From strategies to services – eHealth as the enabler for cross-border health care

2. From strategies to services – eHealth as the enabler for cross-border health care

4. Objectives of the ISA eHealth EIF Study eHealth EIF Phase I eHealth EIF Phase II Jan May Sept Workshop (16th of April) Workshop Define the eHealth European Interoperability Framework (EIF) 1 Make a recommendation of a first set of ten use cases and their associated profiles (by IHE and Continua) 2 Provide recommendations on profiles (or their development process) 3 Full EIF Webinar

5. Policy Context for epSOS and EU eHealth Interoperability Recommendation on cross-border interoperability of electronic health record systems Communication on interoperability for European public services Article 29 Working Party eHealth Action Plan (eHAP) 2012-2020 Directive on the application of patients’ rights in cross-border healthcare Council Conclusions on Safe and efficient healthcare through eHealth Communication on Quality Criteria for Health related Websites 2002 2004 2008 2009 2010 2011 2012 Communication on a Digital Agenda for Europe Communication on telemedicine for the benefit of patients, healthcare systems and society Communication on European Innovation Partnership on Active and Healthy Ageing Communication on e-Health - making healthcare better for European citizens: An action plan for a European e-Health Area Communication on a strategic vision for European standards eHealth Standardisation Mandate 403

6. eHealth Governance Initiative (eHGI) and eHealth Network play an important role Decision Making eHealth Network of MS Art. 14 Directive on Patients Rights (2011) Production Joint Action + Thematic Network eHealth Governance Initiative Semantic Network Project eHealth EIF project epSOS project (Patient summary / ePrescription) CALLIOPE Network Interoperability Roadmap STORK project (eIdentification within eHealth domain)

7. eHealth EIF positioning on HITCH roadmap Operationalize: 2013-2014 Deploy: 2015-20XX Get Ready: 2012-2013 Can be used as input for

8. eHealth Interoperability project Interoperability specification Profile Base standards Business Use Case Technical Use Case • Description of sequences of technical events that, taken together, lead to a system doing something useful • An eHealth interoperability project, taking place in a EU cross border, national, regional, or local context. • Project-specific deliverable, dealing with a set of “profiles” to address a “business use case” • Combines and refines the use of a set of “base standards” to address a specific “technical use case“ • Artefacts that are foundational to delivering open interoperability, often endorsed by standards development organisations • Description of sequences of business events that, taken together, lead to a system doing something useful Introducing the terminology e.g. D3.4.2 epSOS Common Components Specification.pdf  e.g. ePrescription / eDispensation e.g. epSOS delivers addresses e.g. IHE-XCPD consists of e.g. Patient identification consists of addresses e.g. HL7 V3 combines and refines

9. Illustrating vision with epSOS project International base standards and profile development eHealth European Interoperability Framework: EU Recognised profiles <To be determined> Profile 2 Business Use Case “ePrescription / eDispensaton” LOINC SNOMED/CT Business Use Case “Patient Summary” <To be determined> HL7 v2 Profile 2 IHE-BPPC HL7v3 IHE-XCPD CDA L1 L3 IHE-XCA Pdf/A epSOS EU Cross-Border eHealth Interoperability Project IHE-CT HTPP1.1 Identification Service epSOS Business Service IHE-XDR UTF8 IHE-ATNA Extensions Extensions OASIS ebRIM 3.0 IHE-XCPD IHE-XCF IHE- (XUA)/XSPA IHE-XCA Profile 1 Profile 2 Profile 1 Profile 2 OASIS ebRS 3.0 IHE-XSPA W3C MTOM IHE-XUA HL7 V3 PA DSTU OASIS ebRIM 3.0 OASIS ebRIM 3.0 W3C XOP IHE-XCF OASIS ebRS 3.0 HL7 V3 Datatypes OASIS ebRS 3.0 W3C SOAP 1.2 ... WSI BP 1.1 Security and Infrastructure services Dispensation Service Consent Service WSI SBP 1.1 IHE-ATNA IHE-CT RFC1305 (NTP) TSP Profile 4 Profile 4 IHE-BPPC IHE-XDR Profile 4 Profile 4 CEN activities ETSI TS 102 231 TLS 1.2 NTP V3 SAML IEEE 11073 Syslog SNTP V4 HL7 CDA R2 OASIS ebMS 3.0 … X509 RFC 3881 OASIS ebRS 3.0 WSI SBP 1.1 OASIS ebRIM 3.0 RFC 3881 SAML (v2) IHE- (XUA)/XSPA XACLM Profile 1 XACML (v2) TSL/NSL

10. Approach for first study objective Define the eHealth European Interoperability Framework (EIF) 1 Top Down (Generic) EIF eHealth EIF Bottom Up 5 MS eHealth frameworks/specifications epSOS Specification

11. CAMSS Category Overview

12. Basic Cross Sector Services Proposal Transport Infrastructure Syndication, eDirectories e Company Dossier Visible Digital Signatures eID legal entities eSignature eDoc Containers eDelivery eSafe Company ID Citizen ID Citizen ID Privacy

13. As of March 12, 2012, CZ, FR is in operational mode ES, AT, IT live on April 13th. DK, GR live before end May. SE, SK are done testing Legal and Organisational steps remain Another 5 Countries are testing epSOS Profiles in Bern Connectathon end May epSOS Currentstatusandfactsconcerningpilotoperations

14. Pilots approved by the PSB

15. Pilot sites – some examples epSOS Point of Care Database

16. Sustainability epSOS Countries

17. Migrate Current Solution as it is based on a mix of Open Source and Closed Source Components The closed source based on Standards will now be migrated to Open Source An epSOS Open Source and Vendor Community is being built on www.joinup.eu Consolidate and scale up piloted epSOS services Extend and refine functionalities of the two core services Assess the use of the epSOS patient summary service in the context of the European emergency (112) service Patients Access to information Comparatively assess the interoperability approaches of epSOS services with those in other regions of the world epSOS Next Steps

18. Oh so you are also implementing eHealth? DK, CZ, FR, ES, GR, AT, IT SE, DE, SL base from Mikael Erlandsson

19. Cooperation is Key AT, BE, CZ, CH, DK, DE, EE, ES, FI, FR, GR, HU, IT, MT, NL, NO, PL, PT, SE, SK, SL,TR, UK

20. Thank you for your attention! • info@epsos.eu