Identity management –

developments within the European

Social Security Sector

Pantelis Angelidis

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

Meaning of “identity”

Identification

Authentication

Authorisation

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)

User requirements perspectives

• Industry Perspective

• Policy Perspective

• Healthcare Professional/Organisation

Perspective

• Patient Perspective

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:

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

The eEHIC CWA Profile (final)

“Profiles represent a layer that describes how aset of (base) standards can be put into a functional order to serve an interoperablepractical 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

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.

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. …..”

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

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

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

17 March

2010

Task Force 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