Gisele RoesemsGisele RoesemsEuropean Commission – DG INFSO European Commission – DG INFSO

ICT for Health UnitICT for Health Unit

Joint ITU-WHO Workshop on eHealth Standards and InteroperabilityJoint ITU-WHO Workshop on eHealth Standards and InteroperabilityGeneva, 26-27 April, 2012Geneva, 26-27 April, 2012

The Digital Agenda for Europe The Digital Agenda for Europe Interoperability and Standards Interoperability and Standards

EC DG INFSO - ICT for Health ••• 2

The 7 pillars of The 7 pillars of the Digital Agenda for Europe (DAE)the Digital Agenda for Europe (DAE)

Vibrant Single Market

Trust and security

Interoperability and standards

Fast and Ultra fast internet access

R&D

Digital Literacy, inclusions eSkills

Societal challenges (public services, health, environment)

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DAE – Standardisation and eIDDAE – Standardisation and eID

Action 21: Propose legislation on ICT interoperabilityAs part of the review of EU standardisation policy, propose legal measures on ICT interoperability to reform the rules on implementation of ICT standards in Europe.

Action 24: Adopt a European Interoperability Strategy and FrameworkPromote interoperability by adopting in 2010 a European Interoperability Strategy and European Interoperability Framework

Action 77: Foster EU-wide standards, interoperability testing and certification of eHealth systems by 2015 through stakeholder dialogue

Action 83: Propose a Council and Parliament Decision on mutual recognition of e-ID

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Policy Context for Policy Context for EU eHealth EU eHealth InteroperabilityInteroperability

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2002 2004 2008 2009 2010 2011 2012

Recommendation on cross-border interoperability of electronic health record systems

Communication on a strategic vision for European standards

Communication on Quality Criteria for Health related Websites

Communication on e-Health - making healthcare better for European citizens: An action plan for a European e-Health Area

eHealth Standardisation Mandate 403

Communication on telemedicine for the benefit of patients, healthcare systems and society

Council Conclusions on Safe and efficient healthcare through eHealth

Directive on the application of patients’ rights in cross-border healthcare

Communication on interoperability for European public services

Communication on a Digital Agenda for Europe Communication on

European Innovation Partnership on Active and Healthy Ageing

eHealth Action Plan (eHAP) 2012-2020

Article 29 Working Party

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eHealth Governance Initiative and eHealth Governance Initiative and eHealth Network play an important roleeHealth Network play an important role

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eHealth Network of MSArt. 14 Directive on Patients Rights (2011)

Joint Action + Thematic NetworkeHealth Governance Initiative

epSOS project(Patient

summary / ePrescription)

SemanticHealthNet project

STORK project(eIdentification within eHealth

domain)

eHealth EIF project

CALLIOPE Network

Interoperability Roadmap

eHR QTN projectSmartPersonalHealth project

HITCH project

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Current projectsCurrent projects

epSOS

European Patient Smart Open Services (23 participating countries)

To deploy concrete cross border services for citizens travelling across Europe:

Patient Summary for EU Citizens

ePrescribing for EU Citizens

Status: Entered in operational mode in 7 MS recently eHR QTN

Thematic Network on Quality and Certification of EHR systems

Promotion of certification (in 27MS)

Validation of EuroRec functional statements, certification tools and procedures

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epSOS contributions to standardsepSOS contributions to standards

epSOS selected and influenced international standards: IHE, OASIS, HL7

With the successful IHE connect-a-thons in Bratislava and Pisa, epSOS proved being implementable and is now operational for general public

The project is working together with a new born OASIS TC in order to find feasible, real-world, and secure solutions to the 112 use case

It provided the e-Health international community with a new profile, the Cross Community Fetch (XCF)

It is reality-checking several European engagements for the fitness of use in the e-Health “wild”: NSL/TSL, eSignature, x-border recognition

Results are already being reused and epSOS is extensively extended by national engagements: portals, system integration, security extension

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eHR QeHR Qtntn Recommendations: cross-border Recommendations: cross-border

Strengthen national certification in order to improve average quality and to enable in a second step the Trans-European harmonisation, improving comparability and portability of content. 

Promote equivalence of certificates across Europe by validating at European level both the functional descriptive statements of EuroRec and the IHE profiles. 

Consider the possibility to create a cross-border “Register of Quality Labelled or Certified Clinical Software”, offering information about the products (complete EHR systems as well a software modules) and documentation about the certification process.

Brussels, March 30, 2012 8

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SemanticHealthNetSemanticHealthNet

Framework Program 7 Call 7: A Network of Excellence on semantic interoperability and European Health Infostructure

Engage leaders and organisations to define and implement a research agenda on semantic interoperability

European and international organizations in Medical terminology Record architecture Medical logic and workflow

http://www.semantichealthnet.eu

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CIP Call 6 Objective 3.6: Adoption and taking up of CIP Call 6 Objective 3.6: Adoption and taking up of

standards and profiles for eHealth interoperabilitystandards and profiles for eHealth interoperability

Funding Instrument: Thematic Network – 1 M€ Drive adoption of interoperability standards and specifications at

European level; Drive adoption of eHealth Interoperability Testing Guidelines. Drive closure of key gaps in interoperability testing tools. Drive adoption of a two-level labelling and certification process

(European level and national/project level) Ensure that all necessary phases to attain eHealth interoperability shall

be taken into account and addressed properly. Propose and implement solutions or process improvement to address

barriers to standards adoption (as described in eHealth-Interop report as a result of M403 phase I).

Include relevant organisations and consortia recognised by the market or by regulation and having demonstrated, well established and several years experience in standards or specifications development, testing or quality labelling.

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Thank you !Thank you !

Digital Agenda for Europehttp://ec.europa.eu/digital-agenda

ICT for Health http://ec.europa.eu/information_society/ehealth

Hitch Roadmaphttp://www.hitch-project.eu/

EIP On active and healthy ageinghttp://ec.europa.eu/research/innovation-union/index_en.cfm?section=active-healthy-ageing

epSOSwww.epsos.eu

SemanticHealthNethttp://www.semantichealthnet.eu

eHR Qtnhttp://ehrqtn.eurorec.org/

email: gisele.roesems@ec.europa.eu