Cases

The following are the existing OOP cases that were identified through the case analyis  in Deliverable 1.2:

 

Scenario:

To provide you a brief introduction to the future OOP scenario in healthcare domain, we kindly ask you to watch the following video. Alternatively you may click through the subsequent slideshow, which contains subtitles to explain the scenario interactions. Moreover, the textual description and posters could be found under the  interactive slideshow.

Video:

Health Scenario from SCOOP4C on Vimeo.

 

Slideshow:

Description:

Karl, a resident from country A goes to the hospital in his home country to be examined by a doctor (1). The doctor discovers that Karl suffers from an illness and now needs continuous medication. Consequently, the doctor updates Karl’s medical record in the Health Information System (2) using his national digital ID for authentication. At the same time, the doctor issues an ePrescription and stores it in the ePrescription Information System again using his national digital ID (3). The prescription does not include a specific name of a medication; however, it consists of a list of the needed medicine. Karl has access to his medical records and the issued ePrescriptions via the patient portal (4).

When Karl moves to country B for a temporary job (5), he goes to a pharmacy to get his medicine (6). When visiting the pharmacy, he gives consent to the pharmacy in country B to retrieve the particular ePrescription (6.1). As soon as Karl’s identification is validated via his national digital ID, the pharmacist triggers the request for the ePrescription from country A through the pharmacy portal (7). The pharmacist has to authenticate himself with his national digital ID to access the pharmacy portal. According to the request from country B, the ePrescription Information System provides the approved prescription to the pharmacy via the pharmacy portal (7.1).

The pharmacist searches for available medication according to the list of ingredients listed in the received ePrescription. In the case of different suitable medicines with the same ingredients, Karl is asked to decide which drug suits him most on the base of the pharmacist’s consultation. The pharmacist dispenses the medical products (8) to Karl. Afterward, the pharmacist generates an eDispensation document, which will be automatically transferred to the ePrescription Information System in country A (8.1).

The secure transport protocol facilitates safe and secure cross-border transmission of the medical data. In addition, the secure data exchange infrastructure connects different systems in the medical environment on national level. Common vocabulary and cross-border standards are used to map the medical data (e.g. ingredients of drugs) between the Member States.
 

Health Domain Poster

Gap list Health

Roadmap Action List (Health)

Roadmap Area Nr. Scenario Domain Gap Reference Nr. Roadmap Action Description of Action Measures Expected Results Responsible Actors Roadmap
Trust and Transparency TTA.3 Health, Social Protection, Education, Moving, Taxation H.6, SP.7, E.8, M.7, M.8, T.10 Develop instructions for OOP service providers Elaboration of detailed instructions for service providers for all occasions, including accidental misuse, in order to reduce excessive personal responsibility of clerks. Design processes Higher level of service provider's confidence. Transparency in the OOP implementation will lead to higher level of trust in the OOP solutions. EU implementers, National implementers, Service providers
Trust and Transparency TTA.2 Health, Social Protection, Education, Moving, Taxation H.6, SP.7, E.8, M.7, M.8, T.10 Develop transparent mechanisms of personal data processing Provide transparency in procedures for accessing and processing of personal data in the OOP implementation by development of clear and acceptable tracking (reviewing) possibility for citizens. In addition, appropriate supporting political commitments, reg Design processes, Development of concepts Transparency in the OOP implementation will lead to higher level of trust on the OOP solutions. Data subject is able to identify and aware by whom, where and why their personal data was used, which builds trust. EU policy makers, National policy makers, EU implementers, National implementers, Service providers
Trust and Transparency TTA.1 Education, Health, Moving, Social Protection E.11, H.5, H.14, M.12, SP.2 Implement transparent OOP solution for providing consent on data sharing Facilitate provision of the data subject’s consent for data sharing (including emergencies in case you are not able to provide) by defining an explicit and common concept of the process. Policy Recommendation, Implementation of enablers Clear concept and seamless implementation for providing consent of data sharing will increase the level of trust on OOP implementations EU implementers, National implementers, EU policy makers, National policy makers
Technical Interoperability TA.2 Taxation, Social Protection, Health, Education T.6, SP.13, H.8, E.4 Implement EU-wide enablers and infrastructures Widespread and effective implementation of the EU-wide technical enablers such as eDelivery as well as infrastructures (e.g. information systems and portals) to assure secure EU-wide communication Implementation of enablers Facilitates secure communication and data exchange between entities in different countries EU implementers
Organisational Interoperability OA.8 Education, Health, Moving, Social Protection, Taxation Define effective organizational structures for OOP implementation Appropriate organizational structures at national and EU level are necessary for seamless OOP implementation. An effective organization structure should be defined at EU level and following at national level. Development of concepts Harmonised organizational structures across Europe will facilitate appropriate cross-border cooperation and consequently pave the way for seamless OOP implementation EU policy makers
Organisational Interoperability OA.7 Education, Health, Moving, Social Protection E.2, E.4, E.8, H.11, M.12, SP.13 Develop rules of authorisation of organisations and person Member States have bilateral and had hoc solutions for giving rights to use services (data) for administrations and persons. Development of guideline, Development of tools for authorisation The processes of authorisation of administrations (rights are granted by service providers) and authorisation of persons are separated (granted by service consumers). Tools and guidelines are prepared. EU policy makers, National policy makers, National implementers
Organisational Interoperability OA.6 Health, Moving H.6, M.8, M.14 Ensure transparent OOP services Design and implementation of transparent OOP services according to the EU and national legislations. This could be achieved by implement citizen’s control for own data: Notify / get citizens’ consent on how their data is used (e.g. who can have access) Implementation of public services, Development of concepts Higher citizen satisfaction and acceptance of the OOP solution. Transparency is important for citizens as citizens need to be in control of their data OOP implementers
Organisational Interoperability OA.5 Education, Health, Moving, Social Protection, Taxation Rules and guidelines for authorisation on data access Eligible entities to access personal data should be defined with consideration of trust and transparency Implementation of regulations, Development of guideline Higher level of data protection and transparency and consequently, more trust on OOP services EU legislators, EU legislators, EU policy makers, National policy makers
Organisational Interoperability OA.4 Education, Health, Social Protection, Moving, Taxation Reference processes for interaction in secure data exchange EU-wide reference process should be defined and implement in order to support secure interaction and data exchange between different entities from all Member States Design processes, Implementation of systems Secure, clear, and precise processes for data exchange, which will lead to accurate OOP implementation EU policy makers, EU implementers
Organisational Interoperability OA.2 Education, Health, Moving, Social Protection E.12, E.18, H.2, M.9, SP.1 Adjust organisational structures with aim to clearly define the national contact points Clear definition of the organisational structures at national level to determine national contact points. This can ease the cross-border cooperation between national entities from all Member States Policy Recommendation Seamless cross-border cooperation will support smooth cross-border OOP implementation National policy makers
Legal Interoperability LA.3 Education, Health, Moving, Social Protection, Taxation E.18, H.4, H.5, H.6, M.7, M.8, M.12, M.14, SP.2, SP.7, T.10, T.12 Develop guidelines accompanying all EU regulation Development of guidelines such as complementary documents to all EU regulations (e.g. GDPR) with the aim of avoiding different interpretation and various implementation on national levels Development of guideline Development of convenient guidelines by EU policy makers could lead to corresponding interpretations of EU legislations and consequently more harmonisation at EU level and more sufficient cross-border OOP implementation EU policy makers
Legal Interoperability LA.2 Education, Health, Moving, Social Protection, Taxation E.3, E.12, E.18, H.2, H.11, M.2, M.17, SP.9, SP.10, T.2 Harmonisation of national legislation National legislators and policy makers should reform and harmonise national legislations in many fields, regarding the substance of the topics (not just the form for transfer of data but e.g. entry requirements to higher education; how components of drugs Implementation of regulations Harmonised legislation in EU Member States (i.e. not identical legislation but harmonised to a sufficient degree to permit free movement) so that there can be meaningful data transfers across Europe. This should not leading to identical legislations but a National policy makers, National legislators
Legal Interoperability LA.1 Education, Health, Moving, Social Protection, Taxation E.3, E.12, E.18, H.2, H.11, M.2, M.17, SP.9, SP.10, T.2 Make a decision on a sufficient harmonisation degree for national legislations as well as the areas for harmonisation Define the policy domains, in which the harmonisation of national legislations in all Member States is essential for the OOP implementation. Furthermore make decision on the sufficient level for harmonisation Policy Recommendation, Implementation of regulations Provide a clear view on the areas of national legislations that need to be harmonised on the EU level EU policy makers
Political Commitment PA.4 Education, Health, Moving E.1, E.12, E.15, H.3 Develop political commitment to resolve potential conflicting concept, policies, and legislations Development of comprehensive political commitments with the aim of resolving potential conflicting concepts, policies, and legislations in various domains (e.g. freedom of teaching and EU-wide harmonisation of education). Policy Recommendation The development will ease the cross-border OOP implementation by eliminating barriers, which occur from conflicting concepts EU policy makers, National policy makers
Political Commitment PA.3 Education, Health, Moving E.1, E.12, E.15 Develop seamless political commitment with aim to encourage development of supportive legislations Supportive legislations on different levels should be in place to make the cross-border OOP implementations possible as well as encouraging citizens to use the OOP services. For instance, legislation that guarantees the realisation of citizen’s rights, i Policy Recommendation Facilitation of cross-border implementations of the OOP and incensement of citizen's trust to use and participate in cross-border OOP services EU policy makers, National policy makers
Political Commitment PA.2 Education, Health, Moving E.1, E.12, E.15, H.3 Develop seamless political commitment as well as adjust current ones to specify commitments and responsibilities Comprehensive political commitments on different levels should be developed to clearly define and differentiate commitments and responsibilities for the OOP implementation on different levels Policy Recommendation Pave the way for the cross-border implementation of the OOP by accelerating implementation of the required building blocks and enablers EU policy makers, National policy makers
Political Commitment PA.1 Education, Health, Moving E.1, E.12, E.15, H.3 Develop seamless political commitment as well as adjust current ones to specify commitments and responsibilities Comprehensive political commitments on different levels should be developed to clearly define and differentiate commitments and responsibilities for the OOP implementation on different levels Policy Recommendation The execution of political commitments will lead to satisfying collaboration in-between responsible governmental entities for the OOP implementations in all Member States EU policy makers, National policy makers