TWG Human Health and Safety
development of DS v.2
The INSPIRE Conference
Edinburgh, 29 June 2011
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TWG HH: Arvid Lillethun (Norway), Georgios Giannopoulos (DG JRC), Julien Caudeville
(France), Roel Smolders (Belgium), Ute Dauert (Germany), Dorota Jarosinska (TWG
Facilitator), Luciano Massetti (TWG Editor), Julien Gaffuri (EC contact point)
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HH in the INSPIRE Directive
Geographical distribution of dominance of
pathologies (allergies, cancers, respiratory
diseases, etc.), information indicating the
effect on health (biomarkers, decline of
fertility, epidemics) or well-being of humans
(fatigue, stress, etc.) linked directly (air
pollution, chemicals, depletion of the ozone
layer, noise, etc.) or indirectly (food,
genetically modified organisms, etc.) to the
quality of the environment.
TWG HH INSPIRE progress
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Geographical distribution of … pathologies
• The theme HH addresses mainly various aspects of health conditions
of individuals and populations; in this sense it shares many features
with the theme PD
• Primarily statistical data, thus no specific spatial objects have
been defined
• For most applications data are reported re-using spatial objects
identified by TWG Statistical Units (SU)
• An externally managed code list – the International Statistical
Classification of Diseases and Related Health Problems (ICD-10)
•
the standard to report and categorize diseases, health-related conditions and
external causes of disease and injury, used to compile health information
(mortality and morbidity) on deaths, illness and injury
• Biomarkers - chemicals or metabolites measured in human body in
members of a population
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TWG HH INSPIRE progress
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… linked directly…or indirectly …to the quality
of the environment
• Environmental data as health determinant
• Processed (modelling) into exposure estimates, risk or (where
feasible) health impacts estimates
• Primary (raw) or aggregated (including some modelling) data
can be used:
– When using primary environmental data, data aggregation
becomes a part of analytical process, up to a user
– With aggregated data, the process of data aggregation needs to
be checked for the feasibility of linking with the aggregated
health data
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Sources of relevant environmental
information
Thematic legislation:
• Ambient air quality (Directive 2008/50/EC of the European Parliament and
of the Council of 21 May 2008);
• Noise data (Directive 2002/49/EC of the European Parliament and of the
Council of 25 June 2002)
• Water quality (drinking water, bathing water, surface water, groundwater)
(Council Directive 98/83/EC of 3 November 1998; Directive 2000/60/EC
of the European Parliament and of the Council; Directive 2008/105/EC of
the European Parliament and of the Council of 16 December 2008)
Voluntary reporting - limited and more heterogeneous data:
•
•
•
•
Indoor air quality;
Pollen data;
Radiation (ultraviolet, electromagnetic, radon);
Genetically modified organisms
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Environmental data in HH theme –
modelling approach
A general model for environmental data, relevant as health
determinant (envhealth)
No new spatial features were provided
For aggregated data Statistical Units (SU) is reused
For primary or observed data, reuse of Environmental Monitoring
Facilities has been proposed; however, alternatively O&M standard
could be re-used for thematic environmental data
TWG HH INSPIRE progress
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Safety aspects
• Safety indicated in the title of the theme in the INSPIRE
Directive
• Not explicitly reflected in the data model
• Conditions that might be of relevance for (human) safety,
such as those related to natural and/or technological
hazards link to other themes:
–
–
–
–
–
Production and industrial facilities
Agricultural and aquaculture facilities
Natural risk zones
Atmospheric conditions/Meteorological geographical features
…
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Health care/services
• Some statistical data are available: Eurostat provides data on
regional (NUTS2) levels, for example on the hospital profile,
hospital beds, hospital discharges, diagnosis, cancer screening, as
well as data on health care workforce
• TWG US data model can be used - the feature “Governmental
Service” that is classified in type of services (‘serviceType’
attribute)
• ServiceType must be set to values among those provided for
Health care/health services (e.g. health) and ‘occupancyType’ and
‘resourceType’ can be used to store information describing the
service (e.g. number of beds, number of physicians)
TWG HH
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Health Statistical Data – Core Model
class HealthStatisticalDataCore
«featureType»
Core::StatisticalUnit
+StatisticalUnit
1
0..*
«featureType»
HealthStatisticalData
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Health Statistical Data – Full Model
class HealthStatisticalDataFull
«featureType»
GeneralHealthStatistics
«featureType»
HealthStatisticalDataCore::
HealthStatisticalData
+
+
+
generalHealthName: GeneralHealthTypeValue
generalHealthValue: Real
referencePeriod: ReferencePeriodType
«voidable»
+ ageRange: AgeRangeType
+ gender: GenderTypeValue
«featureType»
Disease
+
+
+
diseaseMeasure: DiseaseMeasureType
diseaseName: DiseaseTypeValue
referencePeriod: ReferencePeriodType
«voidable»
+ ageRange: AgeRangeType
+ gender: GenderTypeValue
«featureType»
HealthServicesStatistic
«featureType»
Biomarker
+
+
+
biomarkerName: BiomarkerType
biomarkerStatisticalParameter: BiomarkerStatisticalParameterType
referencePeriod: ReferencePeriodType
+
+
+
healthServiceType: HealthServicesTypeValue
healthServiceValue: Real
referencePeriod: ReferencePeriodType
«voidable»
+ ageRange: AgeRangeType
+ gender: GenderTypeValue
+metadata
1..*
0..1
«dataType»
BiomarkerThematicMetadata
+
+
+
«dataType»
TWG HH INSPIRE progress
DiseaseMeasureType
«dataType»
BiomarkerType
studyType: CharacterString [0..1]
areaType: CharacterString [0..1]
specificSubPopulation: CharacterString [0..1]
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«dataType»
ReferencePeriodType
Environmental Health Determinant
class EnvHealthDeterminant
+supersede 0..*
genealogy
anyThematicLink
AbstractMonitoringFeature
«featureType»
EF_Model_V2.0::EnvironmentalMonitoringFacility
«featureType»
Core::StatisticalUnit
+
+StatisticalUnit
+supersedeBy 0..*
mediaMonitored: MediaValue [1..*]
«voidable»
+ representativePoint: GM_Point [0..1]
+ measurementRegime: MeasurementRegimeValue
+ mobile: MobileValue
+ resultAcquisitionSource: ResultAcquisitionSourceValue [0..1]
0..1
0..*
«featureType»
EnvHealthDeterminantStatistical
+
+
+
+
+
envHealthDeterminantType: EnvHealthDeterminantTypeValue
envHealthComponentType: EnvHealthComponentTypeValue [0..1]
envHealthIndicatorType: EnvHealthIndicatorTypeValue
value: Measure
referencePeriod: ReferencePeriodType
+EnvHealthdeterminantStatistical
0..1
0..*
«featureType»
EnvHealthDeterminantObservation
«codeList»
EnvHealthDeterminantTypeValue
+
+
+
+
+
ambientAir
indoorAir
water
noise
pollen
«codeList»
EnvHealthComponentTypeValue
TWG HH INSPIRE progress
«codeList»
EnvHealthIndicatorTypeValue
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Link to other Themes
• No specific HH spatial objects defined
• Thematic data reference to spatial objects
defined in other Data Specifications
• SU (Statistical Unit TWG):Statistical Unit (grid
cells and vector), examples on how to
implement it provided in Annex C.1, C.2 and D.
• EF (Environmental Monitoring Facilities):
Environmental monitoring facility (chapter
5.2.1.1. EF data specification)
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Recommendations
Data on health care and health services must be
represented using the featuretype Governmental
Service defined in TWG-US data specification (chapter
5.2)
Interpolated env health determinant data should be
represented as coverages as specified in the Generic
Conceptual Model
Env health determinant primary data might be also
represented, referring to GCM recommendation,
directly using O&M standard
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Thank you for the attention
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