06/10/2015. from strategies to services – ehealth as the enabler for cross-border health care
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21/04/23
21/04/23
From strategies to services – eHealth as the enabler for cross-border
health care
21/04/23
21/04/23 Objectives of the ISA eHealth EIF Study
Make a recommendation of a first set of ten use cases and their associated profiles (by IHE and Continua)Make a recommendation of a first set of ten use cases and their associated profiles (by IHE and Continua)22
Define the eHealth European Interoperability Framework (EIF)Define the eHealth European Interoperability Framework (EIF)11
Provide recommendations on profiles (or their development process)Provide recommendations on profiles (or their development process)33
Jan May Sept
eHealth EIF Phase IeHealth EIF Phase I
Workshop (16th of April) Workshop
eHealth EIF Phase IIeHealth EIF Phase II
Full EIF Webinar
21/04/23 Policy Context for epSOS & EU eHealth Interoperability
2002 2004 2008 2009 2010 2011 2012 2002 2004 2008 2009 2010 2011 2012
Recommendation on cross-border interoperability of electronic health record systems
Communication on a strategic vision for European standards
Communication on Quality Criteria for Health related Websites
Communication on e-Health - making healthcare better for European citizens: An action plan for a European e-Health Area
eHealth Standardisation Mandate 403
Communication on telemedicine for the benefit of patients, healthcare systems and society
Council Conclusions on Safe and efficient healthcare through eHealth
Directive on the application of patients’ rights in cross-border healthcare
Communication on interoperability for European public services
Communication on a Digital Agenda for Europe Communication on
European Innovation Partnership on Active and Healthy Ageing
eHealth Action Plan (eHAP) 2012-2020
Article 29 Working Party
21/04/23 eHealth EIF positioning on HITCH roadmap
Get Ready: 2012-2013 Operationalize: 2013-2014 Deploy: 2015-20XX
Can be used as input for
21/04/23 Introducing the terminology
eHealth Interoperability project
eHealth Interoperability project
An eHealth interoperability project, taking place in a EU cross border, national, regional, or local context.
Interoperability specificationInteroperability specification
Project-specific deliverable, dealing with a set of “profiles” to address a “business use case”
ProfileProfile
Combines and refines the use of a set of “base standards” to address a specific “technical use case“
Base standardsBase standards
Artefacts that are foundational to delivering open interoperability, often endorsed by standards development organisations
Business Use CaseBusiness Use Case
Description of sequences of business events that, taken together, lead to a system doing something useful
Technical Use CaseTechnical Use Case
Description of sequences of technical events that, taken together, lead to a system doing something useful
addresses
addresses
consists ofconsists of
combines and refines
delivers
e.g. epSOS
e.g. ePrescription / eDispensation
e.g. Patient identification
e.g. D3.4.2 epSOS Common Components
Specification.pdf
e.g. IHE-XCPD
e.g. HL7 V3
21/04/23 Illustrating vision with epSOS project
epSOS EU Cross-Border eHealth Interoperability ProjectepSOS EU Cross-Border eHealth Interoperability Project
International base standards and profile development
LOINCLOINC
SNOMED/CTSNOMED/CT
HL7 v2HL7 v2
HL7v3HL7v3
CDA L1 L3CDA L1 L3
eHealth European Interoperability Framework: EU Recognised profileseHealth European Interoperability Framework: EU Recognised profiles
Business Use Case “Patient Summary”
Business Use Case “Patient Summary”
Business Use Case “ePrescription / eDispensaton”
Business Use Case “ePrescription / eDispensaton”
Pdf/APdf/A
HTPP1.1HTPP1.1
UTF8UTF8
OASIS ebRIM 3.0OASIS ebRIM 3.0
OASIS ebRS 3.0OASIS ebRS 3.0
W3C MTOMW3C MTOM
W3C XOPW3C XOP
W3C SOAP 1.2W3C SOAP 1.2
WSI BP 1.1WSI BP 1.1
WSI SBP 1.1WSI SBP 1.1
RFC1305 (NTP)RFC1305 (NTP)
ETSI TS 102 231 ETSI TS 102 231
X509X509
RFC 3881RFC 3881
IHE-BPPCIHE-BPPC
IHE-XCPD IHE-XCPD
IHE-XCA IHE-XCA
IHE-XDR IHE-XDR
IHE-CT IHE-CT
IHE-ATNA IHE-ATNA
Identification Service epSOS Business Service
Dispensation Service Security and Infrastructure servicesConsent Service
Profile 1Profile 1 Profile 2Profile 2
Profile 4Profile 4
IHE-XCPD
IHE-XCPD
IHE-XCA
IHE-XCA
IHE-XDR
IHE-XDR
ExtensionsExtensions
Profile 4Profile 4IHE-
BPPC
IHE-BPPC
Profile 4Profile 4IHE-
ATNA
IHE-ATNA Profile 4Profile 4
IHE-CT
IHE-CT
ExtensionsExtensions
OASIS ebRIM 3.0OASIS ebRIM 3.0
OASIS ebRS 3.0OASIS ebRS 3.0
HL7 V3 PA DSTUHL7 V3 PA DSTU
IHE-XSPAIHE-XSPA
XACLMXACLM
HL7 V3 Datatypes HL7 V3 Datatypes
OASIS ebMS 3.0OASIS ebMS 3.0
OASIS ebRS 3.0OASIS ebRS 3.0
OASIS ebRIM 3.0OASIS ebRIM 3.0
HL7 CDA R2HL7 CDA R2NTP V3NTP V3
SNTP V4SNTP V4TLS 1.2TLS 1.2
SyslogSyslog
RFC 3881RFC 3881
WSI SBP 1.1WSI SBP 1.1
Profile 2Profile 2<To be
determined><To be
determined>
Profile 2Profile 2<To be
determined><To be
determined>
IHE-XUAIHE-XUA
IHE-XCFIHE-XCF
......
Profile 1Profile 1
IHE- (XUA)/XSPA
IHE- (XUA)/XSPA Profile 2Profile 2
IHE-XCF
IHE-XCF
OASIS ebRIM 3.0OASIS ebRIM 3.0
OASIS ebRS 3.0OASIS ebRS 3.0
Profile 1Profile 1
IHE- (XUA)/XSPA
IHE- (XUA)/XSPA
SAMLSAML
SAML (v2)SAML (v2)
XACML (v2)XACML (v2)TSL/NSLTSL/NSL
TSPTSP
CEN activitiesCEN activities
IEEE 11073IEEE 11073
……
21/04/23
base from Mikael Erlandsson
Oh so you are also implementing eHealth?
DK, CZ, FR, ES, GR, AT, IT
SE, DE, SL
Cooperation - Coopetition
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