1. What are the barriers to implementation? Dr Michael Wilks Past-President, CPME Co Chairman, WP6, eHGI

2. Current initiatives Digital agenda: - access to records EU/MS-funded projects: - CALLIOPE - epSOS - eHealth Governance Initiative (Joint Action/Thematic Network): (DG INFSO/DG SANCO/Member States/Stakeholders) - Chain of Trust - Renewing Health - Healthy Ageing MS initiatives: - “joined-up” care: (Primary and secondary care/Social care)

3. AGE Genetic Nutrition Treatment Parenting Minimise Self-care Social care Diabetes Education Monitoring Long-term care Monitoring Ophthalmic Renal Cardiovascular Diagnosis complications

4. ELECTRONICRECORD GP RECORD PHARM.APPOINT. CLINIC PHYSIO BIOCHEM. SCANS PATHOL. X RAY HOSPITAL RECORD DENTIST COMMUNITYPHARMACISTSOCIALCARE CLINICALAUDIT FINANCIALMANAGEMENT SERVICEPLANNING RESEARCH PERFORMANCEAUDIT

5. PATIENTANDFAMILYRECORD GP RECORD PHARM.APPOINT. CLINIC PHYSIO BIOCHEM. SCANS PATHOL. X RAY HOSPITAL RECORD DENTIST COMMUNITYPHARMACISTSOCIALCARE CLINICALAUDIT FINANCIALMANAGEMENT SERVICEPLANNING RESEARCH PERFORMANCEAUDIT

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7. 5 Organisational Semantic Technical Political / Legal Jurisdiction # 2 Jurisdiction # 1 Use Case A Organisational Semantic Technical Political / Legal IOp Model, i2010 subgroup of eHealth; I2Health eHealth Interoperability

8. ELECTRONICRECORD SUMMARYRECORD SUMMARYRECORD Country A Country B TREATMENTPRESCRIPTION

9. AGE Genetic Nutrition Treatment Parenting Minimise Self-care Social care Diabetes Education Monitoring Long-term care Monitoring Ophthalmic Renal Cardiovascular Diagnosis complications

10. AGE Genetic Nutrition Treatment Parenting Minimise Self-care Social care Diabetes Education Monitoring Long-term care Monitoring Ophthalmic Renal Cardiovascular Diagnosis complications SUMMARYRECORD

11. ELECTRONICRECORD SUMMARYRECORD SUMMARYRECORD Country A Country B TREATMENTPRESCRIPTION

12. SUMMARYRECORD Elective care Emergency care

13. 5 Organisational Semantic Technical Political / Legal Jurisdiction # 2 Jurisdiction # 1 Use Case A Organisational Semantic Technical Political / Legal IOp Model, i2010 subgroup of eHealth; I2Health eHealth Interoperability

14. Legal Data Protection: - Data Protection Directive - MS privacy legislation Ethical: - Consent for immediate/team-based care - Consent for data transfer - “Appropriate” consent Regulation: - Professional standards and codes - Regulatory action

15. Organisational Need for data: - For insurance, reimbursement - organisation across sectors Patient safety through eID: - Identification - Authentication - Authorisation - Common identifier? - Justification for sharing outside health sector

16. Thank you