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International Telecommunication Union Europe: TM-Alliance, facilitating e-Health Interoperability Cristina Bescos European Space Agency Workshop International Telecommunication Union Europe: TM-Alliance, facilitating e-Health Interoperability Cristina Bescos European Space Agency Workshop on Standardization in E-health Geneva, 23 -25 May 2003

e. Health: The European Case ITU-T o European Union: • Strong legal infrastructure/ Protection e. Health: The European Case ITU-T o European Union: • Strong legal infrastructure/ Protection of Privacy Rights • Parallel non-coordinated technical developments • Good Medical Care Delivery • Population aging o Different Countries: • Cultural/Regional/Medical Infrastructure • Maturity level in Health Telematics 23 -25 May 2003 ITU Workshop on Standardization in E-health 2

The need for interoperability ITU-T o Right of freedom of movement within EU • The need for interoperability ITU-T o Right of freedom of movement within EU • Right to receive the necessary health care o Obstacle for Investments • Risk to loose previous incompatible solutions • EHR • Critical Mass o Ensuring the quality of care o Distribution of the points of care 23 -25 May 2003 ITU Workshop on Standardization in E-health 3

The echelons of interoperability ITU-T o Interoperability in: • Technical standards • Medical procedures The echelons of interoperability ITU-T o Interoperability in: • Technical standards • Medical procedures • Organisational protocols • reimbursement, certification • Legal framework • Political decisions Time? ? ? 23 -25 May 2003 ITU Workshop on Standardization in E-health 4

TM-Alliance ITU-T WHO International Health Care Authority EU 23 -25 May 2003 Development Bureau TM-Alliance ITU-T WHO International Health Care Authority EU 23 -25 May 2003 Development Bureau Space Telemonitoring and Tele-operation in Manned Flights Needs of Telemedicine Sat Telecom pilots ARTES 3 Telecom Standards ITU ESA Key Position in Europe in combination of SCIENCE and TECHNOLOGY TM-Alliance International Standardization Authority VISION 2010 ITU Workshop on Standardization in E-health 5

TM-Alliance and Interoperability ITU-T o Gathering multidisciplinary and international experts for the definition of TM-Alliance and Interoperability ITU-T o Gathering multidisciplinary and international experts for the definition of Interfaces o Promoting and facilitating consensus o Disseminating the agreements among the national policy makers, mass media and general public. 23 -25 May 2003 ITU Workshop on Standardization in E-health 6

TM-Alliance and Interoperability ITU-T “There is a risk that existing important results of the TM-Alliance and Interoperability ITU-T “There is a risk that existing important results of the European standardization efforts in this area are not taken up simply because they are not always known, neither to buyers nor to suppliers. The use of experts to produce standards does not ensure dissemination to the wider community; only adequately resourced, technically expert, publicists can ensure this. ” Market, environment and objectives of CEN/TC 251 (2000) 23 -25 May 2003 ITU Workshop on Standardization in E-health 7

TM-Alliance Workshop: Electronic ITU-T Cards in Citizen Health Care 23 -25 May 2003 ITU TM-Alliance Workshop: Electronic ITU-T Cards in Citizen Health Care 23 -25 May 2003 ITU Workshop on Standardization in E-health 8

International Telecommunication Union Thank you for your attention http: //www. esa. int/telemedicine-alliance Cristina. Bescos@esa. International Telecommunication Union Thank you for your attention http: //www. esa. int/telemedicine-alliance Cristina. [email protected] int Cristina Bescos European Space Agency Workshop on Standardization in E-health Geneva, 23 -25 May 2003

ESA: Satellites and Telemedicine ITU-T Observation o Earth o Navigation and Positioning o Communications ESA: Satellites and Telemedicine ITU-T Observation o Earth o Navigation and Positioning o Communications 23 -25 May 2003 ITU Workshop on Standardization in E-health 10