Dipak Kalra

Dipak Kalra in 2013

Professor Dipak Kalra is Clinical Professor of Health Informatics at University College London, UK. He teaches on the subject of Electronic Health Records (EHRs) and Health care quality on the UCL Masters Programme in Health Informatics, and supervises PhD students.

Education

Dipak Kalra studied medicine at Guy’s Hospital in London, and specialized in General Practice. He is a Fellow of the Royal College of General Practitioners. He worked as a London GP for a decade before specializing in Health Informatics. He obtained a PhD in Health Informatics in 2003 and is a Fellow of the British Computer Society.

Career

Dipak Kalra plays a leading international role in research and development of Electronic Health Record architectures and systems, including the requirements and models needed to ensure the robust long-term preservation of clinical meaning and protection of privacy. He leads the development of CEN (European Committee for Standardization) and ISO (International Organization for Standardization) standards on EHR interoperability, personal health records, EHR requirements, and has contributed to several EHR security and confidentiality standards.

He leads the Managing Entity (EuroRec) for a €16m Innovative Medicines Initiative on the re-use of electronic health record information for clinical research, EHR4CR, alongside ten global pharmaceutical companies. EuroRec is also a partner in another IMI project, EMIF, on the development of a European clinical research platform federating multiple population health and cohort studies. Dipak also leads an EU Network of Excellence on semantic interoperability, and is a partner in other EU projects on the sustainability of interoperability assets and the transatlantic sharing patient summaries. Dipak is a Director of the openEHR Foundation, and a member of multiple standards bodies including BSI Group, CEN, ISO and HL7-UK (International HL7 Implementations).

Dipak is President of the European Institute for Health Records (EuroRec), which is the Managing Entity for the EHR4CR project as well as coordinating or a partner in many other EC projects on electronic health record quality and systems accreditation, interoperability and the uses of health data for research. EuroRec leads a network of national ProRec Centres which promote good quality EHR system adoption across Europe.

He plays a leading international role in research and development of electronic health record architectures and systems, including the requirements and models needed to ensure the robust long-term preservation of clinical meaning and protection of privacy. This includes coordinating a European Network of Excellence on Semantic Interoperability. He leads the development of major CEN and ISO standards on EHR interoperability (EN ISO 13606), and also standards on personal health records, EHR requirements and EHR security and confidentiality.

Dipak is a founding Director of the openEHR Foundation, a not-for-profit company which exists to promote and publish, via the Web, the formal specification of requirements for electronic health record information, supporting development of open specifications for health information systems.

Dipak’s innovations in EHR architectures have been spun out into a company: Helicon Health, providing cardiovascular chronic disease management services across London.

Positions held

• President, the EuroRec Institute
• President, the European Institute for Innovation through Health Data
• Professor of Health Informatics, Centre for Health Informatics and Multi-professional Education (CHIME), University College London, UK
• Visiting Professor, University of Gent, Belgium
• Honorary Senior Academic General Practitioner, The Whittington Hospital NHS Trust, London
• Director, the openEHR Foundation
• Consultant and advisor on semantic interoperability, to the European Commission, English National Health Service, Ministry of Health in Singapore and Ministry of Health in the Kingdom of Saudi Arabia.

Research projects

• EMIF – 2013-2018 €56m

This project, sponsored through the Innovative Medicines Initiative, comprises almost 50 academic partners and a dozen Pharma partners, developing a generic platform to provide harmonised views across multiple population health (cohort) data sets across Europe and geographically proximal EHR systems. The two initial clinical research areas are dementia and metabolic disorders. Dipak leads workpackages on semantic interoperability and ethics, and is a member of the business modeling task force.

• Electronic Health Records for Clinical Research (EHR4CR) – 2011-2016 €16m

This public-private research project, involving 35 partners from academia and 10 Pharma companies. EHR4CR is developing a platform to support remote querying of hospital electronic health records in order to enable more efficient feasibility assessment, recruitment and conduct of clinical trials. Dipak leads the Managing Entity and co-leads two work packages on requirements and on sustainable business models. The project is now spinning out a commercial platform for European scale-up to be run by Custodix, and a not-for-profit institute that Dipak will lead: the European Institute for Innovation through Health Data.

• VALUeHEALTH – 2015-2017 €1m

VALUeHEALTH is establishing how eHealth interoperability can create, deliver, and capture value for all stakeholders. It will develop an evidence-based business plan for self-funding priority pan-European eHealth Services beyond 2020. It will examine the maturity of existing standards and infrastructures, propose organisational changes and incentives, and perform state-of-the-art Cost Benefit Assessments, and from this produce a definitive Business Plan and Strategy for taking forward public-private investment in digital eHealth services. Dipak is the co-ordinator of VALUeHEALTH.

• eStandards – 2015-2017 €1m

eStandards brings together the leading Standard Developing Organizations in Europe, supported by the eHealth Network and EuroRec. It will develop an evidence-based roadmap for eHealth standards alignment that is endorsed by SDOs, the eHealth Network, and key stakeholders. It will contribute to the European eHealth Interoperability Framework, focusing on clinical content modelling for different paradigms and embedding a quality management system for interoperability testing and certification of eHealth systems. Dipak leads tasks on multi-stakeholder engagement and the development of good practice in clinical information modelling.

• ASSESS-CT – 2015-2016 €1m

ASSESS CT will contribute to better semantic interoperability of eHealth services in Europe, in order to optimise care and to minimise harm in delivery of care. The ASSESS CT project, integrating a broad range of stakeholders, will investigate the fitness of the international clinical terminology SNOMED CT as a potential standard for EU-wide eHealth deployments. It will investigate Member State reasons for adoption/non adoption of SNOMED CT, lessons learned, success factors and the impact of SNOMED CT adoption from a socio-economic viewpoint. Dipak leads the workpackage to define policy guidance and make the final recommendations of the project.

• SemanticHealthNet – 2012-2015 €3m

Semantic interoperability of EHR systems is a vital prerequisite for enabling patient-centred care and advanced clinical and biomedical research. SemanticHealthNet will develop a scalable and sustainable pan-European organisational and governance process to achieve this objective across healthcare systems and institutions. The consortium comprises 17 Partners and more than 40 internationally recognised experts, including from USA and Canada, ensuring a global impact. Dipak is the project lead.

• Trillium Bridge – 2013-2015 €270k

This project will design a development and adoption roadmap for sharing patient summaries between the US and the EU, with partners from both sides of the Atlantic. Trillium Bridge supports the Transatlantic eHealth/health IT Cooperation Memorandum of Understanding and Roadmap and the Digital Agenda for Europe in achieving a triple win for eHealth by establishing the foundations of an interoperability bridge to meaningfully exchange patient summaries and electronic health records among the EU and US.

• EXPAND – 2014-2015 €1m

EXPAND - Expanding Health Data Interoperability Services – is a Thematic Network (TN) EC project to progress towards an environment of sustainable cross border eHealth services established at EU level by the Connecting Europe Facility (CEF) and at national level through the deployment of suitable national infrastructures and services.

References

1. Daniel C, Sinaci A, Ouagne D, Sadou E, Declerck G, Kalra D, Charlet J, Forsberg K, Bain L, Mead C, et al., Standard-based EHR-enabled applications for clinical research and patient safety: CDISC - IHE QRPH - EHR4CR & SALUS collaboration, AMIA Joint Summits on Translational Science proceedings AMIA Summit on Translational Science, 2014, p. 19-25
2. Moreno-Conde A, Moner D, Cruz WD, Santos MR, Maldonado JA, Robles M, Kalra D, Clinical information modeling processes for semantic interoperability of electronic health records: systematic review and inductive analysis, JAMIA, Mar 2015
3. Martínez-Costa C, Cornet R, Karlsson D, Schulz S, Kalra D, Semantic enrichment of clinical models towards semantic interoperability. The heart failure summary use case, JAMIA, 2015, p.1–12, [1]
4. De Moor G, Sundgren M, Kalra D, Schmidt A, Dugas M, Claerhout B, Karakoyun T, Ohmann C, Lastic PY, Ammour N, et al., Using electronic health records for clinical research: The case of the EHR4CR project, J Biomed Inform, Feb 2015, vol.53 p. 162-173
5. Elliot MJ, Kalra D, Singleton P and Smith D, Practical Privacy Controls when Re-using Medical Data for Research, Journal of Healthcare Information Management, 2014, vol.28(4), p.50-57
6. Kalra D, Artmann J, Stroetmann V, Boye N, The eHealth Contribution to Person-Centred Care, In Rosenmoller M, Whitehouse D, Wilson P. Managing EHealth: From Vision to Reality, Palgrave Macmillan, UK, ISBN 978-1-137-37942-9.
7. Morrison Z, Fernando B, Kalra D, Cresswell K, Robertson A, Sheikh A, The collection and utilisation of patient ethnicity data in general practices and hospitals in the United Kingdom: a qualitative case study, 2014, Inform Prim Care, 21(3), p.118-131, [2]
8. Martínez-Costa C, Kalra D, Schulz S., Improving EHR Semantic Interoperability: Future Vision and Challenges, Stud Health Technol Inform, 2014, 205, p.589-593. Retrieved from [3]
9. Chronaki C, Estelrich A, Cangioli G, Melgara M, Kalra D, Gonzaga Z,Kay S, Interoperability Standards enabling cross-border Patient Summary Exchange, Stud Health Technol Inform, 2014, 205, p.256-260. Retrieved from [4]

Sources

• The EuroRec Institute
• CHIME - Centre for Health Informatics and Multi-professional Education
• EMIF EC-Project
• EHR4CR EC-Project
• ASSESS CT EC-Project
• SemanticHealthNet EC-Project
• Trillium Bridge EC-Project
• Expand EC-Project
• VALUeHEALTH EC-project
• eStandards EC-Project