21/05/2012. From strategies to services ehealth as the enabler for cross-border health care

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2 From strategies to services ehealth as the enabler for cross-border health care

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

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

6 ehealth EIF positioning on HITCH roadmap Get Ready: Operationalize: Deploy: XX Can be used as input for

7 Introducing the terminology e.g. epsos e.g. D3.4.2 epsos Common Components Specification.pdf e.g. eprescription / edispensation ehealth Interoperability project delivers Interoperability specification addresses Business Use Case 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 Description of sequences of business events that, taken together, lead to a system doing something useful Profile consists of e.g. XCPD addresses e.g. Patient identification consists of Technical Use Case Combines and refines the use of a set of base standards to address a specific technical use case Description of sequences of technical events that, taken together, lead to a system doing something useful combines and refines e.g. HL7 V3 Base standards Artefacts that are foundational to delivering open interoperability, often endorsed by standards development organisations

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

9 e.g. Business Architecture Framework

10 The Business Model is a unique structure that realizes a business idea

11 PPP, Are they Inventing the next best Wheel?

12 e.g. epsos Pilot sites Who will make the APP(s), Who will connect the DOTS, epsos Point of Care Database

13 Dialog med kommunen/andra vård-grannar Cooperation Gemensam - uppslutning Coopetition kring mål Oh so you are also implementing ehealth? DK, CZ, FR, ES, GR, AT, IT SE, DE, SL base from Mikael Erlandsson

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15 Is it R&D/D&I/I&E? D&I I&E R&D

16 Complete Game Change? The Future lies in Uncommon Connections (Mark Bertolini, AETNA)

17 Are you part of the ECO System?