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From strategies to services – eHealth as the enabler for cross- border healthcare

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From Strategies to Services

!

Provide concrete cross border services that ensure safe, secure and efficient medical treatment for citizens when travelling across Europe

!

Focus on services close to the patient: –! Patient Summary for EU Citizens

! Occasional Visit
! Regular Visit

–! ePrescribing for EU Citizens

! Medication Re-dispense
! Medication Occasional Dispense
!

Build on existing National eHealth Projects and use experiences and knowledge from all Member States

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! Healthcare a strict national prerogative
! Previously only limited co-operation on a general policy level
! Substantial variations between national healthcare systems, but

also similar challenges are faced and….

! …substantial similarities in political ambitions to reform

healthcare as well as in the challenges to reach these goals

! The work started in 2003-2006 at the Ministerial Conferences
! In 2004 the eHealth Action Plan was adopted and the I2010 was

created

! And in 2007 in Berlin the eHealth Initiative was created.…

Closer Cooperation on Healthcare

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a new era in legal and policy framework for EU Cooperation on eHealth

! Proposal for a European Directive on patients’ rights in cross-

border healthcare

! Commission Recommendation on cross-border interoperability of

electronic health record systems

! Communication on telemedicine for the benefit of patients,

healthcare systems and society

! eHealth Standardisation Mandate 403

2008 a New Era

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! Goal for the epSOS eHealth Project:

–! “to develop 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”

! Challenges to get there:

–! Legal Interoperability –! Organisational Interoperability –! Semantic Interoperability –! Technical Interoperability

Goals & Challenges

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The Pilot Team

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The Industry team

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EU memberstate (not participating) Non EU country Single (national) patient identifier Multiple (regional) patient identifiers

Availability of Patient identifier 2008

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EU memberstate (not participating) Non EU country Single (national) patient identifier Multiple (regional) patient identifiers

Availability of Patient Identifier 2010

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Nationally-led Regionally-led Not available / unknown EU memberstate (not participating) Non EU country Fully available Partly available Fully available Partly available

HCP/HCPO Identifier – Suitability for Authentication & Digital signing 2008

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Nationally-led Regionally-led Not available / unknown EU memberstate (not participating) Non EU country Fully available Partly available Fully available Partly available

HCP/HCPO Identifier – Suitability for Authentication & Digital signing 2010

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Nationally-led Regionally-led Not available / unknown EU memberstate (not participating) Non EU country Fully available Partly available Fully available Partly available

Availability of opt-out Consent 2008

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Nationally-led Regionally-led Not available / unknown EU memberstate (not participating) Non EU country Fully available Partly available Fully available Partly available Opt-out likely to be implemented