HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

LEVEL OF STANDARDS local regional/national European global

COUNCIL DECISION 87/95/EEC "Member States shall take the necessary steps to ensure that reference is made to: - European standards and European pre- standards….[and]; - international standards when accepted in the country of the Contracting Authority; in public procurement orders relating to information technology so that these standards are used as the basis for the exchange of information and data and for ensuring systems interoperability."

A BODY COVERED BY PUBLIC LAW “Any body financed, for the most part, by the State, or regional or local authorities or other bodies governed by public law, or subject to management supervision by those bodies, or having an administrative, managerial or supervisory board, more than half of whose members are appointed by the State, regional or local authorities or by other bodies governed by public law”.

CURRENT STANDARDS MAKING Thinking horizontally without knowing what for

WG I - Information Models WG II - Terminology & Knowledge Bases WG III - Security, safety & quality WG IV - Technology for Interoperability CEN TC 251 STRUCTURE

PRIORITIES FOR THE APPLICATION OF ICT STANDARDS EHTEL T1 Report

TOP PRIORITY APPLICATIONS communications particularly prescribing health records protecting personal data

e-PRESCRIBING business model, structure of messages and content medicinal products classification organisation & patient identifiers security, encryption, PKI data card standards payment Web standards, quality, CoP

WHAT STANDARDS MAKERS NEED TO DO ally to policy makers understand business needs for IT analyse business needs (models) identify standards required gap analysis to see what needs to be done

TOP PRIORITY APPLICATIONS communications particularly prescribing health records protecting personal data

HEALTHCARE NEEDS STANDARDS BUT WHICH AND FOR WHAT?

‘OTHER’ INTERNATIONAL BODIES IEEE HL7 DICOM WHO SNOMED W3C

THE STANDARDS WORLD IEEE HL7 DICOM ISO TC published 40 programmed SNOMED CT WHO CEN TC published 50 programmed National Standards Bodies Web and internet standards General international standards e.g. ISO 17799

ALTERNATIVE WORLD VIEW HL7 IEEE ISO CEN DICOM COUNTRY AFFILIATES

Ray Rogers