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
• 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
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 – 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
interoperability
Principles
Interoperability Levels
Legal
Interoperability
Organisational
Interoperability
Semantic
Interoperability
Technical
Interoperability
Interoperability Agreements
Achieving wider
of eHealth services
Governance
The eHealth Interoperability Framework was defined in a
study (http://ec.europa.eu/digital-agenda/en/news/ehealth-interoperability-framework-study-0)
8
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
Vision of
International base standards and
profile development
Base
Standard 1
Base
Standard 2
Base
Standard 3
Base
Standard 4
Profile 1
Profile 2
eHealth EIF
eHealth European Interoperability Framework: EU
Recognised profiles
B-Use
Case
A
Profile
1
Profile
2
Profile
4
B-Use
Case
B
Profile
1
Profile
3
Profile
4
EU Cross-Border eHealth Interoperability Project
B-Use
B-Use
Case
Case
A1
A1
Profile 3
Base
Standard 5
(Extensions)
Profile
Profile
1
1
Profile
Profile
2
2
Profile
Profile
4
4
Specifi
c
Profile
National/Regional eHealth Interoperability Project
B-Use
B-Use
Case
Case
A2
A1
(Extensions)
Profile
Profile
1
1
Profile
Profile
2
2
Profile
Profile
4
4
Specifi
c
Profile
Profile 4
Local (e.g. Hospital) eHealth Interoperability Project
B-Use
B-Use
Case
Case
B1
A1
(Extensions)
Profile
Profile
1
1
Profile
Profi
2
le 2
Profile
Profile
4
4
Specifi
c
Profile
10
(Note: B-Use Case = Business Use Case)
The 10 initial use
cases
Cross-border Level
Medical care provision
-
Pharmacy
National / Regional Level
UC 1
UC 2a/ 2b
Primary
care physician
Medical Specialist
Citizens at home
& on the move
-
-
Hospital I
Rehabilitation
-
PC-based
Care Mgt.
Medical care provision
UC 8
Mobile-based
Care Mgt.
UC 9
Sensor-based
Care Mgt.
UC 10
Pharmacy
-
UC 5b
Primary
care physician
Medical Specialist
Hospital IIIa
RIS LIS
UC 5a
-
Inpatient medical
care provision
UC 6
UC 7
-
Hospital IIIb
RIS LIS
-
Hospital II
-
Rehabilitation
UC 3 + UC 4
(2 hospital locations
affiliated to same
hospital mgt.
organization)
The EIF is a process
eHealth EIF
project
Update of
eHealth
EIF
Receiving
feedback
Review by
eHealth
Governance
Initiative
Acerta’s
Data
Governance
Framework
New
insights
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
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
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
• 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