Grensoverschrijdende informatie- uitwisseling

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1 Grensoverschrijdende informatie- uitwisseling Congres Architectuur in de zorg 18 Juni 2015 Bussum M. Seven R.A. Stegwee

2 2011 Directive on patients rights in cross-border health care Congres Architectuur in de zorg

3 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

4 Building a Connected Europe Congres Architectuur in de zorg

5 Building machine PEPPOL (5/2008 8/2012) STORK (7/2008 3/2015) epsos (7/ /2013) SPOCS (7/ /2012) e-codex (12/2010 2/2015) CIP CEF Congres Architectuur in de zorg

6 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

7 CEF digital Page 8

8 Connecting Europe Facility Congres Architectuur in de zorg

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

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

11 Connecting Europe Facility (digital) Congres Architectuur in de zorg

12 CEF bouwstenen: Congres Architectuur in de zorg

13 Piloting the building blocks.. Congres Architectuur in de zorg

14 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

15 Grensoverschrijdende informatieuitwisseling in de zorg Congres Architectuur in de zorg

16 Geen illusie! Malta Congres Architectuur in de zorg

17 Uitdaging Using Contributing Interested Pushing Malta Congres Architectuur in de zorg

18 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

19 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

20 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

21 Coordination Collaboration Consumption Interacties tussen landen Congres Architectuur in de Zorg

22 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

23 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

24 Wat betekent dit voor Nederland en voor uw organisatie? M. Seven en R.A. Stegwee