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conferenceseries
.com
Volume 8, Issue 4 (Suppl)
J Health Med Inform, an open access journal
ISSN: 2157-7420
Medical Informatics 2017
August 31- 01 September, 2017
August 31- 01 September, 2017 | Prague, Czech Republic
5
th
International Conference on
Medical Informatics & Telemedicine
J Health Med Informat 2017, 8:4 (Suppl)
DOI: 10.4172/2157-7420-C1-019
OPEN SOURCE SOFTWARE REUSE IN THE PUBLIC ADMINISTRATION: REGULATIONS
ANDAPPLICATION IN THE ITALIAN HEALTH CARE SETTING
Elena Cardillo
a
and
Elisa Sorrentino
a
a
National Research Council, Italy
S
preading of technological and organizational solutions that allow cost reductions and faster and safer document flow
management, helps in making a Public Administration (P.A.) more effective and efficient. In this direction, the choice of an
Open Source (OS) approach, based on the use of free software is common and consistent. In fact, only through the availability
of source code, it is possible to understand the structure of the program and the logic behind its implementation, and therefore
only in this way it is possible to modify in order to achieve real interoperability with other programs used within a P.A.
Furthermore, the reuse of OS Software in the P.A. guarantees a greater cost containment and transparency, and independence
of the P.A. from a single vendor. In the Italian context, this perspective has been encouraged by a series of regulations and,
in particular, by the modifications to art. 68 of the Legislative Decree 82/2005 - “Digital Administration Code” (CAD), all
aimed at giving a preferential road to the use of free software. Despite an initial enthusiasm in the application of this law, with
the Legislative Decree n. 179/2016, a turnaround has taken place. Given this context, in the present work, we will analyse
the benefits of a widespread strategy that encourages the use of OS software for P.A. in the field of digital healthcare and, in
particular, in the context of the Italian federated Electronic Health Record systems (FSE), whose functioning is directly linked
to the level of interoperability and the degree of security of the sensitive data processed among the different Regional systems.
Finally, we will highlight what consequences this legislative transformation may have on P.A. and what the discrepancies
with respect to the international address which privileges OS software could be, as verifiable also by the EU Open Source
Observatory.