E-health in Belgium. Contents:

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1 Contents: 1.The legal context 2.The social security system 3.Cross-roads base for social security 4.Federal government structures and projects 5.Regional government structures and projects 6.Education 7.Industrial players 8.Learned societies and associations 9.References

2 1. The legal context Social security law Hospital law Several laws concerning the health sector Regional responsibilities Liberalisation of the telecom sector Privacy legislation Telematics law (in preparation)

3 1. The legal context: Social security law Law of June 29 th 1981 (BS July 2 nd 1981) general social security principles for employees (werknemers)

4 1. The legal context: Hospital law Law of August 7 th 1987 on hospitals (B.S )

5 1. The legal context: Several laws concerning the health sector Law of April 29 th 1996 replaced by law of December 10 th 1997, modified by law September 7 th 1998 KB (Royal Decree) May 3 rd 1999 (B.S ) on the global medical record (Algemeen medisch dossier)

6 1. The legal context: Regional responsibilities Decree of June 2 7th 1990 Flemish Fund for Social Integration of Handicapped Persons

7 1. The legal context: Liberalisation of the telecom sector Law of March 21 st 1991 Encryption free in Belgium BIPT

8 1. The legal context: Privacy legislation De Wet van 8 december 1992 tot bescherming van de persoonlijke levenssfeer ten opzichte van de verwerking van persoonsgegevens - verder de W.V.P. genoemd - regelt de bescherming tegen het ongeoorloofd opnemen, gebruiken en verspreiden van persoonsgegevens via databestanden. Ook auditieve en visuele registraties vallen onder de wet. The Privacy Commission Sectorial committees

9 1. The legal context: Telematics law (in preparation)

10 2. The social security system 3levels:

11 3. The cross-roads bank for social security (Kruispuntbank van de Sociale Zekerheid) Meta-database: (who, what, where, accessible by whom) Social security ID Social security card (SIS-card) Triggers Linked with Isabel (inancial) network

12 3. The cross-roads bank for social security links more than 2000 concerned entities, million messages per year

13 4. Federal government structures and projects Federal Ministry of Health, Federale Overheids Dienst (FOD) Volksgezondheid, veiligheid van de voedselketen en leefmilieu Superior Health Council (Hoge Raad voor Geneeskunde) Telematics commission Be-Health Yearly symposia: (usually begin of December)

14 4. Federal government structures and projects Telematics commission + working groups Data Structure -> KMEHR Nursing Labelling Hospital communication Legal aspects Security Thesaurus Initiating and following-upon projects Advisory reports

15 4. Federal government structures and projects Be-Health (health portal Vision group Management group Single point of entry for authoritative information Database access to existing in several administrations New services: for example unique patient-id Win-win situation (no data duplication) Interactive (web) as well as programming interface Currently (2006) pilot projects

16 5. Regional government structures and projects Limited responsibilities (mostly federal) Kind en Gezin Ouderenzorg Hesitating start Vlaams gezondheidssysteem (Peter Hooft) Projects in context of IWT and IBBT

17 6. Education Master na master in het beheer van gezondheidsgegevens (VUB, Ugent, UA) Postgraduaat Gezondheidsbeheer KUL

18 7. Industrial players Providers of health records Providers of dental/nursing/physical therapist packages Providers of hospital information systems Communication between healthcare providers (Medibridge) Medical laboratories Pharmacists and their providers Providers involved in crossroards bank Farmanet

19 8. Learned societies and associations MIM (Belgian Society for Medical Informatics) Several sub-groups of professional societies WVVH (Scientific Society of General Practitioners), now part of Domus Medicus ) Nursing Federation National Council for Physical Therapy European Association for Medical Informatics World Association: IMIA CEN (European Centre for Normalisation), Brussels

20 9. References Federal Ministry of Health portal site: https://portal.health.fgov.be (under health care..telematics ) or the former Crossroads Bank for Social Security: De sociale zekerheid in België Be-health

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