E-recept i Europa – så fungerar det
Veronica Barkman, projektledare, Apotekens Service AB
Annika Ohlson, farmacevt, Apotekens Service
Eva Leach, projektledare, CeHiS
Anna Adelöf, ämnessakkunnig, Socialdepartementet
27/10/2013
epSOS presentation, eHälsodagen
2013-10-24
2013-10-27
Agenda
1. epSOS
1. SepSOS
• Målbild, status och piloter
• NCP – nationell kontaktpunkt
• Expedition av e-recept
2. Så här går det till!
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Framtidens eHälsa i Europa
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Political pressure for cross-border cooperation
• The decision on eHealth by the Council in
December 2009 identified need for action
on four specific areas:
–
–
–
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1) Legal, ethical and regulatory issues
2) Semantics and terminology
3) Identification and authentication
4) Standardisation
• epSOS strategically important for
concrete cooperation!
New European legal framework
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• The proposal for a European Directive on patients’
rights in cross-border healthcare means that:
– all EU citizens will have a legal right to ask for planned treatment
in another Member State under certain conditions.
– continuity of care should be guaranteed by making sure that
relevant medical information can follow the patient across
organisational or national borders.
– a structured cooperation on eHealth shall be established by the
Member States, supported by the European Commission, with
focus on safe electronic transfer of medical data.
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Background
• Large Scale Pilot funded
by European Comission
and participating nations
(€ 40 million)
• Project start in 2008 with
12 participating nations
and industry team
• Extension and expansion
in 2011-2014. Currently 23
participating nations
• Pilot operation – 30/6
2014
From Strategies to Services with epSOSPage 8
Scope and Aim
• Provide concrete cross border
services that ensure safe, secure
and efficient medical treatment
when travelling across Europe
• Focus on services close to the
patient:
– Patient summary
– ePrescription and edispensation
From Strategies to Services with epSOSPage 9
Scope and Aim
• Build on existing national eHealth
projects
• Use experiences and knowledge
from all Member States
10
Main Achievements
• Services for exchange of ePrescriptions and
patient summaries in cross-border setting.
• Currently eight participating nations in live
mode, more on the way
• Support to the EC in providing all EU MS,
through the eHealth network, with a nonexhaustive list of data to be included in
patient summary
epSOS – 24 participating countries
Austria
Czech Republic
Denmark
France
Germany
Greece
Italy – Lombardy
The Netherlands
Slovakia
Spain
Sweden
United Kingdom
Belgium
Estonia
Finland
Hungary
Malta
Norway
Poland
Portugal
Slovenia
Switzerland
Turkey
Croatia
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Pilot plans 2013-2014
12
Patient summary service
• Austria, Estonia, France, Hungary, Italy,
Luxembourg, Malta, Portugal, Slovenia, Spain,
Switzerland,
ePrescription service
• Croatia, Denmark, Finland, Greece, Hungary,
Italy, Spain, Sweden
Expanding epSOS with new areas
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Goal for 2013-2014:
1. Consolidate and scale up piloted epSOS
services
– increase the number of connected users.
2. Extend and refine functionalities of the two core
services
– return information from country B to country A.
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SepSOS
målbild, status och piloter
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Syfte
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• ” Information ska följa patienter inom hela EU
och därmed göra det lättare för den som
befinner sig i ett annat medlemsland att
snabbt få säker och effektiv vård”
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Sverige deltar med:
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e-recept
• Svenskar ska kunna hämta ut sina e-recept på utländska
apotek
• Utländska patienter ska kunna hämta ut sina e-recept på
svenska apotek
epSOS II
• Delta i arbetet på EU-nivå och implementera resultatet på
nationell nivå
– Tidplan: 2011-2014
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NCP – nationell kontaktpunkt
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Kommunikation via nationell
kontaktpunkt NCP
Prescription
dataset
NCP
COUNTRY A
Prescribing Provider
NCP
COUNTRY B
Dispensed
medicine
dataset
Dispensing Provider
Prescription
Dispensed
medicine
Dispenser
Prescriber
Patient
Patien
1
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Semantisk interoperabilitet
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Expedition av e-recept
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Förutsättningar e-recept
Gemensamma avgränsningar i epSOS:
• Extempore och licensläkemedel
• Narkotika
• Hjälpmedel t ex diabetesstickor
• Läkemedel för djur
• Dosrecept
• Läkemedelsförmån
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Så här går det till!
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Välkommen att ställa frågor i
Levande verkstad!