e-Health

 
The objective of e-SENS in the e-Health domain is to facilitate cross-border access to health services within the EU countries. The cross-border health services domain is now largely regulated by Directive 2011/24 EU on the application of patients’ rights in cross-border healthcare, which provides the overall legal framework for the Patient Summary and e-Prescription pilot within the e-SENS project. Furthermore, the e-Confirmation pilot, which addresses administrative issues when accessing healthcare abroad, builds forward on Regulations 883/2004 and 987/2009 on the coordination of social security systems. The pilots aim to improve the efficiency of the process for healthcare providers, health professionals and patients by enabling the electronic exchange of medical data and insurance information in cross-border settings. The pilots build on the experiences of the epSOSNETC@RDS and ENED projects, extending their workflows into new areas.
 
 Piloting scenarios
 

e-Prescription/Patient Summary

This use case creates conditions for citizens to receive equivalent health care in a member state other than their country of usual residence in the EU, supported by information available in the Patient Summary from their country of residence. It offers electronic access to key medical information by a physician in the country of treatment, thus improving continuity of care and patient safety. Furthermore, the pilot supports the obtaining of medication prescribed in a home country in other EU/EEA Member States.

Example use case:

In the Patient Summary case, a person seeks care support abroad and wishes to share a Patient Summary located in the country of affiliation with a local health professional. The health professional identifies the patient with her e-ID token, such as an e-Health card, and receives a copy of her Patient Summary which has been translated into the professional’s language. This information is valuable for providing safer health care to the citizen.


In the e-Prescription case, a person goes to a pharmacy to obtain medication prescribed in her country of affiliation. He/She presents an e-ID token, such as an e-ID card, used in the home country. The pharmacist identifies and authenticates the citizen as the person requesting dispensation, and requests access to active e-Prescription list. The pharmacist selects the particular e-Prescription to be dispensed. If the stated medical product is not available, the pharmacist consults available tools to find substitutes, and offers an equivalent medicine. An e-Dispensation report is returned to the country of affiliation to provide details on the dispensed medicines. 

View the use case leaflet - e-Prescription

View the use case leaflet - Patient Summary

Do you want to learn more? Visit our WIKI subpages:
Motivation & goals Process description Patient Summary description

Looking to implement the pilot yourself? Visit our technical WIKI subpages:
Architecture and building block implementation Pilot blueprint

Do you want to learn more about pilot results? Visit our subpage:
Pilot testing Success story


e-Confirmation

The e-Confirmation pilot aims at enabling an online real-time insurance verification based on familiar national portable documents, in case a patient is not able to present a document indicating his entitlement (the European Health Insurance Card, which is used offline).

Example use case: A person applies for health care in another European country. Following identification with a national portable document used for health care purposes in the patient’s country of affiliation, the health care provider logs in to the system and uses the document to access the patient’s insurance data. The system performs validation to determine whether the health professional is authorised to request an insurance entitlement confirmation. The health professional requests an insurance confirmation, including the required period of validity. The patient's Health Insurance Organisation provides an e-Confirmation document in real time, with information about her insurance status. If the patient is currently affiliated, he/she can receive health care without further concerns about the need for cash payments. The health care provider is assured that payment will be made by the relevant Competent Institution in the provider’s home Member State.

View the use case leaflet


Do you want to learn more? Visit our WIKI subpages:
Motivation & goals Use case description Process description

Looking to implement the pilot yourself? Visit our technical WIKI subpages:
Architecture and building block implementation Implementation guide Pilot blueprint

Do you want to learn more about pilot results? Visit our subpage:
Pilot testing Success story

 Added Value

  • Cost-effective and efficient cross-border processes in line with European requirements
  • Reliable access to key medical information to facilitate the delivery of safe and high-quality health care to EU citizens
  • Real-time insurance information to ensure seamless payment for medical treatment provided to insured EU/EEA citizens
  • Seamless and safe access to healthcare services and prescription dispensations across the EU
  • Access to necessary healthcare during a temporary stay in other EU countries subject to the same conditions and costs as apply to those insured in your country
  • Open source technology based on European standards
  • An opportunity for innovative applications and products on top of the e-Health services in e-SENS