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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. - PowerPoint PPT Presentation
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EU EHEALTH INTEROPERABILITY, STANDARDIZATION AND DEPLOYMENT STRATEGY
Benoit Abeloos, Standardization and InteroperabilityDG CNECT, Health and Wellbeing Unit
Workshop on Sensor Communications & Technologies, BAN, e-Health Services and Standardization
4 April 2014
• 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
Policy drivers
Towards a single digital market in 2020
Source: Digital Agenda for Europe (http://ec.europa.eu/information_society/digital-agenda/ )
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,…
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
The first attempt to bring together interested parties from public and private sectors to deliver innovative solutions for an ageing society
What?What?
6
EIP-AHA: Public Consultation
Standards uptake is key...
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
Interoperability Levels
Pri
nci
ple
s
Inte
ropera
bili
ty
Agre
em
ents
Governance
Legal Interoperability
Legal Interoperability
Organisational InteroperabilityOrganisational Interoperability
Semantic Interoperability
Semantic Interoperability
Technical Interoperability
Technical Interoperability
Achieving wider interoperability of eHealth services
The eHealth Interoperability Framework was defined in a study (http://ec.europa.eu/digital-agenda/en/news/ehealth-interoperability-framework-study-0)
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
EU Cross-Border eHealth Interoperability ProjectEU Cross-Border eHealth Interoperability Project
Profile 1
Profile 1
Profile 2
Profile 2
Profile 4
Profile 4
Vision of eHealth EIF
10
International base standards and profile development
Base Standard 1
Base Standard 1
Base Standard 2
Base Standard 2
Base Standard 3
Base Standard 3
Base Standard 4
Base Standard 4
Base Standard 5
Base Standard 5
Profile 1Profile 1
Profile 2Profile 2
Profile 4Profile 4
Profile 3Profile 3
eHealth European Interoperability Framework: EU Recognised profileseHealth European Interoperability Framework: EU Recognised profiles
B-Use Case
A
B-Use Case
A
B-Use Case
B
B-Use Case
B
Profile 1
Profile 1
Profile 2
Profile 2
Profile 4
Profile 4
Profile 1
Profile 1
Profile 3
Profile 3
Profile 4
Profile 4
Profile 1
Profile 1
Profile 2
Profile 2
Profile 4
Profile 4
B-Use Case A1
B-Use Case A1
B-Use Case A1
B-Use Case A1
Specific
Profile
Specific
Profile
(Extensions)(Extensions)
National/Regional eHealth Interoperability ProjectNational/Regional eHealth Interoperability Project
Profile 1
Profile 1
Profile 2
Profile 2
Profile 4
Profile 4
Profile 1
Profile 1
Profile 2
Profile 2
Profile 4
Profile 4
B-Use Case A1
B-Use Case A1
B-Use Case A2
B-Use Case A2
Specific
Profile
Specific
Profile
(Extensions)(Extensions)
Local (e.g. Hospital) eHealth Interoperability ProjectLocal (e.g. Hospital) eHealth Interoperability Project
Profile 1
Profile 1
Profile 2Profile 2
Profile 4
Profile 4
Profile 1
Profile 1
Profile 2
Profile 2
Profile 4
Profile 4
B-Use Case A1
B-Use Case A1
B-Use Case B1
B-Use Case B1
Specific
Profile
Specific
Profile
(Extensions)(Extensions)
(Note: B-Use Case = Business Use Case)
The 10 initial use cases
Citizens at home & on the move
- PC-based Care Mgt.
- Mobile-basedCare Mgt.
- Sensor-based Care Mgt.
UC 8
UC 9
UC 10
- Hospital IIIa
- Hospital IIIb
RIS LIS
RIS LIS
(2 hospital locationsaffiliated to same
hospital mgt. organization)
UC 6 UC 7
UC 3 + UC 4
National / Regional Level
Cross-border Level
- Primary care physician
- Hospital I
Medical care provision
- Pharmacy
- Medical Specialist
- Rehabilitation
UC 2a/ 2b
Inpatient medical care provision
- Hospital II
- Medical Specialist
- Rehabilitation
UC 1Medical care provision
- Pharmacy
UC 5b
UC 5a- Primary care physician
The EIF is a process
12
Review by eHealth
Governance Initiative
Review &
decision by
eHealth Network
Update of eHealth
EIF
Acerta’sData
GovernanceFramework
New insights
Receiving feedback
eHealth EIF project
eHealth EIF project
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
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
• 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
The EU-US roadmap and the Trillium Bridge project
Thank you!
• ec.europa.eu/digital-agenda/ehealth
@EU_ehealth@EU_ehealthweek
EU.ehealthEhealthweek.eu
• Benoit Abeloos: [email protected]