Convergence and the eHealth Interoperability Framework

1. 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

2. Interoperability in the EC policy agenda Connecting Europe Facility • Large scale deployment of Digital Services • Part of the Multi Annual Financial Framework proposal • CEF Regulation in co-decision

3. The need for an eHealth Interoperability Framework Towards a single digital market in 2020 CEF Source: Digital Agenda for Europe (http://ec.europa.eu/information_society/digital-agenda/ )

4. Phase II of eHealth Interoperability Framework study eHealth EIF Phase I eHealth EIF Phase II July Jan June Dec 2013 Workshop Study report including the methodological approach 1 The vision on the eHealth European Interoperability Framework (EIF) (including the legal, semantic, organisational and technical levels) 2 An assessment framework to assess profile development organisations and individual profiles 3 A first proposal for the population of the technical level of the eHealth EIF 4 4

5. Vision on eHealth EIF structure Governance Interoperability Levels High-Level Use Cases Legal Interoperability Organisational Interoperability Use case 1 Principles Interoperability Agreements Use case 2 Semantic Interoperability Technical Interoperability ...

6. eHealth European Interoperability Framework International base standards and profile development Profile 1 Profile 2 Profile 4 Use Case A Vision on technical interoperability Profile 1 Profile 1 Profile 3 Profile 4 Use Case B Base Standard 1 Profile 2 EU Cross-Border deployment under the CEF Base Standard 2 (Extensions) Use Case A1 Profile 1 Profile 2 Profile 4 Specific Profile Base Standard 3 Profile 3 Base Standard 4 National/Regional eHealth Interoperability Project (Extensions) Use Case A2 Base Standard 5 Profile 1 Profile 2 Profile 4 Specific Profile Profile 4 Local (e.g. Hospital) eHealth Interoperability Project (Extensions) Use Case B1 Profile 1 Profile 2 Profile 4 Specific Profile

7. 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 and Continua • IHE has developed a use case based methodology which is being endorsed by the ISO: ISO TR28380 IHE Global Standards Adoption Process. • 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

8. LIS RIS LIS RIS The selected list of ten use cases covers a relevant excerpt of medical care provision Cross-border Level Medical care provision National / Regional Level UC 1 - Pharmacy Citizens at home & on the move Inpatient medical care provision Medical care provision UC 8 UC 2a/ 2b - Primary care physician - PC-based Care Mgt. - Pharmacy - Hospital IIIa UC 9 UC 5a - Primary care physician - Medical Specialist UC 6 UC 7 - Mobile-based Care Mgt. UC 5b - Hospital I UC 10 - Medical Specialist - Hospital IIIb - Sensor-based Care Mgt. - Rehabilitation - Hospital II UC 3 + UC 4 (2 hospitallocationsaffiliatedto same hospitalmgt. organization) - Rehabilitation

9. Annex II of Regulation of European Standardisation The assessment framework is based on Annex II of the Regulation on European Standardisation Organisational criteria Technical Specification criteria Category ‘Type of organisation’ Category ‘Market Acceptance’ Category ‘Openness’ Category ‘Coherence ’ Category ‘Consensus’ Category ‘Availability’ Category ‘Relevance and Effectiveness’ Category ‘Transparency’ Category ‘Neutrality and Stability’ Category ‘Maintenance’ Category ‘Quality’ Category ‘Intellectual property rights ’

10. 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

11. Governance of eHealth EIF eHealth Network (MS, EC) CEF Governance (MS, EC, industry) eHealth Stakeholders Group From 2012, permanent From 2014, permanent eHealth Governance Initiative ICT standards multi-stakeholders platform (MS, EC, others) Until 2014, project based From 2013, permanent eHealth standards eGov standards Internet standards Other ICT standards eHealth EIF project 7 IHE profiles were submitted to the ICT MSP in Feb 2013

12. 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 specsby ICT MSP Update of eHealth EIF

13. The next step is to populate the semantic level Convergence between EU initiatives is needed…

14. Thank you! Benoit Abeloos: benoit.abeloos@ec.europa.eu

15. Backup slides

16. Use cases list