Healthcare Interoperability in Europe and Across the Atlantic
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1 Healthcare Interoperability in Europe and Across the Atlantic
2 Contents European interoperability: ehealth EIF and related initiatives HL7 in Europe Transatlantic interoperability: EU-US cooperation Trillium Bridge Internationalisation of HL7 International Significance for HL7 UK members?
3 ehealth in the European Union Policy background Political initiatives Research projects CEN ehealth EIF
4 Europe 2020 ICT standards multistakeholder platform Digital Agenda for Europe Recital 50: Cross-border ehealth interoperability Directive 2011/24/EU ehealth Action Action 77: Plan ehealth interoperability testing & certification by 2015 ehealth Governance Initiative EU-US High Level Agreement EIF ehealth Stakeholder Group
5 SemanticHealthNet Calliope ARGOS Mandate 403 ehealth EIF ehr-q TN HITCH CEN epsos
6 ehealth Standards Ecosystem The major players ehealth Network ehgi MS MoH Competence Centers EU Coordination for Profile & Standards Adoption EU Stakeholders Group ehealth EU Interoperability Framework (eeif) Continua IHE CDISC IHTSDO GS1 HL7 Profile Development IHE ISO CEN JIC Consortia Recognition Process MSP Standards Development
7 ehealth European Interoperability Framework (EIF) Produced by Deloitte for European Commission Freely available on EU website Good cure for insomnia Scope...
8 ehealth EIF: Overview
9 ehealth EIF: Principles Security & privacy Transparency Preservation of information Re-usability Technological neutrality and adaptability Openness Patient centricity Use case-based approach
10 ehealth EIF: Governance
11 ehealth EIF: Agreements Generic EIF defines an interoperability agreement as a formalised cooperation arrangement between different stakeholders, describing their cooperation on different interoperability levels. Should be multilateral and give each stakeholder maximum internal autonomy. Interoperability agreements will normally include sections that specify one or more legal, organizational, semantic, and technical elements.
12 ehealth EIF: Interoperability levels
13 ehealth EIF: Agreements Legal Instruments, audit, risk, governance. Organizational Workflows & triggers, SLAs & finance, roles & responsibilities. Semantic Terminologies, code sets, formalisms. Technical Data formats, protocols, endpoint registration, service discovery, security.
14 ehealth EIF: Use cases
15 ehealth EIF: Use cases
16 * IHE, +Continua ehealth EIF: Profiles
17 ehealth EIF: Profiles
18 ehealth EIF: Profiles
19 ehealth EIF: So what? CEN and ehsg giving feedback to ehn Will it make any difference? Potential alignment of future EU funding (research and procurement CEF) All subject to funding of course Ultimately down to political decisions Next update when the glacier has moved 3mm...
20 HL7 in Europe? Membership of ehsg Trillium Bridge project CEN involvement HL7 European democracy?
21 EU-US collaboration Digital Agenda for Europe Action 77: Foster EU-wide standards, interoperability testing and certification of ehealth systems by 2015 through stakeholder dialogue. Dec 2010: MoU between US DHHS and EC Directorate General for Communications Networks, Content and Technology (DG- CONNECT) March 2013: agreed cooperation roadmap accelerate progress towards the widespread deployment and routine use of internationally recognized standards that would support transnational interoperability
22 UK-US collaboration Son of Blue Button + Patient-controlled health record Patient gives access to third parties Demo at NHS Innovation Expo, 3-4 March 2014 CDA using CDGRS headings and coded statements Longer-term aim for harmonized CDA profile Regular NHS-DHHS exchange visits and calls
23 Trillium Bridge
24 HL7 International IMATF appointed by International Council Board has ignored the recommendations Board declined to activate additional affiliate director posts allowed in the GOM Incoming chairman is forming a new task force
25 What does all this mean for HL7 UK? European and US collaboration will (eventually) impact UK healthcare standards and industry Can we help set the agenda? Can mere politics be turned into real marketing or even real improvements in technology? What do you think...?
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