Grensoverschrijdende informatie
uitwisseling Congres Architectuur in de zorg 18 Juni 2015 Bussum
M. Seven R.A. Stegwee 18-6-2015
2011 Directive on patients’ rights in cross-border health care
Congres Architectuur in de zorg 2015
2
Building a Connected Europe… Digital Agenda for Europe
Regulatory barriers should be eliminated to facilitate cross-border use of commercial and cultural digital content and services and to enable citizens and businesses to fully benefit from the European Single Market.
Congres Architectuur in de zorg 2015
3
Building a Connected Europe…
Congres Architectuur in de zorg 2015
4
Building machine… PEPPOL (5/2008 – 8/2012) STORK (7/2008 – 3/2015) epSOS (7/2008 – 12/2013) SPOCS (7/2009 – 12/2012) e-CODEX (12/2010 – 2/2015)
2008
2009
2010 CIP
Congres Architectuur in de zorg 2015
2011
2012
2013
2014
2015 CEF
5
Connecting Europe Facility (CEF) •
A funding programme for building and deploying infrastructures.
•
Deploys mature technologies to build, enable and operate pan- European Digital Services
•
Intended to contribute to growth, competitiveness, jobs and social inclusion
Congres Architectuur in de zorg 2015
7
CEF digital
Page 8
Connecting Europe Facility
Congres Architectuur in de zorg 2015
9
Europese CEF bouwstenen Digital service infrastructures (DSIs):
Networked services to be delivered electronically, typically over the internet, providing Trans-European interoperable services of common interest for citizens, businesses and/or governments, and which are composed of core service platforms and generic services •
Core service platforms: central hubs of digital service infrastructures aiming to ensure trans-European connectivity, access and interoperability and which are open to Member States and may be open to other entities
•
Generic services: gateway services linking one or more national infrastructures to core service platforms
Congres Architectuur in de zorg 2015
10
Europese CEF bouwstenen Building Block DSIs re-usable component of business, IT, or architectural capability that can be combined with other building blocks to deliver architectures and solutions. Sector specific DSIs deliver a more complex cross border online services for citizins, businesses, public administrations and/or patients.
Congres Architectuur in de zorg 2015
12
Connecting Europe Facility (digital)
Congres Architectuur in de zorg 2015
15
CEF bouwstenen:
Congres Architectuur in de zorg 2015
16
Piloting the building blocks..
Congres Architectuur in de zorg 2015
22
e-Health primary use cases • ePrescription/Patient Summary • eConfirmation of insurance entitlement • eInvoicing during re-imbursement of healthcare provision
costs
Access to the patient summary and any related medical record information from wherever it is located in the host country by healthcare professionals. Secure identification of patients using the electronic identification credentials they have in their host country. Possibility to have electronic prescriptions issued by their own doctors in their country of origin filled at the pharmacies of the destination country.
Congres Architectuur in de zorg 2015
23
Grensoverschrijdende informatieuitwisseling in de zorg
Congres Architectuur in de zorg 2015
24
Geen illusie…!
Malta Congres Architectuur in de zorg 2015
26
Uitdaging…
Malta Congres Architectuur in de zorg 2015
Using
Contributing
Interested
Pushing
27
Coordination Collaboration Consumption
Er is al veel (voor)werk verzet • Legal framework of Interoperable eHealth in Europe • Smart Open Services for European Patients •
epSOS en EXPAND
• en voor uitwisseling over de Atlantische Oceaan •
Trillium Bridge
• Electronic Exchange In Accordance With The Cross-border Directive 2011/24/Eu •
•
Guidelines on Minimum/Nonexhaustive Patient Summary Dataset Guidelines on ePrescriptions Dataset
Congres Architectuur in de zorg 2015
34
Coordination Collaboration Consumption
Basisarchitectuur (epSOS)
➊THE NATIONAL INTERFACE + ➋ THE NATIONAL CONNECTOR ➌ THE PORTAL & PORTAL ADAPTER ➍ THE CORE ELEMENTS ➎ THE EPSOS INTERFACE Congres Architectuur in de Zorg 2015
35
Coordination Collaboration Consumption
Uitdagingen • • •
•
De betrokken landen hebben een nationale infrastructuur De inhoud blijft bij uitwisseling behouden en klinisch relevant De patiënten en professionals kunnen over de grenzen heen worden geïdentificeerd en geauthenticeerd Moet er ook een mogelijkheid zijn tot terugrapportage?
Congres Architectuur in de zorg 2015
36
Coordination Collaboration Consumption
Interacties tussen landen
Congres Architectuur in de Zorg 2015
37
Coordination Collaboration Consumption
Semantische interoperabiliteit •
epSOS' Semantic Services zijn ontwikkeld op basis van de volgende componenten en technologieën: • • • •
•
CDA's (Clinical Document Architecture) PCC (Patient Care Coordination) epSOS MVC (Master Value Set Catalogue) epSOS MTC (Master Translation/Transcoding Catalogue) epSOS Ontology
Trillium Bridge heeft hier onderdelen aan toegevoegd: • •
Transformer – CTS-2 based infrastructure Interoperability Testing Plans, Tools, Datasets
Congres Architectuur in de zorg 2015
38
Coordination Collaboration Consumption
Aanbevelingen (Trillium Bridge) •
Specificatie van één International Patient Summary met minimaal de volgende (CCR/CCD) elementen: • • • • • •
• •
Inentingen Allergieën Medicatie Problemen en diagnoses Doorgemaakte ingrepen/verrichtingen Behandelaanwijzingen
Ook te gebruiken als kernset voor spoedeisende hulp Inclusief de ontwikkeling van klinisch gevalideerde cross border terminology value sets
Congres Architectuur in de zorg 2015
39
Wat betekent dit voor Nederland en voor uw organisatie?
M. Seven en R.A. Stegwee 18-6-2015
