Transcript Convergence and the eHealth Interoperability Framework

Convergence and the eHealth
Interoperability Framework
Benoit Abeloos
DG Communications Networks, Content and Technology
European Commission
Unit, Health and Well-being
Brussels, 20 March, 2013
Interoperability
policy agenda
Digital
Agenda for
Europe
eHealth
Network
in the EC
•Action 77: Foster EU-wide standards, interoperability
testing and certification of eHealth systems by 2015
through stakeholder dialogue
•Formal, voluntary network of MS under Directive on
patients’ rights in cross-border healthcare
•Advisory body on eHealth issues including interoperability
and standardisation
eHealth
Action Plan
•eHealth Action Plan 2012-2020
Connecting
Europe
Facility
•
•
•
Large scale deployment of Digital Services
Part of the Multi Annual Financial Framework proposal
CEF Regulation in co-decision
Towards a single digital market in 2020
The need for an eHealth Interoperability
Framework
CEF
Source: Digital Agenda for Europe (http://ec.europa.eu/information_society/digital-agenda/ )
Phase II of eHealth Interoperability Framework
study
eHealth EIF Phase I
Jan
eHealth EIF Phase II
June July
Dec 2013
Workshop
1
Study report including the methodological approach
2
The vision on the eHealth European Interoperability Framework (EIF)
(including the legal, semantic, organisational and technical levels)
3
An assessment framework to assess profile development organisations and
individual profiles
4
A first proposal for the population of the technical level of the eHealth EIF
4
Vision on eHealth EIF structure
Legal
Interoperability
Semantic
Interoperability
Organisational
Interoperability
Technical
Interoperability
Governance
High-Level
Use Cases
Interoperability
Agreements
Principles
Interoperability Levels
Use case 1
Use case 2
...
Vision on technical interoperability
eHealth European Interoperability Framework
Use
Case A
Use
Case B
Profile
1
Profile
2
Profile
1
Profile
3
Profile
4
Profile
4
(Extensions)
Profile
1
Profile
2
Profile
4
(Extensions)
Profile
1
Profile
2
Profile
4
Specifi
c
Profile
Local (e.g. Hospital) eHealth Interoperability Project
Use
Case
B1
6
(Extensions)
Profile
1
Profile
2
Profile
4
Base
Standard 1
Specifi
c
Profile
National/Regional eHealth Interoperability Project
Use
Case
A2
Profile
1
Profile
2
EU Cross-Border deployment under the CEF
Use
Case
A1
International base standards
and profile development
Specifi
c
Profile
Base
Standard 2
Base
Standard 3
Profile
3
Base
Standard 4
Base
Standard 5
Profile
4
The PDOs in scope for this study were IHE and Continua
• IHE and Continua are international organizations
developing and testing (technical) interoperability
specifications in eHealth.
• They represent organizations which have a good
market penetration.
• IHE has developed a use case based methodology
which is being endorsed by the ISO: ISO TR28380
IHE Global Standards Adoption Process.
IHE and
Continua
• History: M403 was already going to work on
epSOS, hospital and telehealth use cases.
• IHE and Continua profiles used in some national
frameworks
Note
•
A profile combines and refines the use of a set of base standards to
address a specific technical use case
•
A technical use case is a description of sequences of technical events
that, taken together, lead to a system doing something useful
Note: PDO = Profile Development Organisation
7
The selected list of ten use cases covers a
relevant excerpt of medical care provision
Cross-border Level
Medical care provision
-
Pharmacy
National / Regional Level
UC 1
UC 2a/ 2b
Primary
care physician
Medical Specialist
Citizens at home
& on the move
-
-
Hospital I
Rehabilitation
-
PC-based
Care Mgt.
Medical care provision
UC 8
Mobile-based
Care Mgt.
UC 9
Sensor-based
Care Mgt.
UC 10
Pharmacy
-
UC 5b
Primary
care physician
Medical Specialist
Hospital IIIa
RIS LIS
UC 5a
-
Inpatient medical
care provision
UC 6
UC 7
-
Hospital IIIb
RIS LIS
-
Hospital II
-
Rehabilitation
UC 3 + UC 4
(2 hospital locations
affiliated to same
hospital mgt.
organization)
The assessment framework is based on Annex II of the
Regulation on European
Standardisation
Annex II of Regulation of
European Standardisation
Organisational criteria
Category
‘Type of
organisation’
Category
‘Market
Acceptance’
Category
‘Openness’
Category
‘Coherence ’
Category
‘Consensus’
Category
‘Availability’
Category
‘Relevance and
Effectiveness’
Category
‘Neutrality and
Stability’
Category
‘Transparency’
Category
‘Maintenance’
Category
‘Intellectual
property rights ’
9
Technical Specification criteria
Category
‘Quality’
Conclusions of the study
• IHE
• No major non compliance
• Rooms for improvements
• Continua:
• Original non compliances on transparency,
openness and consensus
• Continua Board approved changes in their process
in Dec 2012
• This will affect future specifications only
Governance of eHealth EIF
eHealth Network
(MS, EC)
CEF Governance
(MS, EC, industry)
From 2012, permanent
From 2014, permanent
eHealth Governance
Initiative
eHealth
Stakeholders
Group
ICT standards multistakeholders platform
(MS, EC, others)
Until 2014, project based
From 2013, permanent
eHealth
standards
eHealth EIF
project
eGov
standards
Internet
standards
7 IHE profiles were submitted to the
ICT MSP in Feb 2013
Other ICT
standards
11
The eHealth EIF study is only the start of a process to
populate the eHealth EIF
Receiving
feedback
Review by
Commission,
MS and
stakeholders
New
insights
Identification
of specs by
ICT MSP
Update of
eHealth
EIF
The next step is to populate the
semantic level
EHR information models
Concept representation
Hierarchical
terminology
systems
Postcoordinated
terms
Ontology
Defined
subsets of
terms
EHR reference
models
Clinical
document
registries
Use Case Driven
Clinical models
Archetypes
Templates
Datasets
Data
dictionaries
Convergence between EU initiatives
is needed…
Thank you!
Benoit Abeloos: [email protected]
BACKUP SLIDES
Use cases list
Nr
Level
Use case
1
Cross-border
epSOS project : e-Prescription and e-Dispensation for cross-border information sharing for citizens
travelling in Europe
2a
Cross-border
epSOS project : patient summaries for cross-border information sharing for citizens travelling in Europe
2b
Cross-border
epSOS project - patient having access to his or her patient summary.
3
National/Regional
Request and results (imaging results, diagnostic examinations) sharing workflow for radiology in interhospital setting on national/regional scale
4
National/Regional
Request and results (laboratory reports, test results) sharing workflow for laboratory in inter-hospital
setting on national/regional scale
5a
National/Regional
Cross-Enterprise Sharing of Medical Summaries IHE Integration Profile: Ambulatory Specialist Referral
5b
National/Regional
Cross-Enterprise Sharing of Medical Summaries
Ambulatory Care Environment
6
Intra-Hospital
Request and results (imaging diagnostics tests) distribution workflow for radiology in intra-hospital setting
7
Intra-Hospital
Request and results (clinical laboratory tests) sharing workflow for laboratory in intra-hospital setting
8
Citizens at home Involvement of patient in documentation of his/her specific chronic disease and making it available via PC
and on the move.
or web based applications to healthcare provider (e.g., diabetes, CVD, COPD, hypertension)
9
Citizens at home Involvement of patient in documentation of his/her specific chronic disease and making it available via
and on the move.
mobile monitoring devices and mobile phones to healthcare provider (e.g., diabetes, CVD, COPD,…)
10
Citizens at home For ever-present care outside conventional care facilities, involving the interoperability necessary from
and on the move.
sensor devices to monitor activity, e.g. of elderly people
IHE Integration Profile:
Acute Care Discharge to