2. How can I trust the rest of Europe ? Requirements and a possible organisation with regard to epSOS and eHealth Frank Robben General manager eHealth platform Sint-Pieterssteenweg 375 B-1040 Brussels E-mail: Frank.Robben@ehealth.fgov.be

3. epSOS European Patients Smart Open Services aims at developing a practical eHealth framework and ICT infrastructure that will enable secure access to patient health information, particularly with respect to a basic patient summary and ePrescription, between European healthcare systems epSOS II: 48 beneficiaries within 23 Member States

4. epSOS focus on services close to the patient patient summary for EU citizens occasional visit regular visit ePrescribing for EU citizens medication ePrescription medication eDispensation build on existing national eHealth projects and use experiences and knowledge from all Member States

5. epSOS: expected impact improving interoperability for enhanced quality of health care enhanced patient safety administrative simplification facilitating integration of ICT solutions suppor- ting emergency and healthcare services contributing to the adoption of common ICT based components / building blocks needed for the deployment of eHealth services

6. Cooperation is key Oh! so you are also implementing eHealth?

7. Requirements related to trust authentication of the identity of the patient the health care provider the health care institution proof of the relevant characteristics of a health care provider proof of the relevant relationships between a health care provider and a health care institution or a group of health care providers

8. Requirements related to trust proof of the informed consent of the patient to exchange personal health data proof of therapeutic relationship between a health care provider or institution and a patient proof of authorizations mutual recognition of electronic signatures or equivalent means

9. Concrete organisation quality standards for national registration procedures related to identity, relevant characteristics and relevant relationships mutual respect of national evidence related to identity, characteristics and relationships informed consent therapeutic relationships interoperability and security standards with regard to technical means of evidence

10. Concrete organisation mutual respect for the national implemen- tation of the technical means of evidence that meet the security standards avoidance of export of national limitations to other countries where those limitations doesn’t exist according to the national (privacy) law (e.g. use of a unique identifier)

11. Policy enforcement model

12. Cross-border implementation Member State A Member State B

13. Read more epSOS http://www.epsos.eu/ Belgian eHealth-platform https://www.ehealth.fgov.be personal web site Frank Robben http://www.law.kuleuven.be/icri/frobben/index.htm