1. 06/10/2015

2. From strategies to services – eHealth as the enabler for cross-border health care

3. 06/10/2015

4. Objectives of the ISA eHealth EIF StudyISA Make a recommendation of a first set of ten use cases and their associated profiles (by IHE and Continua) 2 2 Define the eHealth European Interoperability Framework (EIF) 1 1 Provide recommendations on profiles (or their development process) 3 3 JanMaySept eHealth EIF Phase I Workshop (16 th of April) Workshop eHealth EIF Phase II Full EIF Webinar

5. 06/10/2015 Policy Context for epSOS & EU eHealth Interoperability 2002 2004 2008 2009 201020112012 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

6. 06/10/2015 eHealth EIF positioning on HITCH roadmapEIF Get Ready: 2012-2013 Operationalize: 2013-2014Deploy: 2015-20XX Can be used as input for

7. 06/10/2015 Introducing the terminology eHealth Interoperability project An eHealth interoperability project, taking place in a EU cross border, national, regional, or local context. Interoperability specification Project-specific deliverable, dealing with a set of “profiles” to address a “business use case” Profile Combines and refines the use of a set of “base standards” to address a specific “technical use case“ Base standards Artefacts that are foundational to delivering open interoperability, often endorsed by standards development organisations Business Use Case Description of sequences of business events that, taken together, lead to a system doing something useful Technical Use Case Description of sequences of technical events that, taken together, lead to a system doing something useful addresses consists of combines and refines delivers e.g. epSOS e.g. ePrescription / eDispensation e.g. Patient identification e.g. D3.4.2 epSOS Common Components Specification.pdf e.g. IHE-XCPD e.g. HL7 V3

8. 06/10/2015 Illustrating vision with epSOS project epSOS EU Cross-Border eHealth Interoperability Project International base standards and profile development LOINC SNOMED/CT HL7 v2 HL7v3 CDA L1 L3 eHealth European Interoperability Framework: EU Recognised profiles Business Use Case “Patient Summary” Business Use Case “ePrescription / eDispensaton” Pdf/A HTPP1.1 UTF8 OASIS ebRIM 3.0 OASIS ebRS 3.0 W3C MTOM W3C XOP W3C SOAP 1.2 WSI BP 1.1 WSI SBP 1.1 RFC1305 (NTP) ETSI TS 102 231 X509 RFC 3881 IHE-BPPC IHE-XCPD IHE-XCA IHE-XDR IHE-CT IHE-ATNA Identification ServiceepSOS Business Service Dispensation Service Security and Infrastructure services Consent Service Profile 1 Profile 2 Profile 4 IHE- XCPD IHE- XCA IHE- XDR Extensions Profile 4 IHE- BPPC Profile 4 IHE- ATNA Profile 4 IHE- CT Extensions OASIS ebRIM 3.0 OASIS ebRS 3.0 HL7 V3 PA DSTU IHE-XSPA XACLM HL7 V3 Datatypes OASIS ebMS 3.0 OASIS ebRS 3.0 OASIS ebRIM 3.0 HL7 CDA R2 NTP V3 SNTP V4 TLS 1.2 Syslog RFC 3881 WSI SBP 1.1 Profile 2 Profile 2 IHE-XUA IHE-XCF... Profile 1 IHE- (XUA)/ XSPA Profile 2 IHE- XCF OASIS ebRIM 3.0 OASIS ebRS 3.0 Profile 1 IHE- (XUA)/ XSPA SAML SAML (v2) XACML (v2) TSL/NSL TSP CEN activities IEEE 11073 … …

9. 06/10/2015 base from Mikael Erlandsson Oh so you are also implementing eHealth? DK, CZ, FR, ES, GR, AT, IT SE, DE, SL Cooperation - Coopetition