Preventive healthcare: exploring big data’s rising role in active and healthy ageing As healthcare costs continue to soar, the cost saving benefits of big data will become more apparent, especially as there is an increased focus on preventive care, well-being and reducing re-admission rates in the hospital. With so many benefits, it’s easy to understand why the healthcare industry has been such an early adopter of big data technology. However, it would be interesting to see the impact big data has on the active and healthy ageing market as we are moving forward. Indeed, can we imagine using personal health data for encouraging persons to be proactive about their health and implement suggested lifestyle changes? To which extent can this information be used by insurance companies for example? Which challenges encountered when collecting this data? Let’s discuss with our panelists the impact big data has on preventive care and which are its limits? Moderator: Bowden Richie, CEO, SoMoMod/ Assess Patients, IE  O'Donoghue John, Senior Lecturer in eHealth & Deputy Director Global eHealth, IMPERIAL COLLEGE LONDON, UK  Dekezel Stefaan, Programme Director Innovation & Smart Synergies, Ageas, BE  Brichet Francis, Health Manager, Coreye, FR The view of interoperability and standards: (1) Standards as infrastructure for interoperability (2) Placing the citizen at the center (3) Using digital health technologies to reduce costs and flatten risk (4) However we face a tsounami of data; the question do you navigate the data? Can standards help? And what kind standards can help? Establish trust, use the right data at the right time, for the benefit of the patient; and the system as a whole. (a) Example of appointments: replace most routine f2f appointments with remote visits; and shift the focus to f2f visits that aim to diagnose a problem. Productivity low in health care. (b) Standards place the individual at the center of the care serving as the data aggregator in a fragmented health system (c) Think of the patient summary as a window to a persons’ health

1. Catherine Chronaki
Scientific Coordinator, eStandards Project
Scientific Coordinator, Trillium-II Project
Secretary General, HL7 Foundation
euoffice@HL7.org
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Preventive healthcare:
exploring big data’s rising role in active and healthy ageing

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HL7 Foundation: who we are..
HL7 the best and most widely-used
eHealth standards since 1986
HL7 v2, Clinical Document Architecture, HL7 FHIR
19 National Affiliates in Europe (38 worldwide)
European HL7 foundation established in 2010
European Funded Research Projects
eHGI, Antilope, Semantic Healthnet,
Trillium Bridge, Expand
PHC34: ASSESS CT, OpenMedicine, eStandards
Annual HL7 in Europe Newsletter
Website: www.HL7.eu
eHealth policy & Research
eHealth stakeholders group; mHealth Guidelines;
ENISA expert group
EFMI Board (2016-18): MIE, STC, eHealth Week
SDO Joint Initiative Council
HL7 Vision: A world in which everyone can securely access and use the right health data when and where they need it.
Stassbourg 18 March, 2016

3. www.estandards-project.eu
eStandards: eHealth Standards and Profiles in Action for Europe and Beyond
Vision of the global eHealth ecosystem
 people with navigation to receive safe and informed health care
 interoperability assets fueling creativity, entrepreneurship, and
innovation
eStandards
 nurture digital health innovation
 strengthen Europe’s voice & impact
 enable co-creation and trusted provider-user relationships
Lille, Feb 2, 2017 AgeingFit 2017 3

4. www.estandards-project.eu
Patient summaries: our navigator in the health and social care ecosystem
Think of the Patient summary as a window to a person’s health or personal dashboard:
– Medications, allergies, vaccinations
– problems and procedures, labs, diagnostic imaging
– recent or planned Encounters, implantable devices
– advance directives
“Bring the Power of Platforms to Health Care” using data to drive:
[Bush & Fox, HBR November 2016]
– administrative automation
– networked knowledge
– resource orchestration
Think of appointments, technology, and productivity
 virtual and f2f just-in-time appointments
Lille, Feb 2, 2017 AgeingFit 2017 4
eStandards need to
• help build trust
• unlock the power of health data
• facilitate decision support
• navigate the health system

5. www.estandards-project.eu
Disruptive innovation in eHealth Standards
• Complex  simple
• Costly  free
• Specialized  generic
• Comprehensive  simple and tools-driven
AgeingFit 2017
F – Fast (design & implement)
H– Healthcare
I – Interoperable
R– Resources (Building blocks)
Lille, Feb 2, 2017 5

6. www.estandards-project.eu
Is HL7 FHIR enough for Patient Summaries?
eStandards identified a number of gaps:
• Professional guidelines
• Clinical information models
• Reliable mix of patient / provider data
• Regulatory clarity
• Terminology initiatives
• Localization and adaptation
• Open access and open data tools
for deployment of standards
• Standards sets in procurement
• Governance and maintenance process for
standards sets
Lille, Feb 2, 2017 AgeingFit 2017 6

7. www.estandards-project.eu
Can Patient summaries leverage HL7 FHIR
to unlock the power of data and drive digital health innovation?
• YES, HL7 FHIR is part of the solution
– It opens a window, but It takes a village…
Lille, Feb 2, 2017 AgeingFit 2017 7
eHealth Consumers
e.g. Patients/citizens/travellers/..
Workforce
Healthcare Professionals,
pharmacists/ hospitals / …
Health Systems
e.g. Procurers
eHealth
Marketplace
e.g. Vendors