1. Identity management – developments within the European Social Security Sector Pantelis Angelidis

2. This presentation is about How to address the citizen ID interoperability use case using a requirements driven approach to create a profile with a European wide recognition

3. Meaning of “identity” Identification Authentication Authorisation

4. Semantics MSs need to id citizens for healthcare/social security purposes (also in a cross-country setup) HCOs need to manage information (documents) id-wise (also in a cross- reference setup)

5. User requirements perspectives Industry Perspective Policy Perspective Healthcare Professional/Organisation Perspective Patient Perspective

6. The eEHIC CWA Profile The eEHIC CWA (CEN/CWA 15974:2009): provides an interoperability framework for the electronic health insurance card supports cross-border services supports both existing and new implementations is back-to-back compatible with ECC-3 (CEN/TS 15480-2) provides an interoperability framework for legacy systems which means:

7. The eEHIC CWA Profile (cont.) an existing ECC card can migrate to become an eEHIC as well an eEHIC implementation can migrate to become an ECC as well a new system can be implemented to support both by design An existing citizen or health card system can migrate to become an eEHIC as well

8. The eEHIC CWA Profile (final) “Profiles represent a layer that describes how a set of (base) standards can be put into a functional order to serve an interoperable practical solution of a pragmatic use case.” M403 Phase 1 report The eEHIC CWA represents a European recognised (to be) profile upon which MS may build their interoperability implementation specifications

9. Conclusion Patient/citizen electronic identification profiling in Europe is in an advanced state of maturity. Implementation lying ahead of us will show how successful this preparatory work has been.

10. Policy Council Conclusions on Safe and efficient healthcare through eHealth, 1 December 2009 “CALLS UPON the Commission to: 1.… 2.produce a report on the development of existing EU policies and actions regarding electronic identification management in related areas in order to benefit from possible 3.…..”

11. Which Synergies? Recognizing the EHIC data set as a suitable identifier in healthcare Stork could include the EHIC data set in their eID systems epSOS could use EHIC as patient identifier Sharing pilot sites with epSOS recognizing that eEHIC add value to their use cases e.g. by contributing to user acceptance Testing eEHIC data set as an eID solution for Renewing Health Implementing the eEHIC CWA specifications

12. eHealth A tourist travels from Sweden to Italy Gets in need of medical care Grants the Italian doctor electronic access to his patient summary (allergies …) and medication history located in Sweden Patient safety is improved

13. eID A student from Germany wants to study in Spain The administration of the university electronically checks who she is and which qualification she has on the basis of her ID She is granted access to Granada University electronic services and starts her studies Public services are provided across border

14. 17 March 2010 Task Force14 eSignature Purpose of the project example: A small fashion chain in Paris, France wants to open up a shop in Graz, Austria It contacts the “Point of Single Contact” in Austria Applies remotely for all necessary administrative steps by means of an electronic signature Single market and Service directive