European CommissionActivities in eHealth

European CommissionActivities in eHealth

Workshop on Semantic Interoperability 14-15 February, 2005, Brussels

Ilias IakovidisIlias IakovidisDeputy Head of Unit Deputy Head of Unit –– ICT for HealthICT for HealthDG Information Society and MediaDG Information Society and Media

European CommissionEuropean Commission

FP2 FP3 FP4 FP5

Computer Applications for

DoctorsTelemedicine systems

and services

Budget20M €

Budget100M €

Budget140M €

Budget200M €

Projects30

Projects63

Projects158

Projects125

ResultsFeasibility

StudyResultsAIM

Community

Results1st batch of Products

ResultsEU Health TelematicsIndustry

eHealth & European CommissioneHealth & European Commission

Regional Health Info Networks

Home-care systemsPersonal Health

Systems

Coordination & Support to National and Regional eHealth rollout plansInternational cooperationTechnology assessment & transferMinisterial eHealth ConferenceseHealth Communication & Action plan

2. Support to deployment2. Support to deployment@@

1. New perspectives in R&D1. New perspectives in R&D

Health Knowledge Infostructure - HealthGrid

Biomedical Informatics

Wearable & Implantable systems

PastPast (1990-2003) FUTUREFUTURE (2003- )

Communication: COM(2004) 356 final ‘e-Health – making healthcare better for European citizens:

An action plan for a European e-Health Area’

Communication: COM(2004) 356 final ‘e-Health – making healthcare better for European citizens:

An action plan for a European e-Health Area’ee--Health action planHealth action plan: 3 areas of activities: 3 areas of activities••Addressing common challenges Addressing common challenges ••Pilot actions: accelerating beneficial implementationPilot actions: accelerating beneficial implementation••Working together and monitoring practicesWorking together and monitoring practices

3 types of responsibilities: 3 types of responsibilities: ••Member States (MS) responsibility Member States (MS) responsibility ••European Commission (EC) ResponsibilityEuropean Commission (EC) Responsibility••Shared between EC and MSShared between EC and MS

Many tools for action: Many tools for action: EC EC programmesprogrammes, EC promotion initiatives, , EC promotion initiatives, regional funds, MS funds, open method of coordinationregional funds, MS funds, open method of coordination

CALL 4 is open for submission of an Coordination Action that wiCALL 4 is open for submission of an Coordination Action that will ll assists Commission in following up the Action Plan of the eHealtassists Commission in following up the Action Plan of the eHealth h Communication COM (2004)356Communication COM (2004)356

Communication: COM(2004) 356 final ‘e-Health – making healthcare better for European citizens: An

action plan for a European e-Health Area’

Communication: COM(2004) 356 final ‘e-Health – making healthcare better for European citizens: An

action plan for a European e-Health Area’

Addressing common challengesAddressing common challenges –– selected examples:selected examples:

•• Best practices collection (EC, 2005)Best practices collection (EC, 2005)•• National/regional roadmaps (MS, 2005)National/regional roadmaps (MS, 2005)•• Common approaches for patient identifier (EC+MS, 2006)Common approaches for patient identifier (EC+MS, 2006)•• Interoperability for EHR and messaging (EC+MS,2006)Interoperability for EHR and messaging (EC+MS,2006)•• Labeling, testing, certification of solutions (MS 2006)Labeling, testing, certification of solutions (MS 2006)•• Boosting investments inBoosting investments in eHealtheHealth (MS, 2007)(MS, 2007)

•• Legal framework, (EC+MS,2009)Legal framework, (EC+MS,2009)

ICT for Health ICT for Health Examples of Research Activities Examples of Research Activities

Prevention and Inclusion Prevention and Inclusion

•• Personal health support systems for Personal health support systems for

Monitoring, Autonomy, MobilityMonitoring, Autonomy, Mobility

Innovation and new market developmentInnovation and new market development

•• PersonalisationPersonalisation of treatments of treatments -- Bringing Bringing advances of advances of Genomics Genomics to Medicineto Medicine

•• Simulation and in Simulation and in silico silico testingtesting

Health Information space (Health Information space (HealthGridHealthGrid))

•• fast access to all relevant patient datafast access to all relevant patient data

•• Research space Research space

•• Environment that support new start upsEnvironment that support new start ups

HealthGrid – 3 sided conceptHealthGrid – 3 sided concept

An environment, created through the sharing of resources, An environment, created through the sharing of resources, in in which heterogeneous and dispersed health data which heterogeneous and dispersed health data ::

• molecular data (ex. genomics, proteomics)• cellular data (ex. pathways)• tissue data (ex. cancer types, wound healing) • personal data (ex. EHR)• population ( ex. epidemiology)

as well as applications, as well as applications, can be accessed by all users as an tailored can be accessed by all users as an tailored information providing system according to their authorisationinformation providing system according to their authorisation

Computing GridFor data crunching applications

Knowledge GridIntelligent use of Data Grid for knowledge creation and tools

provisions to all users

Data GridDistributed and optimized storage of

large amounts of accessible data

ICT for Health, ISTAG WG, March 2004

Interoperability

• Concept with vast scope and many facets

• Many research groups working for decades

• Many international efforts ( EU, US, CA, AUS)

• Major technical aspects are common with other areas

• The semantic interoperability has to be done by the

domain experts

EPSCO CouncilEPSCO Council European CommissionEuropean Commission

DG SANCODG SANCO DG INFSODG INFSO

eEurope Advisory group

eEurope Advisory group

High Level eHealth ForumHigh Level

eHealth ForumHigh Levelgroup on

Health services and Medical care

High Levelgroup on

Health services and Medical care

Subgroup eHealth

Subgroup eHealth

eHealth Action Plan

eHealth Action Plan

eEurope 2002-2005 activities on

eHealth

eEurope 2002-2005 activities on

eHealth6th FP RTD 6th FP RTD eTENeTEN

ERA NetMember States Coordination

ERA NetMember States Coordination

Coordination of eHealth Action Plan in EuropeCoordination of eHealth Action Plan in Europe

Telecom CouncilTelecom Council

Subgroup eHealth

Subgroup eHealth

Advisory groups (stakeholders

representatives)

Advisory groups (stakeholders

representatives)

Input from DG ENTR, DG REGIO, DG EMPL

Input from DG ENTR, DG REGIO, DG EMPL

EHealth ConferencesEHealth Conferences

Commonconstituency:

6-10 Member states

representatives

MODINIS studiesMODINIS studies

European eHealth Interoperability

Group

European eHealth Interoperability

Group

CE

N T

C 2

51

eHea

lth F

ocus

Gro

up

Organising Activities on InteroperabilityOrganising Activities on Interoperability

I2Health (Interoperability issues); TMA Bridge (Interoperability issues);

National orRegionalRoadmap

for e-Health.

Top DownTop Down

HealthCards

(includingInsurance

cards)

Unique Identifier(EMPI)

EHRInter-

operableMessaging

Others(Imaging,

radio spectrum, lab results, pharmacy

etc)

Conformitytesting andAccreditati

onschemes

ERA-NET (strategy definition); TMA Bridge (International Cooperation)

Bottom Up

Other issues : Call 4RoadmapsRoadmaps(Specific Support Measures) are

recommendations • for an R&D actions on EU level • that consider also non R&D aspects ( legal,

industrial, financial)• that describe approaches to reach the overall goals,

but also point to useful intermediate milestones (I.e. midterm goals to be reached within one FP)

E.g.: Interoperability of eHealth systems –realistic approaches to this concept with clinical applicability. Special emphasis on semantic interoperability and the further R&D needed in the area of biomedical ontologies