MEDCOM

KONFIDO advances the state of the art of eHealth technology with respect to four key dimensions of digital security, namely: data preservation, data access and modification, data exchange, and interoperability and compliance. To address the challenges of secure storage and exchange of eHealth data, protection and control over personal data, and security of health related data gathered by mobile devices, KONFIDO takes a holistic approach – i.e. one targeting all the architectural layers of an IT infrastructure, and specifically: storage, dissemination, processing, and presentation. KONFIDO builds on and extends the results of a best of breed selection of successful projects, notably: epSOS, STORK, DECIPHER, EXPAND, and ANTILOPE. The approach will be implemented in a technological framework that relies on six technology pillars: 1) security extensions provided by main CPU vendors; 2) security solutions based on photonic technologies; 3) homomorphic encryption mechanisms; 4) customised STORK-compliant eID support; 5) customized extensions of selected SIEM solutions; and 6) disruptive logging and auditing mechanisms. The usability of the proposed solutions will be tested in a realistic setup, deployed on top of a federated cloud infrastructure, where data will be exchanged and services interoperate cross-border. Experimental evidence will be collected, proving that KONFIDO solutions provide effective protection even against attacks by privileged software (e.g. the Operating System or the Hypervisor) or privileged users (e.g. the System Administrator or the Cloud Provider). Since i) it builds on results that were already widely accepted, and ii) it relies on a handful of complementary technologies (some of which are already at a high level of maturity), KONFIDO has a dramatic potential in terms of innovation in the field of coordinated care towards improved quality of healthcare solutions.

EURO-CAS, European eHealth Interoperability Conformity Assessment Scheme aims at maintaining and developing the adoption and take-up of testing the interoperability of ICT solutions against identified eHealth standards and profiles defined in the eHealth European Interoperability Framework (eEIF). The key deliverable is a sustainable Conformity Assessment Scheme (CAS) for Europe. Based on recommendations of the Antilope project and the state-of-art in interoperability testing in eHealth, EURO-CAS is committed to putting in place an operational CAS based on ISO/IEC 17025 that will meet the interoperability requirements of European eHealth projects as well as national and regional eHealth programs. This will allow testing the interoperability capabilities of products and services for a single digital market in eHealth in Europe in line with the Digital Agenda for Europe and based on international profiles and standards. The project will gather a multi-disciplinary consortium of high-level expertise, including organizations focused on implementing international standards as well as industry stakeholders and healthcare providers that will 1) review the state of the art of existing interoperability CAS, 2) collect the requirements and needs from cross border, national/regional levels, 3) establish the CAS for Europe with implementation guidelines and governance, 4) propose business models for the CAS for Europe, 5) validate results and foresee national/regional adoption, 6) inform and educate eHealth stakeholders and motivate industry and projects to participate in a European accreditation process. The CAS for Europe will provide a comprehensive framework completing the eEIF and aligned with the international CAS. Its flexibility will allow better sustainability and harmonization at European, national and regional levels.

Trillium-II steps forward with an outstanding consortium to further advance global Electronic Health Record (EHR) interoperability. Activities surrounding the International Patient Summary (IPS) standards can nurture digital health innovation, lower trade barriers, and advance patient safety & trust, bridging the gap between strategic intent and capability for action by Standards Development Organization (SDOs) striving for interoperability, quality, and safety through standards adoption. Trillium-II builds on the vibrant community of Trillium Bridge to: (a) Improve international interoperability of eHealth Systems in US, in Europe and globally (b) Accelerate establishment of interoperability standards in eHealth with validated open source interoperability assets and sharing lessons learned with SDOs (c) Facilitate secure, seamless patient summary sharing offering clarity and oversight. Trillium-II aims to bridge, harmonize, evaluate existing patient summary initiatives and guide emerging ones, leading the way toward one IPS standard by establishing a global community fostering the practice of digital health innovation with robust widely-used interoperability standards and joint pilots. Trillium-II objectives are measurable, realistic and achievable objectives: • Highlight the social value of IPS standards. • Bridge IPS initiatives with validated interoperability assets, sharing lessons learned with SDOs • Contribute to IPS Standards Governance under the JIC • Develop, Collect and Assess IPS Learning resources • Engage mobile Health companies and app developers with IPS standards • Foster innovation & inform health policy sharing IPS. Trillium-II will work with the workforce action, EU and US SDO platforms, large scale eHealth deployments, and emergency readiness exercises, to increase actionable interoperability of health systems in Europe the US and globally, nurturing innovation and fuelling creativity with effective use of standards and interoperability