NETLINK : Interoperability of Smart Card Based Information Systems

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NETLINK Interoperability of Smart Card - Based
Information Systems

• Philippe BédèreGIE SESAM-VITALECTST99 -
  Chicago, May 14th, 1999

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Project Presentation

• Abstract
• Consortium
• Background
• Rationale
• Overall Description
• Progress of Works
• Conclusion

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Abstract

• What is NETLINK ?
• An Project of the IVth RD Framework(TAP / ref.
  HC 4016)
• Partially funded by the European Commission
• Bringing together participants of France,
  Germany, Italy, and the Province of Quebec
  (Canada)

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Consortium (1/4)

• Main partners
• GIE SESAM VITALE (FR)
• Z.I. (DE) Central Research Institute of
  Ambulatory Health Care in Germany
• FINSIEL (IT)
• MOTUS Technologies (Quebec, CA)

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Consortium (2/4)

• Associated partners
• Caisse Nationale de lAssurance Maladie des
  Travailleurs Salariés (FR)
• Conseil National de lOrdre des Médecins (FR)
• Centre National des Professions de Santé (FR)
• GIP Carte de Professionnel de Santé (FR)
• Istituto Nazionale della Previdenza Sociale (IT)

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Consortium (3/4)

• Sponsors
• Ministère de lEmploi et de la Solidarité (FR)
• Ministère de la Santé et des Services sociaux du
  Québec (CA)
• Ministère des Relations Internationales du Québec
  (CA)
• Régie de lAssurance Maladie du Québec (CA)
• Industry Canada (CA)

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Consortium (4/4)

• Sponsors
• Ministero della Sanita (IT)
• Regione Piemonte (IT)
• Regione Liguria (IT)
• Provincia Autonoma Trento (IT)
• Provincia Autonoma Bolzano - Alto Adige (IT)
• Federazione Nazionale degli Ordini dei Medici (IT)

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Background

• Proposal
• Proposal to EC April, 1997
• Retained by EC July, 1997
• Negotiation
• Contract Signature June, 1998
• Project
• Starts on July 1st,1998
• Ends on June 30th, 2000

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Rationale

• Strategy
• Continuity of care
• Communication facilitation
• Simplification of administrative procedures
• Security (data exchanges, administrative
  procedures)
• For the benefit of Citizens, Governments, Health
  Professionals, Health Insurance Funds

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Rationale

• Interoperability
• Smart Card - based Nation-wide Health Information
  Systems
• Infrastructures
• In line with existing national
• Systems or projects
• Regulations

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Overall Description (1/3)

• Establish recommendations and technical
  specifications for
• Access to Patient Data Cards (free or controlled)
• Asynchronous exchange of secured documents
  (including non-repudiation and confidentiality
  services)
• On-line access to secured data bases
• Simplification of administrative procedures by
  using new technology

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Overall Description (2/3)

• Technical Goals
• Smart Cards (Patients, Health Professionals)
• Workstations (Health Professionals)
• Networks, Directory services
• Servers
• Security architectures (frameworks, smart cards,
  trusted third parties)

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Overall Description (3/3)

• Project objectives
• Recommendations and technical specifications
• Cross-border pilot sites
• Cooperation with other countries (Europe, North
  America, Japan) or EU projects
• Secretariat of the G8 SP6 group (Health Cards)

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Recommendations (1/8)

• Access to PDC
• Country A Citizens have PDC
• Country B HPC have computers
• Citizens from Country A go to Country B
• In case of emergency, Health Professionals from
  Country B can read data in the PDC of citizens
  from Country A

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Recommendations (2/8)

• Access to PDC
• Emergency Data Set (identification,
  administrative, medical)
• Proposed changes to G7 Emergency Data Set (as
  defined in 1996)
• Data Storage in PDC (and display to HP)
• Technical requirements on PDC / Terminal / HP
  Workstation

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Recommendations (3/8)

• Secure Messaging
• Country A B
• HP have HPC, Workstations and Network connection
• TTP (CA, Directory, etc.) connected to the
  Network
• Secure exchange of e-mails between HP from
  Country A or B
• Authentication of origin, Integrity,
  Non-Repudiation
• Confidentiality

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Recommendations (4/8)

• Secure Messaging
• E-mail protocols and formats
• Connections between Workstations, Directory, TTP,
  etc.
• Security mechanisms (Certificates, Digital
  signature, Encryption)
• Role of HPC, Workstation, TTP

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Recommendations (5/8)

• Data Base Access
• Country A B
• Patients have PDC
• HP have HPC, Workstation, Network connection
• PDC storage capability are extended to data bases
  with the concept of Index
• HP securely access to anonymous data bases using
  smart cards (HPC PDC)
• HP can update index in PDC

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Recommendations (6/8)

• Data Base Access
• Formats of requests to data base
• Data structure in PDC
• See PDC Access
• Telecommunication protocols and formats
• See Secure Messaging

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Recommendations (7/8)

• Simplification of administrative procedures
• Country A B
• Patients have PDC
• HP have HPC, Workstation, Network connection
• Use of technology to simplify administrative
  procedures
• E1xx forms and medical information in PDC
• Reimbursement process

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Recommendations (8/8)

• Simplification of administrative procedures
• Data to be stored in PDC
• Access to PDC
• See PDC Access
• Telecommunication protocols and formats
• See Secure Messaging

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Pilot Sites

• Cross-border pilot sites
• France - Italy
• France - Germany
• EU - Quebec
• Demonstrate accuracy of recommendations
• Technical
• Organizational

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Evaluation Process

• Evaluation strategy and methodology for the pilot
  sites
• Ongoing process, input to system design
• Technology acceptance on pilot sites
• Input to national projects
• Based on Quebec experience

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Liaisons

• Support to national strategies definition
  projects roll out
• Liaison with
• European Projects
• RD
• Dissemination activities
• Countries that plan national projects
• G8 SP6 Group (Heath Cards)

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Conclusion

• Some Key Ideas
• Interoperability
• Existing national systems and projects
• National regulations
• Support to national projects
• Basis for broader discussion (other countries
  sectors)

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Conclusion

• Thanks for your attention
• For more information http//www.sesam-vitale.
  fr/
• Questions ?