1. E-health in Belgium Contents: 1.The legal context 2.The social security system 3.Cross-roads base for social security 4.Federal government structures and projects 5.Regional government structures and projects 6.Education 7.Industrial players 8.Learned societies and associations 9.References

2. E-health in Belgium 1. The legal context ● Social security law ● Hospital law ● Several laws concerning the health sector ● Regional responsibilities ● Liberalisation of the telecom sector ● Privacy legislation ● Telematics law (in preparation)

3. E-health in Belgium 1. The legal context: Social security law ● Law of June 29 th 1981 (BS July 2 nd 1981) ● “general social security principles for employees” (werknemers)

4. E-health in Belgium 1. The legal context: Hospital law ● Law of August 7 th 1987 on hospitals (B.S. 07.10.1987)

5. E-health in Belgium 1. The legal context: Several laws concerning the health sector ● Law of April 29 th 1996 replaced by law of December 10 th 1997, modified by law September 7 th 1998 ● KB (Royal Decree) May 3 rd 1999 (B.S. 17-07-1999) on the “global medical record” (Algemeen medisch dossier)

6. E-health in Belgium 1. The legal context: Regional responsibilities ● Decree of June 2 7th 1990 “Flemish Fund for Social Integration of Handicapped Persons

7. E-health in Belgium 1. The legal context: Liberalisation of the telecom sector ● Law of March 21 st 1991 – Encryption free in Belgium – BIPT

8. E-health in Belgium 1. The legal context: Privacy legislation ● De Wet van 8 december 1992 tot bescherming van de persoonlijke levenssfeer ten opzichte van de verwerking van persoonsgegevens - verder de W.V.P. genoemd - regelt de bescherming tegen het ongeoorloofd opnemen, gebruiken en verspreiden van persoonsgegevens via databestanden. Ook auditieve en visuele registraties vallen onder de wet. ● The Privacy Commission ● Sectorial committees

9. E-health in Belgium 1. The legal context: Telematics law (in preparation)

10. E-health in Belgium 2. The social security system 3levels:

11. E-health in Belgium 3. The cross-roads bank for social security (Kruispuntbank van de Sociale Zekerheid) – Meta-database: (who, what, where, accessible by whom) – Social security ID – Social security card (SIS-card) – Triggers – Linked with Isabel (inancial) network

12. E-health in Belgium 3. The cross-roads bank for social security links more than 2000 concerned entities, +-300 million messages per year

13. E-health in Belgium 4. Federal government structures and projects ● Federal Ministry of Health, Federale Overheids Dienst (FOD) Volksgezondheid, veiligheid van de voedselketen en leefmilieu ● Superior Health Council (Hoge Raad voor Geneeskunde) ● Telematics commission ● Be-Health ● Yearly symposia: elematics@health.be (usually begin of December)elematics@health.be

14. E-health in Belgium 4. Federal government structures and projects ● Telematics commission + working groups ● Data Structure -> KMEHR ● Nursing ● Labelling ● Hospital communication ● Legal aspects ● Security ● Thesaurus – Initiating and following-upon projects – Advisory reports

15. E-health in Belgium 4. Federal government structures and projects ● Be-Health (health portal ● Vision group ● Management group – Single point of entry for authoritative information ● Database access to existing in several administrations ● New services: for example unique patient-ID – Win-win situation (no data duplication) – Interactive (web) as well as programming interface – Currently (2006) pilot projects

16. E-health in Belgium 5. Regional government structures and projects – Limited responsibilities (mostly federal) Kind en Gezin – Ouderenzorg – Hesitating start “Vlaams gezondheidssysteem” (Peter Hooft) – Projects in context of IWT and IBBT

17. E-health in Belgium 6. Education Master na master in het beheer van gezondheidsgegevens (VUB, Ugent, UA) Postgraduaat Gezondheidsbeheer KUL

18. E-health in Belgium 7. Industrial players ● Providers of health records ● Providers of dental/nursing/physical therapist packages ● Providers of hospital information systems ● Communication between healthcare providers (Medibridge) ● Medical laboratories ● Pharmacists and their providers ● Providers involved in “crossroards bank” “Farmanet”

19. E-health in Belgium 8. Learned societies and associations ● MIM (Belgian Society for Medical Informatics) ● Several sub-groups of professional societies ● WVVH (Scientific Society of General Practitioners), now part of “Domus Medicus”) ● Nursing Federation ● National Council for Physical Therapy ● European Association for Medical Informatics ● World Association: IMIA ● CEN (European Centre for Normalisation), Brussels

20. E-health in Belgium 9. References ● Federal Ministry of Health portal site: ttps://portal.health.fgov.be (under health care..telematics ) or the former ttps://portal.health.fgov.be http://www.health-telematics.be ● Crossroads Bank for Social Security: ttp://www.ksz.fgov.be ttp://www.ksz.fgov.be ● De sociale zekerheid in België ttp://inami.fgov.be/nl/sec- soc/index.htmttp://inami.fgov.be/nl/sec- soc/index.htm ● Be-health http://www.health-telematics.be/behealth/