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EU eHealth interoperability, standardization and deployment strategy

EU eHealth interoperability, standardization and deployment strategy. Benoit Abeloos, Standardization and Interoperability DG CNECT, Health and Wellbeing Unit Workshop on Sensor Communications & Technologies, BAN, e-Health Services and Standardization 4 April 2014. Policy drivers.

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EU eHealth interoperability, standardization and deployment strategy

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  1. EU eHealth interoperability, standardization and deployment strategy Benoit Abeloos, Standardization and Interoperability DG CNECT, Health and Wellbeing Unit Workshop on Sensor Communications & Technologies, BAN, e-Health Services and Standardization 4 April 2014

  2. Policy drivers • Directive on the application of patients’ rights in cross-border healthcare • Regulation on European Standardization • Digital Agenda for Europe: • Action 75: Give Europeans secure online access to their medical health data and achieve widespread telemedicine deployment • Action 76: Propose a recommendation to define a minimum common set of patient data • Action 77: Foster EU-wide standards, interoperability testing and certification of eHealth • eHealth Action Plan • Achieving wider interoperability of eHealth Services • Facilitating uptake and ensuring wider deployment of eHealth • European Innovation Partnership in Active and Healthy Ageing • Medical Devices Directive, being revised

  3. Towards a single digital market in 2020 Source: Digital Agenda for Europe (http://ec.europa.eu/information_society/digital-agenda/ )

  4. eHealth Governance • The eHealth Network: • Article 14 of Directive on the application of patients’ rights in cross-border healthcare • Voluntary network of national authorities in charge of eHealth to • Cooperate on sustainable economic and social benefits of European eHealth systems (interoperability, trust and security, quality & continuity of care, patient safety) • Draw up guidelines on Patient Summary (adopted Nov 2014) and ePrescription • Develop eID and authentication measures • eHealth Governance initiative • Prepares the work for the eHealth Network • Experts, multi stakeholders, focused on MS • eHealth Stakeholders' Group • SDOs, patients, health care providers, SMEs, industry,…

  5. What? European Innovation Partnership on Active & Healthy Ageing The first attempt to bring together interested parties from public and private sectors to deliver innovative solutions for an ageing society

  6. EIP-AHA: Public Consultation Standards uptake is key...

  7. Standardization regulation and MSP • Establishes the ICT standards multi-stakeholders platform composed of • Member states – min in charge of standards • ESO – CEN, CENELEC, ETSI • International SDOs: ISO, IEC, ITU • De facto SDOs: OASIS, IEEE, IETF, W3C, GS1, ECMA, OMG… • Consortia: Digital Europe, OpenForumEurope,… • Advises on identification of ICT technical specifications • Based on criteria in annex II of the regulation: • Openness, Transparency, Consensus, • Maintenance, availability, IPR, relevance, neutrality and stability, quality

  8. Achieving wider interoperability of eHealth services Interoperability Levels Legal Interoperability Organisational Interoperability Governance Principles Interoperability Agreements Semantic Interoperability Technical Interoperability The eHealth Interoperability Framework was defined in a study (http://ec.europa.eu/digital-agenda/en/news/ehealth-interoperability-framework-study-0)

  9. Instruments • Standardization Mandates with EU SDOs • H2020 Work Program–eHealth Interoperability-PHC34 • Connecting Europe Facility • Large scale deployment of interoperable cross border services • eHealth in 2015 • Identification of technical specifications • eHEIF study • Submission of IHE specifications – ongoing

  10. International base standards and profile development eHealth European Interoperability Framework: EU Recognised profiles Profile 1 Profile 2 Profile 4 Vision of eHealth EIF B-Use Case A Profile 1 Profile 1 Profile 3 Profile 4 B-Use Case B Base Standard 1 Base Standard 2 Profile 2 EU Cross-Border eHealth Interoperability Project (Extensions) B-Use Case A1 Profile 1 Profile 2 Profile 4 Specific Profile Base Standard 3 B-Use Case A1 Profile 1 Profile 2 Profile 4 Profile 3 Base Standard 4 National/Regional eHealth Interoperability Project Base Standard 5 (Extensions) B-Use Case A2 Profile 1 Profile 2 Profile 4 Specific Profile B-Use Case A1 Profile 1 Profile 2 Profile 4 Profile 4 Local (e.g. Hospital) eHealth Interoperability Project (Extensions) B-Use Case B1 Profile 1 Profile 2 Profile 4 Specific Profile B-Use Case A1 Profile 1 Profile 2 Profile 4 (Note: B-Use Case = Business Use Case)

  11. LIS RIS LIS RIS The 10 initial use cases Cross-border Level Medical care provision National / Regional Level UC 1 - Pharmacy Citizens at home & on the move Inpatient medical care provision Medical care provision UC 8 UC 2a/ 2b - Primary care physician - PC-based Care Mgt. - Pharmacy - Hospital IIIa UC 9 UC 5a - Primary care physician - Medical Specialist UC 6 UC 7 - Mobile-based Care Mgt. UC 5b - Hospital I UC 10 - Medical Specialist - Hospital IIIb - Sensor-based Care Mgt. - Rehabilitation - Hospital II UC 3 + UC 4 (2 hospitallocationsaffiliatedto same hospitalmgt. organization) - Rehabilitation

  12. The EIF is a process eHealth EIF project Update of eHealth EIF Review byeHealthGovernanceInitiative Acerta’s Data Governance Framework Receiving feedback Review & decisionbyeHealth Network New insights

  13. Ongoing initiatives • epSOS • Large scale pilot – 13 nations piloting • Ends in June 2014 • Interoperability Framework based on international standards and IHE profiles • Extensions for cross border exchange of health data (IHE) • Published open source components • EXPAND • eHealth Governance Initiative • eHR4CR – IMI – Conference on April 9 • SemanticHelathNet – NoE • Discussions with IHTSDO for the use of SNOMED

  14. The Antilope project • Refining the eHealth Interoperability Framework • Further defining the high level use cases • Adoption and take up of standards and profiles for eHealth Interoperability (DAE action 77) • Main target dissemination target: procurers and (consequently) vendors • Defining a quality assurance model for interoperability testing • Identifying and addressing gaps in testing tools • Defining an IOp Label and certification process • Validating scalability to EIP and adoption

  15. The EU-US roadmap and the Trillium Bridge project • A MoU (signed in Dec 2010 by EC VP N. Kroes and US Secretary of Health K. Sebelius) aims to foster a mutual understanding of the common challenges • The Trans-Atlantic Economic Council (TEC) of Nov. 2011 reinforced commitment to the MoU • Two issues identified of having immediate importance: • Development of international interoperability standards and specifications for eHR • Strategies for development of skilled health IT workforces • A commonly agreed roadmap was published on 20 June 2013 – it needs to be updated • eHealth Forum 2014, Athens, May 12-14: EU-US workshop • The Trillium Bridge (www.trilliumbridge.eu) project is supporting this effort • End result could be a standardization project

  16. Thank you! ec.europa.eu/digital-agenda/ehealth • Benoit Abeloos: benoit.abeloos@ec.europa.eu @EU_ehealth @EU_ehealthweek EU.ehealth Ehealthweek.eu

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