EU EHEALTH INTEROPERABILITY, STANDARDIZATION AND DEPLOYMENT STRATEGY Benoit Abeloos, Standardization and Interoperability DG CNECT, Health and Wellbeing Unit COCIR Workshop on Importance of Interoperability: Challenge and Opportunities. Status today and future trends 7 May 2014
Policy drivers Directive on the application of patients rights in cross-border healthcare EU 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
Towards a single 2020 digital market in 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 What? The first attempt to bring together interested parties from public and private sectors to deliver innovative solutions for an ageing society
EIP-AHA: Public Consultation Standards uptake is key... 6
Standardization and MSP regulation Establishes the ICT standards multi-stakeholders platform composed of Member States ministries in charge of standards ESOs 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
Principles Interoperability Agreements Achieving wider of ehealth services interoperability Interoperability Levels Legal Interoperability Organisational Interoperability Semantic Interoperability Technical Interoperability 8 Governance The ehealth Interoperability Framework was originally 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 Clinical information modelling Towards a common EU standards based medicines terminology SNOMED CT a potential core EU terminology? Business modelling ehealth interoperability 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 Other specifications to follow
Vision of ehealth EIF International base standards and profile development ehealth European Interoperability Framework: EU Recognised profiles B-Use Case A 1 2 4 Base Standard 1 1 B-Use Case B 1 3 4 Base Standard 2 Base Standard 3 Base Standard 4 Base Standard 5 2 3 EU Cross-Border ehealth Interoperability Project B-Use B-Use Case Case A1 A1 1 1 (Extensions) 2 2 4 4 Specifi c National/Regional ehealth Interoperability Project B-Use B-Use Case Case A2 A1 1 1 (Extensions) 2 2 4 4 Specifi c 4 Local (e.g. Hospital) ehealth Interoperability Project B-Use B-Use Case Case B1 A1 1 1 Profi 2 le 2 (Note: B-Use Case = Business Use Case) (Extensions) 4 4 Specifi c 10
The 10 initial use cases Cross-border Level Medical care provision - Pharmacy UC 2a/ 2b - Primary care physician - Medical Specialist - Hospital I - Rehabilitation UC 1 National / Regional Level Citizens at home & on the move - PC-based Care Mgt. UC 8 - Mobile-based Care Mgt. UC 9 - Sensor-based Care Mgt. UC 10 Medical care provision - Pharmacy UC 5a - Primary care physician UC 5b - Medical Specialist - Hospital II - Rehabilitation Inpatient medical care provision - Hospital IIIa RIS LIS UC 6 UC 7 - Hospital IIIb RIS LIS UC 3 + UC 4 (2 hospital locations affiliated to same hospital mgt. organization)
The EIF is a process EC initiative Review by ehealth Governance Initiative Receiving feedback MSP identification of tec specs Acerta s Data Governance Framework Review & decision by ehealth Network
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 ehealth Stakeholders' Group ehr4cr IMI SemanticHealthNet 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 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
The EU-US roadmap and project the Trillium Bridge 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 Gap analysis and terminology mapping will be presented The Trillium Bridge (www.trilliumbridge.eu) project is supporting this effort End result could be a standardization project
Thank you! Benoit Abeloos: benoit.abeloos@ec.europa.eu ec.europa.eu/digital-agenda/ehealth @EU_ehealth @EU_ehealthweek EU.ehealth Ehealthweek.eu