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E-health in Belgium

E-health in Belgium. 1. The legal contextSocial security lawHospital lawSeveral laws concerning the health sectorRegional responsibilitiesLiberalisation of the telecom sectorPrivacy legislationTelematics law (in preparation). E-health in Belgium. 1. The legal context: Social security lawLaw of June 29th 1981 (BS July 2nd 1981)

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E-health in Belgium

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    1. E-health in Belgium Contents: The legal context The social security system Cross-roads base for social security Federal government structures and projects Regional government structures and projects Education Industrial players Learned societies and associations References

    3. E-health in Belgium 1. The legal context: Social security law Law of June 29th 1981 (BS July 2nd 1981) “general social security principles for employees” (werknemers)

    4. E-health in Belgium 1. The legal context: Hospital law Law of August 7th 1987 on hospitals (B.S. 07.10.1987)

    5. E-health in Belgium 1. The legal context: Several laws concerning the health sector Law of April 29th 1996 replaced by law of December 10th 1997, modified by law September 7th 1998 KB (Royal Decree) May 3rd 1999 (B.S. 17-07-1999) on the “global medical record” (Algemeen medisch dossier)

    6. E-health in Belgium 1. The legal context: Regional responsibilities Decree of June 27th 1990 “Flemish Fund for Social Integration of Handicapped Persons

    7. E-health in Belgium 1. The legal context: Liberalisation of the telecom sector Law of March 21st 1991 Encryption free in Belgium BIPT

    8. E-health in Belgium 1. The legal context: Privacy legislation De Wet van 8 december 1992 tot bescherming van de persoonlijke levenssfeer ten opzichte van de verwerking van persoonsgegevens - verder de W.V.P. genoemd - regelt de bescherming tegen het ongeoorloofd opnemen, gebruiken en verspreiden van persoonsgegevens via databestanden. Ook auditieve en visuele registraties vallen onder de wet. The Privacy Commission Sectorial committees

    9. E-health in Belgium 1. The legal context: Telematics law (in preparation)

    10. E-health in Belgium 2. The social security system 3levels:

    11. E-health in Belgium 3. The cross-roads bank for social security (Kruispuntbank van de Sociale Zekerheid) Meta-database: (who, what, where, accessible by whom) Social security ID Social security card (SIS-card) Triggers Linked with Isabel (inancial) network

    12. E-health in Belgium 3. The cross-roads bank for social security links more than 2000 concerned entities, +-300 million messages per year

    13. E-health in Belgium 4. Federal government structures and projects Federal Ministry of Health, Federale Overheids Dienst (FOD) Volksgezondheid, veiligheid van de voedselketen en leefmilieu Superior Health Council (Hoge Raad voor Geneeskunde) Telematics commission Be-Health Yearly symposia: elematics@health.be (usually begin of December)

    14. E-health in Belgium 4. Federal government structures and projects Telematics commission + working groups Data Structure -> KMEHR Nursing Labelling Hospital communication Legal aspects Security Thesaurus Initiating and following-upon projects Advisory reports

    15. E-health in Belgium 4. Federal government structures and projects Be-Health (health portal Vision group Management group Single point of entry for authoritative information Database access to existing in several administrations New services: for example unique patient-ID Win-win situation (no data duplication) Interactive (web) as well as programming interface Currently (2006) pilot projects

    16. E-health in Belgium 5. Regional government structures and projects Limited responsibilities (mostly federal) Kind en Gezin Ouderenzorg Hesitating start “Vlaams gezondheidssysteem” (Peter Hooft) Projects in context of IWT and IBBT

    17. E-health in Belgium 6. Education Master na master in het beheer van gezondheidsgegevens (VUB, Ugent, UA) Postgraduaat Gezondheidsbeheer KUL

    18. E-health in Belgium 7. Industrial players Providers of health records Providers of dental/nursing/physical therapist packages Providers of hospital information systems Communication between healthcare providers (Medibridge) Medical laboratories Pharmacists and their providers Providers involved in “crossroards bank” “Farmanet”

    19. E-health in Belgium 8. Learned societies and associations MIM (Belgian Society for Medical Informatics) Several sub-groups of professional societies WVVH (Scientific Society of General Practitioners), now part of “Domus Medicus”) Nursing Federation National Council for Physical Therapy European Association for Medical Informatics World Association: IMIA CEN (European Centre for Normalisation), Brussels

    20. E-health in Belgium 9. References Federal Ministry of Health portal site: ttps://portal.health.fgov.be (under health care ..telematics ) or the former http://www.health-telematics.be Crossroads Bank for Social Security: ttp://www.ksz.fgov.be De sociale zekerheid in België ttp://inami.fgov.be/nl/sec-soc/index.htm Be-health http://www.health-telematics.be/behealth/

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