce market-based reforms. In the United Kingdom, the National Health Service (NHS) is under tremendous pressure to cut costs and increase e�ciency.
Technology is the leading driver of healthcare spending
While technology is a major driver of spending in the healthcare industry, primarily as a means for improving e�ectiveness, automation through the use of Information Technology (IT) is increasingly seen as a means to cut costs. There are a number of components of healthcare IT. Figure 2 divides healthcare spending into four di�erent categories.
Clinical IT includes specialist clinical workstations, monitor-ing equipment, and decision-support systems, etc. Enterprise IT includes clinical data systems, and Electronic Medical Records (EMR) etc. Infrastructure IT includes hardware, operating systems, network systems, and data centres, etc. Consulting includes business process re-engineering, change management, and transformation, etc. As one goes away from the centre, the potential addressable market-size becomes larger, and the domain expertise needed to approach the market becomes less specialised. A bigger market, however, may not automatically translate into greater opportunities for outsourced product development or service delivery for specialist healthcare IT companies.
The future market growth in healthcare IT is expected to come from the tremendous demand for general applications, which includes electronic medical records, computerized physician order entry systems, and non-clinical systems. The fastest growing sub-segment is the EHRs where spending is particularly buoyed by the US market (EHR spending comprised 37% of global healthcare IT in 2008, and is destined to rise to 48% by 2015) as the US �nancial stimulus mandated by the American Recovery and Reinvestment Act (ARRA) 2009 is destined to drive IT spending through, among others, spending $20 billion for the adoption of electronic healthcare records.3
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Figure 1: Health expenditure as a share of GDP, 2008 (or latest year available) (Source: OECD)
AGA KHAN UNIVERSITY HOSPITAL P7INDUS HOSPITAL P7SHAUKAT KHANUM CANCER HOSPITAL P7
OTHERS:PAKISTAN SOFTWARE EXPORT BOARD P7NATIONAL ICT R&D FUND P7PAKISTAN SOFTWARE HOUSES ASSOCIATION P7COMSATS INST. OF INFO. TECHNOLOGY (CIIT) P6SEECS - NUST P6
Companies Pro�led In This Brochure
First, a number of Pakistanis or individuals of Pakistani descent living abroad have transferred their domain knowledge from more established markets abroad – such as the United States and United Kingdom – back home. Customer references have gradually begun to build as well. Second, a number of local health providers – large private hospitals, hospital franchises, and even public and charity hospitals – have gradually built healthcare management systems from scratch in order to meet their particular needs, leading to codi�cation and di�usion of domain knowledge across the industry. Each of these factors has been instru-mental in the development of the domestic capability and capacity to deliver globally-competitive products and services within a challenging domain. Table 1 summarises some of the leading players in Pakistan’s healthcare IT sector.
However, despite the recent advances in IT investment, overall IT spending within the healthcare sector remains considerably lower than other transaction-based industries. A 2005 Frost and Sullivan report estimated that healthcare IT spending in the US amounted to only 2.2% of the revenue as compared to 5.6% for business services, and 11.1% for �nancial services. The study also projected this number to grow over subsequent years.4
At about $88 billion5 a year, and growing faster (2.2%) than the market average (0.5%), healthcare represents the untapped “frontier” for IT adoption and investment that any company – and country – can ill-a�ord to ignore.
Pakistan’s healthcare IT industry
Pakistan’s IT companies have not overlooked the opportunity a�orded by greater IT penetration in the healthcare market. Although a bit slow to start with, primarily because of the low levels of healthcare IT spending at home, a couple of drivers have resulted in a gradual development of signi�cant and credible capability within the healthcare IT vertical.
NetSol Inc. Hospital information management systems (HIMS)
Folio3 Healthcare expert systems; patient data management
Aga Khan University Hospital Hospital information management systems (HIMS)
Indus Hospital Hospital information management systems (HIMS)
The Shams Group Electronic document management and electronic health record (HER) system; Clinical informatics systems; Clinical decision support systems; Physicians’ dashboards; Pharmacy management systems
Micro Innovations Hospital information management systems (HIMS)
Sofcom Quality management system for pharmaceutical industry; Human capital management systems
CARE eHealth Systems
Shaukat Khanum Cancer Hospital Hospital information management systems (HIMS)
Kabot International Electronic health records; Chemotherapy management system; Practice management systems; Pharmacy inspection, monitoring, and compliance system; Billing and reporting system; VA User access management system
iTack Solutions Hospital information management systems (HIMs) including patient records; Laboratory information management systems (LIMs); Clinic management systems
ikonami Human capital management; Learning management system (LMS); Performance and competence management system; 360 degree feedback; Venue and bed management system
SiS Services Hospital management system (HMS); Pharmacy management system
Electronic Solutions Hospital management information systems (HIMS); Doctors’ o�ce automation system; E�ciency measurement toolkits; Pharmacy automation Pakistan (ESOLPK) and eCommerce systems
Figure 3: Intensity of IT spending in US industries (Source: Frost and Sullivan)
Figure 2: Breakdown of the Global IT in Healthcare Opportunity (Source: Philips Healthcare)
Consulting
Infrastructure IT
Enterprise IT
Clinical IT
IT in Healthcare = Infrastructure IT + Healthcare IT
Consulting: Business Processing Re-Engineering (BPR), Institutional Transformation, Change Management, etc.
Enterprise IT: Clinical Data Repositary, CPOE, EMR and Departmental IT systems, etc.
Clinical IT: PACS, Workstations, Clinical Applications, Decision Support, Monitoring related IT products, Other Medical Systems, etc.
Infrastructure IT: IT Hardware, Operating Systems, Netwroks, O �ce Desktop, Outsourced infrastructure, etc.
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Financial Services(%) of revenue for IT
(%) US Spending on IT Healthcare & other Services
Table 1: Pakistan's Leading Healthcare IT Companies (Source: Technomics' Compilation)
Healthcare IT = Enterprise IT + Clinical IT
Bilal Hashmat serves on several US healthcare industry committees and was invited to give testimony to the US Government’s Certi�cation / Adoption Work Group of HIT Standards Committee at the O�ce of National Coordinator for Health IT.
CureMD is not the only US company to have leveraged Pakistan’s high-quality and low-cost talent for setting up its R&D operations. While CureMD was in�uenced to set up operations in Pakistan due to the a�liations of its Pakistani – American founder, The Shams Group (TSG) is unique in that its founders are not of Pakistani origin, and yet they found Pakistan to be a fertile ground for talent necessary to support their R&D. TSG provides EHR, Health Information Systems (HIS), electronic document management and archiving systems, and reporting and business intelligence systems for over 400 hospitals across North America, Central and South Asia. TSG has also won industry awards, such as the Top-100 Healthcare Informatics (HCI) award, and a Tech Titan Fast 50 award.
A niche market strategy in action
While CureMD has �ourished in the private provider-dominated US market based, partially, on the strength of its R&D operation in Lahore, ikonami has performed a similar feat in the United Kingdom in the vastly di�erent culture of the public sector-driven universal healthcare at the National Health Service (NHS).
ikonami Technologies was founded in 2005 as a captive R&D operation of Ikonami Ltd. UK, specialising in specialist human capital management software for the healthcare vertical. With its software servicing more than 1.2m people across 410 NHS Trusts, ikonami is a signi�cant niche player in the UK healthcare market, and the company behind successful Knowledge and Skills Framework (e-KSF) that is at the heart of the largest program ever undertaken at the NHS. Ikonami product platforms encompass the entire range of human capital management, compliance, and professional development sub-functions across an organisation as complex as the NHS: AT-Work™ is a competency and appraisal system that can be integrated with any payroll system, enabling appraisals to be linked with pay; AT-Learning™ is a web-based enterprise-level Learning Management System (LMS), that has taken the NHS’ learning management space by storm; AT-Feedback™ is a web-based tool that automates the entire 3600 feedback; AT-Venues™ is an event, venue and bed management system; and AT-Performance™ is a perfor-mance management tool designed to store and manage competence, behavioural and service objectives for the sta�. In addition to product development, ikonami Technologies also provides product deployment and support services to its parent company.
Capitalising on the US rush for Electronic Health Records
CureMD is an award-winning provider of web-based all-in-one healthcare solutions and accompanying services that empower care providers to improve the quality and value of healthcare while opitimizing e�ciency and pro�tability. In 2003, CureMD established a captive R&D facility in Lahore, Pakistan and embarked upon developing a suite of products for the US healthcare market that were designed and conceived by its domain experts, software architects, and designers in the US. In the initial days of the company’s devel-opment, Bilal Hashmat, CureMD’s CIO, and his team of usabil-ity researchers spent a lot of time between the US and Pakistan as they developed and re�ned the company’s award winning products. On the whole, about 30% or more of the product development work took place in Pakistan.
Over the years, CureMD has become one of the leading IT service providers to the US healthcare industry, with a number of its EMR/EHR modules winning awards and notable mentions, and ranked amongst industry leaders. Black Book Rankings by industry market research �rm Brown – Wilson ranked CureMD as one of the top-4 EMR vendors in the US based on physician satisfaction6. The results were based on a four-month-long survey comprising 30,000 healthcare professionals, physician practice administrators, and hospital leaders in the healthcare IT arena.
CureMD was also one of only 28 vendors across the US certi�ed by the Centre for Medicare and Medicaid Services (CMS) in 2011 for its EHR solution, allowing it to tap into the multi-billion dollar federal healthcare market.7
More recently, CureMD also launched a Discreet Reportable Transcription (DRT), enabled EMR solution that allows physicians to call a toll-free number and dictate their �ndings and clinical assessments in their own words, thus saving precious time and costs within the healthcare system.8
CureMD has won a number of di�erent innovation awards, including the Asia Paci�c Information Technology Alliance’s APICTA Award for e-Health applications and MedTech Journal’s Innovation Award. CureMD has sought to play an increasingly active part in health policy debates around adoption of IT in the US, thus shaping, rather than merely reacting to, changes in the healthcare IT market place.
04(Photo Credits: Siemens)
”CureMD consistently ranked among the top-10 highest-ranked EMR �rms, including single and multi-physician internal medicine environments…” – Doug Brown, Managing Director, Brown – Wilson
work�ow for Vista-associated HR functions, and “PharmaKomply” enables VA facilities to manage their Joint Commission conformance requirements for medication management. Kabot’s approach to product development has been clever, albeit with its own challenges. “The VA brand does sell and establishes a comfort level for our clients”, says Dr. Arif Toor, CEO of Kabot International. With a basic track record established after more than 25 deployments within the US, Kabot has recently adopted the reseller model in anticipation of rapid growth in the years to come.
iTack Solutions has developed a complete range of products to meet the needs of information management and integration across the healthcare value chain. For example, i-Care is a web-based suite of products encompassing an end-to-end hospital management information system cover-ing all departmental needs. iClinic is specially designed for the clinics and iLabs for laboratories and diagnostic centres. “The ultimate objective for iTack’s product suite,” says Fahad Mohiyuddin, the CEO of iTack Solutions, “is to create the tools necessary for a ‘paperless’ hospital.”
From a market standpoint, iTack is seeking to go against the tide of creating products for the developed world. iTack seeks to bring the developed world's healthcare standards and automation to the emerging markets and developing countries in the Middle East and Asia. The company has recently made inroads into the Pakistani market and a couple of deployments in the Middle East are also on the way.
Other companies with a variety of healthcare IT products and services include Solultions in Software Services (SiS Services with a hospital management system and a pharmacy management software product and Electronic Solutions Pakistan (ESOLPK) primarily works on a service model, and has delivered a range of web and Windows-based healthcare automation tools such as my MDCentral – an all-in-one doctors’ o�ce Automation tool – and Dr-SIR – a research-based expert system for e�ciency improvement in hospitals, in addition to a number of bespoke portals, e-learning platforms, and e-commerce systems, among others.
ikonami Ltd was recently, acquired by Electric Word plc (AIM: ELE), the specialist information publisher with complemen-tary interests in the healthcare vertical. ikonami will be rebranded as Radcli�e Solutions – alongside Electric Word other recent acquisition, Radcli�e Publishing, which primarily focuses on professional development books, journals and training in primary healthcare.9 Kubair A. Shirazee, the CEO of ikonami Technologies and one of the Directors of ikonami Ltd., sees this acquisition as a crucial in�exion point for the company, allowing it to use its successful track-record of product development within the healthcare vertical and diversify its o�erings. “It is a mark of acknowledgement of the considerable success that ikonami has had with developing a successful range of products for the healthcare vertical that an international player has acquired our entire product portfolio, with a view to using its much greater marketing muscle to take it to the next level. This frees up ikonami to pursue other exciting opportunities, while bene�ting from the pro�ts of its existing product-line,” says Kubair Shirazee. ikonami Technologies – the Pakistani operation – will continue to provide product development and support to the new entity, while venturing into new areas.
Health and hospital information management systems
Health information management systems form the core of the healthcare IT and automation movement. A number of healthcare IT companies have particularly targeted this opportunity.
Kabot International (also Kabot Systems) is a key player in this market. It began developing its product suite in 2005 by leveraging the release of US Veteran A�airs’ legacy software – Vista ® –under the Freedom of Information Act (FOIA). Vista – operated by 180,000 healthcare professionals across 170 VA hospitals – is considered as a Gold Standard by the US Government. Kabot’s biggest achievement was to adapt this platform for commercial use, especially for Ambulatory Clinics and Physician O�ces. Rebranded as Vista++, the EMR product also contains several key modules such as Practice Manager, Chemotherapy Manager, Pathology, and Billing. Kabot is one of the �rst 50 companies to get this product certi�ed for the O�ce of National Coordinator of Health IT (ONC) “meaningful use” certi�cation 2011/2012, necessary to take advantage of CMS incentives for HIT adoption.
Building upon its expertise to re-engineer the VA platform, Kabot has launched a number of new products. “SenVis Studio” enables the user to easily navigate Vista’s complex technical architecture. “Mynapin” automates
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"Ikonami has an excellent reputation for its software within the NHS, a strong market position, and an outstanding opportunity to grow in a fast-changing environment, in which e�ective people management, training and compliance will be increasingly important within the new health service structures…this acquisition gives us an excellent platform for future organic growth in the healthcare sector, and allows us to extend the Radcli�e brand so soon after we acquired it.” – Julian Turner, CEO, Electric Word plc.
Folio3 recently launched the Smart Path Platform for Diagnosis One, a US client. Smart Path consists of an expert system designed to enable doctors to make better diagnoses – as well as a public health surveillance system funded by the centre for Diseases Control (CDC) in the US. The latter was deployed in Pakistan, and can be deployed for use by other public health agencies.
Folio3 has also developed mobile applications for customers such as Myomo, a MIT spino� that produces robotic devices that help stroke patients recover limb usage. Folio3's smartphone app acts as a remote control for the robotic arm, and gathers patient progress data that can be reviewed by therapists on the other side of the world. e-Health is certainly a growing area where Pakistan is seeking to develop capacity. The COMSATS Institute of Information Technology (CIIT) is seeking to become a leader in bioinformatics. An inter-departmental health informatics research group has been set up to focus on telemedicine, e-Health, and mobile health technology, among others. The School of Electrical Engineering and Computer Sciences (SEECS) at the National University of Sciences and Technology (NUST) has also
New emerging niche markets
Companies have also gone further down the value-chain within the pharmaceutical and diagnostics industry. Sofcom, for example, has developed a process information management system and laboratory management system for the pharmaceutical industry. Spectrum is a web-based FDA 21 CFR Part 11-compliant total quality management tool designed to ensure consistent product and process quality, resource optimization, and compliance to cGMP. According to the FDA, Process Analytical Technology (PAT) o�ers considerable cost-savings, and has been hailed by theindustry as the most radical change in pharmaceutical manufacturing over the last 30 years. Sofcom’s clients include GlaxoSmithKline (GSK), P�zer, Merck, Bristol-Myers Squibb, Parke Davis, and BASF, among others.
Folio3 is a fast growing software services outsourcing company in Pakistan that was part of the All-World Fast Growth Pakistan-25 2010 List. Folio3 specialises in mobile, entertainment, and social media platforms, among others. It has also developed capability within the e-Health space.
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Figure 4: A Taxonomy of Healthcare IT system functions
Phillips Medical Systems
Pharmacy Medication Safety
MedicationOrder Entry
OutpatientPrescriptions eMAR
DosingManagement
FormularyManagement
Substitution/Cost
Management
Barcoding DrugInteractions
Access toDrug
Database
RobotInterface
PharmacyRobot
AutomatedDispensing
Physician Clinical Practice
PhysicianOrderEntry
ResultsReview
OrderSets
AmbulatoryPractice
Management
ProviderDocumentation
Rounding/Work�ow
Tools
PatientHistory/
Problem Lists
PatientLocator/
Patient Lists
Pathways Protocols
Clinical Documentation
PatientAssessment
I & OVital Sings Flowsheets
Kardex Task Lists Care Plans
PatientEducation
Non-MDOrders
Non-MDEvidence BasedDocumentation
Critical CareSpecialty
Documentation
Interfaces toMonitors
Department/Support Services
Lab Radiology Cardiology
Pathology EmergencyDepartment Surgery
Blood BankOther
DepartmentalSystems
MedicalImaging
Enterprise Patient Access
Admission/Registration
EnterpriseScheduling
EligibilityVeri�cation
Request forAuthorization
ConsumerPortal
TechnicalDenial
Management
Health Information Management
Coding Abstracting CodingSupport
ChartTracking/
Management
ChartCompletion
ElectronicSignature
Release ofInformation
Printing theEMR
Transcription/Dictation
MRNManagement
and Merge
Work�owTools
Care Management
AuthorizationInitial &
ConcurrentReview
DischargePlanning
ClinicalDenial
Management
PayerCommunication
and Notes
InterQualSupport for
LOC
Pathways(LOS)
Post AcutePlacement
DiseaseManagement
Clinical Decision Support
Data Warehouse
SeverityAdjustment
ReportWriter
ComparativeDatabase
Access
OutsomesMeasurement
ResourceUtilization
ProviderPro�ling Credentialing
(Source: Cap Gemini / Philips Healthcare, 2004)
Core Information Management
User Interface/Portal
Data Aggregation and Reporting Tools
EnterpriseMaster Person
Index (MPI)
ClinicalData
Repository
ResearchRepository
CommonMedical
Vocabularies
StandardCDM/
Master FileOrder
Management
DecisionSupport
Repository
SecurityTools
DocumentImaging
Single
DocumentImaging
Batch
IntegrationTools
ResponseTime
PDASupport
RulesEngine
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Shaukat Khanum Memorial Trust (SKMT) Hospital and Research Centre in Lahore, and a number of government, military (CMH), and semi-private hospitals such as Fauji Foundation Hospitals have jumped onto the automation bandwagon.
As these hospitals have moved towards creating automated – even paperless – environments, they have also sought to develop and market these capabilities elsewhere. The Aga Khan Hospital’s IS department has signed a 20-year contract with a French children’s health institute in Kabul, Afghanistan, to deploy and maintain its system in their facility. It has also been able to leverage the Aga Khan Network’s global relationships to deploy their systems elsewhere. The SKMT has worked with several other hospitals in and around Lahore to develop or deploy its HIMS at these facilities. It has also recently entered into a joint venture with NetSol Technologies to productise and further develop their HIMS. Netsol’s HMIS has been deployed in 3 hospitals, namely, Social Security Hospitals, the National Institute of Heart Diseases (NIHD), and Maroof International. Indus Hospital is also engaged in licensing discussions with other charity hospitals. Another company–Micro Innovations–has worked with Civil Hospital and Capital Development Authority (CDA) Hospital to develop an open-source based hospital management system.
These conversations, and collaborations, point towards a healthy demand for automation within the healthcare sector in Pakistan, and the desire to leverage the experience gained within the in-house operations of these hospitals, and productise these for the commercial market. Pakistan Software Export Board (PSEB) and Pakistan Software Houses Association of the IT and ITES companies (P@SHA) are working with the industry to further this emerging capability within Pakistan’s IT industry. Together, these, and many more companies, are powering the global healthcare industry.
established critical competence within healthcare quality certi�cation. Through a project funded by the National ICT R&D Fund, SEECS implemented a Health Level 7 (HL7) based open source solution for e-Health applications, and has developed HL7 certi�cation capability.
The National ICT R&D Fund has also funded other capability development projects in the e-Health area, namely, a tele-surgical training robot and simulator, and a remote patient monitoring system. The results of these projects, although preliminary, point towards a growing interest and expertise in Pakistan.
Center for Advanced Research in Engineering (CARE) has developed a geographically distributed ECG machine that is capable of diagnosis and monitoring of remotely located patients of severe arrythmic abnormalities and other condi-tions. This infrastructure would enable patients in rural areas who would not have survived or would be misdiagnosedbecause of lack of availability of expert cardiologists to be seen and monitored in real-time. These machines have high resolution signal acquisition, real time data storage, and patient database management and can communicate with a Cardiac Control Centre at an urban hospital in real time over cellular mobile networks, dialup connections, or satellite connections, whichever is conveniently available. The project also aims to machine diagnose (without human involvement) arrhythmia and other life threatening heart disease. The project is funded through a grant by National ICT R&D Fund.
Building upon a wealth of domestic experience
While a number of Pakistani companies look towards the developed world for markets, there has been a fast-growing wealth of domestic experience with hospital management systems, as Pakistan’s healthcare system prepares itself for greater levels of automation and e�ciency.
A number of Pakistani hospitals – starting with Aga Khan University Hospital (AKUH) and Indus Hospital in Karachi,
HEALTHCARE IT STANDARD DESCRIPTION
HL7 • Messaging standards involved in order entries, scheduling appointments, tests, admittance/discharge and transfer of patients. • Vocabulary standards for demographic information, units of measurement immunizations and clinical encounters. • Clinical document architecture standards for text-based reports.
NCPDP Scripts National Council for Prescription Drug Program provides standards for ordering drugs from retail pharmacies. Proposed in February 2005 that NCPDP Scripts will be the adopted standard used by all medicare providers.IEEE 1073 The Institute of Electrical and Electronics Engineers 1073 provide standards for healthcare providers to plug medical devices into computer systems, and allow monitoring from ICU and tele-health services.
LOINC Laboratory Logical Observation Identi�er Name Codes utilised to standardise the electronic exchange of laboratory results.
DICOM Digital Imaging Communications in Medicine provides standards that enable both the retrieval and transfer of images and diagnostic information from medical devices and sta� work stations.
Federal Terminologies • FDA name and codes for ingredients, manufactured dosage forms, drug products. • National Library of Medicine’s RxNORM for describing clinical drugs. • VA National Drug File Reference Terminology for specified drug classification.
HUGN The Human Gene Nomenclature for exchanging information regarding the role of genes in biomedical research.
EPA Substance Abuse Registry System Environmental Protection Agency’s Substance Registry System for non-medicinal chemicals of importance to healthcare.
SNOMED-CT Systematized Nomenclature Medical Clinical Terms for laboratory results, non-laboratory interventions and procedures, anatomy, diagnosis and nursing.
HIPAA Transaction and code sets for electronic exchange of health related information for billing and administration.
Table-2: A Proliferation of Standards – Key Healthcare IT Standards in the US (Source: IntellectUK)
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PSEB is the apex body created by the Government of Pakistan (GOP) within the Ministry of IT and Telecom (MOITT) and charged with promoting Pakistan’s exports from IT and IT-enabled Services (ITeS) industry. PSEB hosts and supports foreign delegations to conferences and events, match-makes and networks Pakistani companies with foreign partners and clients, and supports international marketing and image-building activities.
To learn more about Pakistan’s IT industry, please visit the Industry Portal at http://www.IT.org.pk
Pakistan Software Houses Association (P@SHA)Suite 310, Business CentreBlock 6, PECHS Karachi, Pakistan
P@SHA is the representative association for Pakistan’s IT and IT-enabled services industry. It is a platform for promoting, protecting and developing the software industry in Pakistan. It provides a focal point of representation to a variety of outside agencies, seeks to �nd ways to tackle issues confronting member companies, and provide advocacy for the advancement of Pakistan’s IT industry.
To learn more about Pakistan’s IT industry, please visit P@SHA website at http://www.pasha.org.pk
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References:http://www.investegate.co.uk/article.aspx?id=201104150700089830Ehttp://www.oecd.org/document/11/0,3746,en_21571361_44315115_45549771_1_1_1_1,00.htmlhttp://www.businesswire.com/news/home/20091210005301/en/Research-Markets-Future-Healthcare-Market-2015-%E2%80%93Intellect UK, 2005, United States IT Healthcare Market Analysis, by Frost and Sullivan, Londonhttp://www.itjungle.com/tfh/tfh030209-story05.htmlCureMD, 2011, http://www.curemd.com/news2011March04.htmCureMD, 2011, http://www.curemd.com/news2011Jan.htmCureMD, 2011, http://www.curemd.com/news2008Oct19.htmhttp://www.investegate.co.uk/article.aspx?id=201104150700089830E
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Disclaimer: This document is prepared by Technomics International’s Brand Intellect™ Service for Pakistan Software Export Board (PSEB). It provides factual assessment and “best judgement” analysis of an emerging, dynamic, and fast-changing industry. It is not intended as a sole means of advice for making investment decisions, and neither PSEB nor its consultant assumes any responsibility for the same.
