June 12, 2015 event 1

eStandards Discussion panel on collaboration

between SDOs and NCCs

643889 H2020-PHC-2014

June 12, 2015 event 2

Moderator

• Michiel Sprenger

• Strategy adviser @Nictiz, the National Competence Center of the Netherlands (NCC-NL)

• Teacher in Clinical Informatics at Eindhoven Technical University

June 12, 2015 event 3

Remember the stakeholders

• Citizens (sometimes patients)

• Health professionals

• Health system

• Market

June 12, 2015 event 4

Remember the layered model for interoperability

ReEIF

Policy

IT Infrastructure

Care Process Health professionals

Board members, C-level mgmt

Applications Procurers, software suppliers

ICT development and management

Legal and regulatory Regulatory bodies

Information Health professionals, Informaticians

Actors

5

Scene of collaboration

• Three geographic layers – Global – Europe (main focus of today) – National

• Partners (for this discussion) – SDOs and Profiling Organisations:

• Develop base standards on international scale • Assist localisation on national level

– National Competence Centres (NCCs) • Localise standards • Combine standards to new national specifications and/or

standards – Policy:

• Member states (MoH) • eHealth Network (eHN, JAseHN)

June 12, 2015 event 6

Panellists

• Christof Gessner, NCC-DE, HL7-DE and European HL7-SAB

• Pim Volkert, NCC-NL, SNOMED-NL • Manne Andersson, NCC-SE and JAseHN • Karima Bourquard, IHE-EU • Catherine Chronaki, HL7-EU • Robert Stegwee, CEN-TC251 EU

June 12, 2015 event 7

Panel discussion

• Panellists: introduce yourself • Answer the following questions:

• What is, or are, your main collaboration issues • How should we pick them up • What should be the result

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Related questions:

• Do we really need European standards?

• How to liaise with industry ?

• How to liaise with stakeholders like citizens and professionals

June 12, 2015 event 9

Eleven Draft Recommendations (Part 1: on Standards)

1. Make it easier to refer to specific standards and specifications in eHealth (public) procurement – establish a standards sets repository

2. Develop free and open tools-based access to standards for implementation and deployment

3. Increase the visibility of clinical best practices in terms of professional guidelines linked to generic workflows and information sets

4. Detail a clear governance and maintenance process for each set of standards related to an identified combination of use cases

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Eleven Draft Recommendations (Part 2: on Data)

5. Support the flow of health data between record systems and (mobile) devices (break down the silos)

6. Make it safe and easy to migrate to the cloud for health and healthcare data to become interoperable

7. Provide guidance on the interpretation of the medical device directive in case of personal use of eHealth and mHealth services (Active Assisted Living)

8. Consider broadening the scope of the European Health Terminology Services (being developed under CEF) to include the full range of health data, including patient generated, sensor and medical device data

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Eleven Draft Recommendations (Part 3: on Usage)

9. Clinical model content should be shared internationally, irrespective of the particular paradigm used in its creation, and the incorporation of such content in clinical applications should be encouraged

10. Localisation of standards sets should be supported and guided to prevent local adaptation of the underlying standards that “break” cross-border or cross-realm interoperability

11. Establish an eHealth Standards Observatory, for the purpose of monitoring – the use of standards sets related to use cases – the use of terminologies in data capture and data exchange – the adoption of cross-border guidelines

(including patient summary)

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June 12, 2015 event 13