On April 25th, the European Commission put forward a set of measures to increase the availability of data in the EU, building on previous initiatives to boost the free flow of non-personal data in the Digital Single Market.
A key factor is to ensure securing citizens’ healthcare data while fostering European cooperation: The Commission is setting out a plan of action that puts citizens first when it comes to data on citizens’ health: by securing citizens’ access to their health data and introducing the possibility to share their data across borders; by using larger data sets to enable more personalised diagnoses and medical treatment, and better anticipate epidemics; and by promoting appropriate digital tools, allowing public authorities to better use health data for research and for health system reforms. The proposal also covers the interoperability of electronic health records as well as a mechanism for voluntary coordination in sharing data – including genomic data – for disease prevention and research.
Commissioner for Health and Food Safety Vytenis Andriukaitis said: “Our proposals make use of the full potential of digital technologies to improve healthcare and medical research. This will lead to easier access to health data, which will lead to better disease prevention and patient-centred care, rapid responses to pandemic threats, and improved treatments.”
What is the Commission proposing?
The Commission has adopted today a communication settingout a plan of action that puts citizens at the centre of the healthcare system in three ways:
- by enabling citizens’ secure, cross-border access to their electronic health records and the possibility of sharing their records across borders;
- by facilitating the use of larger data sets through a shared European data infrastructure to prevent diseases, determine personalised medical treatment and better anticipate epidemics;
- and by providing digital tools that enable citizens to manage their health more actively within integrated care systems.
This approach will provide the basis for EU action in digital health over the next years, such as support for the exchange of e-prescriptions and electronic patient summaries, enabling the cross-border exchange of full electronic health records, voluntary coordination in sharing data and resources for disease prevention and research, and capacity building and the exchange of innovation and best practices for healthcare authorities.
Transformation of healthcare in the Digital Single Market will benefit people, health care systems and the economy. Digital technologies such as 4G/5G mobile communication, artificial intelligence or supercomputing offer new opportunities to transform the way we receive and provide health and care services. They enable innovative approaches to independent living or integrated health and social care.
Health data and advanced data analytics can help accelerate scientific research, personalised medicine, early diagnosis of diseases and more effective treatments.
How do they plan on making sure that citizens’ access to their health data across Europe is secure?
First, the Commission will review the Implementing Decision of the Directive on patients’ rights in cross-border healthcare (Article 14). Revised rules will define the role of the eHealth Network in the governance of the eHealth Digital Service Infrastructure (eHDSI) and clarify the rules applicable to cross-border data transfers. The eHealth Network, which is composed of members from 28 Member States, will soon start discussions on this.
Secondly, the Commission will make a Recommendation on technical specifications about how citizens’ electronic health records can be exchanged across the EU. The cross-border accessibility of electronic health records will help citizens to access and manage their health data within the EU.
Thirdly, the Commission will further mobilise investments in order to expand the scope of the programme to include the eHDSI,meaning that it will finance the introduction of the exchange of electronic national health records between participating Member States.
What should be done at the EU level to personalise diagnosis and treatment?
National authorities and other stakeholders, notably researchers, are encouraged to share data and infrastructure. This will allow for a better understanding and prevention of diseases and will improve personalised medical research, diagnosis and treatment. One of the initial targets is to provide access to at least 1 million sequenced genomes in the European Union by 2022. 14 Member States recently committed to this target.
Secondly, the Commission will draw up a catalogue of common technical specifications to support secure cross-border access to genomic and other health data for research purposes.
Furthermore, the Commission will implement pilot projects based on ‘real world data’ (data after clinical trials, data gathered from real patients after the medicine or products are released in the market) to meet patients’ needs with medicines or therapies. Starting with rare diseases, via the European Reference Networks, these projects will look into providing treatment for patients with such diseases, and how to help anticipate epidemics. The aim of these pilot projects will be to demonstrate the benefits of pooling resources and expertise.
How can the use of digital tools benefit people?
Digital tools such as mobile health applications or personal devices to monitor blood or sugar, will empower people to look after their health, improving disease prevention, and enabling feedback and interaction between users and healthcare providers.
EU countries and regions will be supported in investing in large-scale deployment of integrated care models centred in the needs of the person (to explain: the different services of the hospital, the treatments at home are based on different care models), through the exchange of innovative and best practices, capacity building and technical assistance.
The Commission will raise awareness on innovative procurement and investment possibilities, including by mobilising relevant EU programmes and other financial instruments.
What will the Member States have to do?
The Commission is calling for the collaboration of Member States and relevant stakeholders. Member States (14 EU countries) will follow up on the recent Declaration in linking genomic databases across borders.
The Commission is supporting voluntary cooperation among Member States, such as the cross-border exchange of eprescriptions and patient summaries and the collaboration on genomic data for research and personalised health and care. With the support of the Connecting Europe Facility (CEF) Programme, we expect the first exchanges of e-Prescriptions and patient summaries to take place in 8 Member States later this year, and other Member States to follow by 2020.
Member States also play a key role when it comes to cooperation on common principles for validating health technology to stimulate the supply and uptake of digital health and in the exchange of innovative and best practices, capacity building and technical assistance.