EXPAND & eHealth international from an Austrian point of view

Kathrin Trunner

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Background

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eHealth Network (1)

• Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare • Article 4, section (2):

The Member State of treatment shall ensure that : … (f) in order to ensure continuity of care, patients who have received treatment are entitled to a written or electronic medical record of such treatment, and access to at least a copy of this record in conformity with and subject to national measures implementing Union provisions on the protection of personal data, in particular Directives 95/46/EC and 2002/58/EC.

• Article 14:

The Union shall support and facilitate cooperation and the exchange of information among Member States working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States.

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eHealth Network (2)

• Last meeting 19 Nov. 2013 • Agreement on the formation of 2 sub-groups: – (a) Proposal for a Standing Coordination Group for deployment of semantic and technical interoperability; – (b) Preparatory work for new Multi-annual Work Plan of the eHN • Guidelines on PS minimum data set adopted • Next meeting 13 May 2014 during eHealth Forum 2014 in Athens 29.04.2020

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EIF

• As part of the Digital Agenda (one of 7 flagship initiatives in Europe 2020 Strategy): EC adopted Comm. 2010/744.

• Annex 2 of Comm.: European Interoperability Framework (EIF) which provides guidance to European public administrations about the design of European public services incl. 25 recommendations • Purpose of EIF: 1.

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promote and support the delivery of European public services by fostering cross-border and crosssectoral interoperability; guide public administrations in their work to provide European public services to businesses and citizens; complement and tie together the various National Interoperability Frameworks (NIFs) at European level.

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eHealth EIF

• In 2012 EC set the objective to develop, with advice of eHN, an eHealth European Interoperability Framework in the context of the generic EIF • Goal: Define common set of standards, profiles and procedures relevant to the electronic provision of healthcare services – eHealth EIF study (2013) proposes high-level structure & conceptual framework of the eHealth EIF and assesses (10) technical specifications; – Results to be used to specify deployment of cross-border eHealth services in the frame of the Connection Europe Facility (CEF) and on national levels.

• MS will be invited to use the framework when deploying eHealth. The Framework should be deployed by 2015 29.04.2020

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EIP-AHA

• EIPs streamline, simplify & coordinate existing instruments and initiate new actions where necessary • Overarching target of European Innovation Partnership on Active and Healthy Ageing (EIP-AHA): Increase average healthy lifespan by two years by 2020 – Bring together key stakeholders (end users, public authorities, industry); actors in the innovation cycle (research to adoption), along with those engaged in standardisation and regulation • Goals: – Foster innovation in products, processes and services; – Facilitate innovation chain and reduce the time to market for innovative solutions; – Produce benefits for innovation's final users – the older people and care providers.

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Multi-Stakeholder Platform on ICT Standardization

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Multi-Stakeholder Platform on ICT Standardization (1)

• Commission Decision of 28 November 2011 setting up the European multi-stakeholder platform on ICT standardisation • Article 2: –

“The platform’s tasks shall be to: (a) advise the Commission on all matters related to European ICT standardisation policy and its effective implementation;

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(b) advise the Commission on its ICT standardisation work programme and its priorities;

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(c) identify potential future ICT standardisation needs in support of European legislation, policies and public procurement; … see full Decision here

• As from the Austrian Federal Ministries Act responsibility with BMWFW (former BMWFJ). Austrian representative: Martin Prager 29.04.2020

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Multi-Stakeholder Platform on ICT Standardization (2)

• MSP: Asked by the European Commission to discuss & advise on set of proposed specifications for specific eHealth use-cases; • CEN leadership in close collaboration with MSP members ISO, ETSI, CENELEC, OMG, GS1 & eHealth specific org. including HL7, IHE, Continua, IHTSDO propose to involve eHealth bodies (within their own organisations); • Discussion in MSP meeting June 2013 led to questions that have been discussed during European eHealth Standards Summit in September, in the broader context of eHealth standards.

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Multi-Stakeholder Platform on ICT Standardization (3)

• „Towards an eHealth Specifications Platform (eSP)“, steps: – Discussion with MS through eHGI and eHN to arrive at a simplified structure – Follow-on discussions with National eHealth Competence Centres – Exploration of eHealth Specifications Platform contribution to the uptake of epSOS specifications • Aim to involve relevant health and ICT industry partners & inspire them to turn to int. standards recommended by MSP and endorsed by EC 29.04.2020

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Related

• PHC-34-2014 H2020 Call on eHealth interoperability (deadline 2014-04-17) • 4 Challenges, each addressed by individual Coordination and Support Action • No. 1 Common clinical reference standards for eHealth deployment in Europe – Expected impact: Convergence in use of eHealth Standards in Europe and the world; contribution to eH EIF + deployment of eHalth services (including cross border).

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Austrian Activities

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EU Projects • eHGI • LSPs: epSOS, STORK 2.0, e-SENS • Trillium Bridge • PARENT • Terminologie-Vorstudie D-A-CH • Since 01.01.2014: EXPAND

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National

• Setup of national EHR system   Health Telematics Act 2012;

ELGA

ELGA Portal 01/2014 (Opt Out, no data); Opt-Out offices & services;  Connecting first domains (local affinity domains) autumn 2014;  Until 2016 successive compulsory introduction.

• • Commission on telemedicine: „Telegesundheitsdienste-Kommission“ OID-Management & Terminology Server 29.04.2020

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EXPAND

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EXPAND Objective

• EXPAND – Expanding Health Data Interoperability Services – is a Thematic Network funded by ICT Policy Support Programme • Progress towards an environment of sustainable cross border eHealth services established at EU level by the CEF and at national level through the deployment of suitable national infrastructures and services 17

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Project Overview

Project duration Time period Volume Formation of consortium Number of beneficiaries Number of countries

EXPAND in figures 1 st January 2014 – 31 December 2015 24 months 989.988€ funded by the European Commission Competitiveness and Innovation Programme (CIP) within the ICT Policy Support Programme National health authorities, competence centers, universities, standardization organizations 20 14 EU Member States

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EXPAND’s localisation in the project world

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Visit http://www.expandproject.eu/ for further information

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Kathrin Trunner [email protected]

THANK YOU FOR YOUR ATTENTION

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