Community Research and Development Information Service - CORDIS


Trillium II Report Summary

Project ID: 727745
Funded under: H2020-EU.3.1.5.

Periodic Reporting for period 1 - Trillium II (Trillium Bridge II - Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary)

Reporting period: 2017-01-01 to 2017-12-31

Summary of the context and overall objectives of the project

Project Objectives
Trillium II advances global Electronic Health Record interoperability with support, alignment and promotion of International Patient Summary (IPS) standards and by implementing the recommendations of Trillium Bridge, operational arm of the EU/US MoU on eHealth (2013-15).
Trillium II bridges, harmonizes, and evaluates patient summary initiatives guiding towards aligned IPS standards in a community of practice fostering digital health innovation with concete objectives:
• Highlight social value of IPS standards in events & workshops
• Bridge IPS initiatives with validated interoperability assets, sharing lessons learned
• Contribute to IPS Standards governance with the Joint Initiative Council
• Develop, collect and assess IPS learning resources for disaster readiness exercises
• Engage mobile Health companies and app developers with IPS standards in competitions
• Foster innovation & inform health policy sharing IPS assets and building synergies
Trillium II collaborates proactively with eHealth policy and deployment projects, organizes competitions for mobile health innovators and takes part in disaster exercises to advance global IPS adoption.

Work performed from the beginning of the project to the end of the period covered by the report and main results achieved so far

"Trillium II Achievements in 2017
Timeline of selected achievements in engaging with IPS stakeholders building synergies and producing results:
- EU workshop organized with eStandards, VALUeHEALTH, EURACARE, EU*US eHealth Work, and JAseHN, discussed policy, deployment, and competencies for IPS standards. Thirty-five participants from 19 countries including US (5) and China (1), and WHO eHealth unit (1) shared patient summary developments, discussed scenarios of use beyond emergency or unplanned care. Companies demonstrated mobile apps on patient summaries. Issues raised: (1) what information makes the patient summary indispensable for safe care? (2) How is the patient summary created and how frequently is it updated? (3) Who controls the patient summary, i.e. citizens or health systems?
- AgingFit panel, patient summaries in preventive healthcare exploring the rising role of big data in active and healthy ageing.
- Stakeholder Workshop of European Modular Field Hospital to highlight use of patient summaries in civil protection exercises and humanitarian actions liaising to WHO Emergency Medical Teams (EMT) and WHO Service Delivery and Safety.
- Results from questionnaire for emergency response was presented in MedInfo2017.
- Presentation in IHE Symposium in Venice (M Mathiessen).
- Portugal’s eHealth Summit workshop discussed IPS extensions for integrated care, hypertension management, nutrition, rehabilitation, and personal health management. Main message was: “What is the job we want patient summaries for?”
- Informatics for Health2017 workshops linked IPS standards to assessment of (pre)-frailty and quality of medication lists, comparing experience from Norway and Denmark. Patient engagement was the highlight, suggesting that patient and informal care givers affirm quality and accuracy of medication lists and patient summaries.
- eHealth Week in Malta to 500 people (May 2017).
- “Stakeholder Analysis and Dissemination Plan” (D7.1), “Patient Summary services: Gap analysis” (D2.1) and “Ethics review board” (D8.1) were finalized.
- Trillium II members worked to align CEN and HL7 IPS projects with eHDSI activities.
- ""Digital health and insurance: a perfect partnership?“ Royal Society of Medicine in London workshop. C Chronaki addressed “How can the patient summary improve risk assessment for insurers?”
- European Society of Hypertension (ESH) conference an agreement was signed to extend the ESH-endorsed ESHCare mobile app with the IPS data set. A. Moen, EFMI, G. Parati, ESH, E. Caiani, ESC, T. Petso, EC, A. Aivasko, eHN Mobile Health, J. Ferrero, Health Quality Inst, and H. Martins, SPMS, eHN, spoke in the event.
- HL7 IPS implementation guide submitted for ballot.
- Trillium II Community of Practice for Digital Health Innovation launched in MedInfo2017
- HL7 Asia IPS workshop attended from New Zealand, China, Singapore, Taiwan, Korea, Japan.
- European Society of Emergency Physicians (EUSEM2017) hosted “Digitization of Emergency Departments”. Workshops planned in MIE2018 and EUSEM2018.
- I~HD conference in Madrid
- Computing in Cardiology 2017 Workshop in Rennes on stroke care guidelines.
- modelling IPS components in HL7 FHIR underway, Ticsalut hosted WP2/3 to finalize “Configuration Canvas for patient summary components” (D2.2) and align work on “Medications and Implantable Devices Libraries” (D2.3), “Vaccinations Library” (D2.4), “Allergies and Intolerances Library” (D2.5), and “Problems and Procedures Library” (D2.6). Early results in Art-decor and FHIR Simplifier.
- G Cangioli, K Heitmann present in IHIC2017
- article on D2.1 submitted to MIE2018.
- eHealth Forum, Athens, STC2017 “Practice of Patient Centered Care: Empowering & Engaging Patients in the Digital Era” TelAviv, eHealth stakeholders group (C Chronaki)
- CEN TC251 & HL7 proposal on SNOMED subset at no-cost li"

Progress beyond the state of the art and expected potential impact (including the socio-economic impact and the wider societal implications of the project so far)

Socioeconomic impact
Activities supporting IPS standards nurture digital health innovation, lower trade barriers, and advance patient safety & trust, not only across Europe and the Atlantic, but also worldwide. The impact of Trillium II is on improved eHealth Systems, by promoting the social value of IPS, and accelerated IPS standards adoption through secure, seamless, trusted health-related data exchange.
In 2017, impact was establishing working relationship listening to the needs of IPS users and stakeholders. Expectations were exceeded with ESH agreement. The depth and breadth of activities and associated impact will scale up in 2018-19 as interoperability assets are shared and IPS value demonstrated in practice.
Collaboration among Standards Development Organizations and interoperability practitioners, users of IPS standards, can bridge the gap between strategic intent and capability to achieve interoperability, quality, and safety through IPS standards adoption.

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