Identity management – developments within the European Social Security Sector. Angelidis P. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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. 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
17 March Task Force 14