E-recept i Europa – så fungerar det
Veronica Barkman, projektledare, Apotekens Service AB Annika Ohlson, farmacevt, Apotekens Service
Eva Leach, projektledare, CeHiS
Anna Adelöf, ämnessakkunnig, Socialdepartementet
27/10/2013 epSOS presentation, eHälsodagen 2013-10-24
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Agenda
Page 31. epSOS
1. SepSOS
• Målbild, status och piloter
• NCP – nationell kontaktpunkt
• Expedition av e-recept
2. Så här går det till!
Framtidens eHälsa i Europa
• The decision on eHealth by the Council in December 2009 identified need for action on four specific areas:
– 1) Legal, ethical and regulatory issues – 2) Semantics and terminology
– 3) Identification and authentication – 4) Standardisation
• epSOS strategically important for concrete cooperation!
Political pressure for cross-border cooperation
Page 5• The proposal for a European Directive on patients’
rights in cross-border healthcare means that:
– all EU citizens will have a legal right to ask for planned treatment in another Member State under certain conditions.
– continuity of care should be guaranteed by making sure that relevant medical information can follow the patient across organisational or national borders.
– a structured cooperation on eHealth shall be established by the Member States, supported by the European Commission, with focus on safe electronic transfer of medical data.
New European legal framework
Page 6• Large Scale Pilot funded by European Comission and participating nations (€ 40 million)
• Project start in 2008 with 12 participating nations and industry team
• Extension and expansion in 2011-2014. Currently 23 participating nations
• Pilot operation – 30/6 2014
Background
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• Provide concrete cross border services that ensure safe, secure and efficient medical treatment when travelling across Europe
• Focus on services close to the patient:
– Patient summary – ePrescription and e-
dispensation
Scope and Aim
From Strategies to Services with epSOS
• Build on existing national eHealth projects
• Use experiences and knowledge from all Member States
Page 9
Scope and Aim
From Strategies to Services with epSOS
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Main Achievements
• Services for exchange of ePrescriptions and patient summaries in cross-border setting.
• Currently eight participating nations in live mode, more on the way
• Support to the EC in providing all EU MS, through the eHealth network, with a non- exhaustive list of data to be included in patient summary
Austria
Czech Republic Denmark
France Germany Greece
Italy – Lombardy The Netherlands Slovakia
Spain Sweden
United Kingdom Belgium
Estonia Finland Hungary Malta Norway Poland Portugal Slovenia Switzerland Turkey Croatia
epSOS – 24 participating countries
Page 11Pilot plans 2013-2014
Patient summary service
• Austria, Estonia, France, Hungary, Italy,
Luxembourg, Malta, Portugal, Slovenia, Spain, Switzerland,
ePrescription service
• Croatia, Denmark, Finland, Greece, Hungary, Italy, Spain, Sweden
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Goal for 2013-2014:
1. Consolidate and scale up piloted epSOS services
– increase the number of connected users.
2. Extend and refine functionalities of the two core services
– return information from country B to country A.
Expanding epSOS with new areas
Page 13SepSOS
målbild, status och piloter
• ” Information ska följa patienter inom hela EU och därmed göra det lättare för den som
befinner sig i ett annat medlemsland att snabbt få säker och effektiv vård”
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Syfte
Page 15Sverige deltar med:
e-recept
• Svenskar ska kunna hämta ut sina e-recept på utländska apotek
• Utländska patienter ska kunna hämta ut sina e-recept på svenska apotek
epSOS II
• Delta i arbetet på EU-nivå och implementera resultatet på nationell nivå
– Tidplan: 2011-2014
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NCP – nationell kontaktpunkt
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Kommunikation via nationell kontaktpunkt NCP
1
NCP
COUNTRY A NCP
COUNTRY B
Prescription dataset
Dispensed medicine
dataset
Prescribing Provider
Dispensing Provider
Prescription Dispensed
medicine
Patien
Patient
Prescriber Dispenser
Semantisk interoperabilitet
2013-10-27 Page 19
Expedition av e-recept
Förutsättningar e-recept
Gemensamma avgränsningar i epSOS:
• Extempore och licensläkemedel
• Narkotika
• Hjälpmedel t ex diabetesstickor
• Läkemedel för djur
• Dosrecept
• Läkemedelsförmån
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Så här går det till!
Välkommen att ställa frågor i Levande verkstad!
2013-10-27