Policy and strategy recommendations

Last update 08 Nov 2016
69 paragraphs, 114 comments

Research and Innovation (R&I) Priorities on Active and Healthy Ageing (AHA)

Last update 29 Nov 2016
67 paragraphs, 45 comments

Roadmap for standardization on AHA facing 2020

Last update 19 Jan 2017
74 paragraphs, 0 comments

Roadmap for standardization on AHA facing 2020

Last update 29 Nov 2016
74 paragraphs, 45 comments

Roadmap for standardization on AHA facing 2020

Tentative prioritization of the different proposals

Very high priority proposals (*****)

The following proposals have been identified, due to the factors indicated above, as top priority ones. The relevant European Standardization Organizations (or, if relevant, International Standardization Organizations), should be asked to launch them between January and June 2017.
1. The list of very high priority proposals feels relatively long, whilst the list of high priority proposals is relatively short. 2. We would suggest to focus on just a few proposals that are very high priority
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:00
I agree with the previous comment.
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Alejandro SR
Alejandro SR
- 06 Dec 2016 06:59
I also agree...maybe some can be set as lower priority to focus in a achievable subset.
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Joan Ignasi Martinez Roldán
Joan Ignasi Martinez Roldán
- 06 Dec 2016 14:28

General proposals

- Establishment of a structured horizontal coordination of AHA standardization.
- Increase the coordination and synergies between the European Standardization Organizations (CEN, CENELEC and ETSI) and the International Standardization Organizations (ISO, IEC and ITU), taking advantage of their collaboration agreements, such as the Vienna Agreement.
I would be fine to include the W3C Consortium as International Standarization Organization, as well.
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Angel Retamar
Angel Retamar
- 30 Nov 2016 11:19
I think SNOMED and HL7 may also be contacted as most proposals are around semantic interoperability
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Joan Ignasi Martinez Roldán
Joan Ignasi Martinez Roldán
- 06 Dec 2016 14:23
- Reinforcement of the cooperation between the ESOs and the SDOs on Health Informatics Standardization.

e-Health proposals

- General semantic interoperability (further comprehensive mapping between the main standards on medical records, disease classification, clinical coding/terminology and electronic health information).
I asume it will be considered to coordinate or use current standards on health data. (HL7, SNOMED, LOINC)
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Alejandro SR
Alejandro SR
- 06 Dec 2016 07:01
Expansions to cover social care records necessary, as mentioned in other comments.
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Persephone Doupi
Persephone Doupi
- 07 Dec 2016 11:57
- Semantic interoperability: Cross-border interoperability of electronic health record systems.
- Semantic interoperability: Standardized patient and user-generated health data, able to be captured and acted upon in a meaningful way.
We agree that this should be a very high priority.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:00
- Semantic interoperability: Adherence use case.
- Semantic interoperability: Falls risk use case.
- Semantic interoperability: Risk categories for frailty use case.
Frailty and dependency scales and assessment should be par of the standardization
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M Cristina Machado Guimarães
M Cristina Machado Guimarães
- 06 Dec 2016 20:25
- Technical interoperability: Compatibility between standards based on different principles (e.g., EN ISO 13606/HL7 RIM)
We agree that this should be a very high priority.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:01
- Technical interoperability: Complement EN ISO/IEEE 11073 series to include short range RF devices.
- Technical interoperability: Development of interoperability standards for Internet of Things.
Maybe should be more appropiate to collaborate with existent workgroups in interoperability standards such as "Web of Things" instead of develop a brand new standard
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Angel Retamar
Angel Retamar
- 30 Nov 2016 11:22
- Data privacy protection and security of patient and user-generated health and care data
We agree that this should be a very high priority.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:02

Care and healthcare proposals

No care and healthcare proposals have been identified within this prioritization category.
Standarization on Social History (Electronic Social Record) needed. Information on social services, rehabilitation carried out by the third sector, social needs and support, ...
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Alejandro SR
Alejandro SR
- 06 Dec 2016 07:06
Best practices gathering should be done as long as attached to outcome evaluation
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M Cristina Machado Guimarães
M Cristina Machado Guimarães
- 06 Dec 2016 20:27

Independent living and age-friendly environments proposals

No independent living and age-friendly environments proposals have been identified within this prioritization category.
is it possible to promote WHO methodology related to age-friendly cities and communities as a standard in the EU? otherwise, there will be plenty various "age-friendly" standards that will not fit to each other...
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Andrzej Klimczuk
Andrzej Klimczuk
- 29 Nov 2016 11:15
I believe environmental quality of spaces occupied by elderly people is of the utmost importance! It has not only a huge impact on their quality of life but also very big implications in terms of costs for the health care system. We can't forget how sensitive and frail many of us can be at this age and, thus, particular attention must be put on this issue!
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Hugo Santos
Hugo Santos
- 29 Nov 2016 12:04
I believe that an environment incorporating in its design principles the knowledge on human physiology and perception and especially the physiology and perception of people across the lifespan, where multi-morbidities such as frailty and Alzheimer’s might occur, is beneficial for all other aspects of care and everyday life and acts as their multiplier.
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Evangelia Chrysikou
Evangelia Chrysikou
- 09 Dec 2016 08:30

High priority proposals (****)

The following proposals have been identified, due to the factors indicated above, as high priority ones. The relevant European Standardization Organizations (or, if relevant, International Standardization Organizations), should be asked to launch them between July and December 2017.
We would like to suggest another topic for high priority - Accessibility of products and services under a Design for All approach. We need to be aligned with the BS 8878 Web accessibility Code of Practice.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:36

e-Health proposals

- Semantic interoperability: Standardized drug identifiers
We fully endorse this proposal as we have a Scottish strategic priority focussed on medicines reconciliation.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:07
Results of OpenMedicine project should be utilized.
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Persephone Doupi
Persephone Doupi
- 07 Dec 2016 11:58
- Semantic interoperability: Standardized biology and biomarkers data

Care and healthcare proposals

No care and healthcare proposals have been identified within this prioritization category.
We would like to suggest a new high priority proposal that focusses on merging or extending standards to support integrated health and social care. We have the impression that eHealth standards are focussed on the health domain, which is no surprise. However, in relation to the integrated care ambitions of Scotland, this leaves a gap when dealing with other types of datasets and different semantics related to social care and other services.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:30
The above could be achieved by merging or extending other standards to encompass 'integrated health and social care'.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:41
Totally agree with previous comments. Social care in the scope of integrated care is needed.
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Alejandro SR
Alejandro SR
- 06 Dec 2016 07:07
I agree also
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Joan Ignasi Martinez Roldán
Joan Ignasi Martinez Roldán
- 06 Dec 2016 14:29
In agreement with former comments. Absolute necessity and not yet a priority in many EU MS.
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Persephone Doupi
Persephone Doupi
- 07 Dec 2016 11:47

Independent living and age-friendly environments proposals

- Cognitive accessibility of ICT products and services
- Accessibility of mobile applications
These are very relevant in the context of person centred care and the direction that we are taking in Scotland: a. Cognitive accessibility of ICT products and services. b. Accessibility and integration of mobile applications, including those that support independent living.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:32
- Standardization of age-friendly tourism (including accessibility).

Medium priority proposals (***)

The following proposals have been identified, due to the factors indicated above, as medium priority ones. The relevant European Standardization Organizations (or, if relevant, International Standardization Organizations), should be asked to launch them between January and June 2018.

e-Health proposals

No e-Health proposals have been identified within this prioritization category.

Care and healthcare proposals

- Standardization of an integrated structure for care outside conventional care facilities
- Standardization of AHA management for rural populations taking advantage of intensive ICT use.
We are not convinced that this needs any standardisation. It is a question of making a good level of network connectivity available in remote and rural areas. The rest will then fall into place.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:37
- Standardization of professional qualifications for health professions in EU.
- Standardization of care interventions.
Absolutely support this topic (as stated previously). The more standardised care interventions the easier to adopt in a certain case of use
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Joan Ignasi Martinez Roldán
Joan Ignasi Martinez Roldán
- 06 Dec 2016 14:27
- Standardization of reporting adherence related.
- Standardization on the falls risk gerontological assessment.
- Standardization of an assessment of the protocols for rehabilitative interventions
- Standardization of fall prevention services.
It would be more appropriate to propose standardization of fall prevention practices, rather than services.
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Persephone Doupi
Persephone Doupi
- 07 Dec 2016 11:45
- Standardization of the assessment of the different dimensions of frailty.
Both assessment of the different dimensions of frailty and the next proposal on interventions for different frailty risk categories would be more appropriately placed at least as 'High' (if not very high) priorities, since frailty is a comprehensive measure of a person's health and well-being status.
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Persephone Doupi
Persephone Doupi
- 07 Dec 2016 11:52
- Standardization of the interventions to deploy to the different risk categories of frailty.
The transfer of knowledge and upscaling for frailty and fall-prevention through design technologies as well as the integration of healthcare facilities via holistic approaches is of great importance.
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Evangelia Chrysikou
Evangelia Chrysikou
- 09 Dec 2016 08:32
- Standardization of the intermediate care risk prediction.

Independent living and age-friendly environments proposals

- Guidance on appropriate user interface adaptations for older people
We believe this should be a high priority, not medium.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:35
- Standardization of age-friendly transport (including accessibility).

Low priority proposals (**)

The following proposals have been identified, due to the factors indicated above, as low priority ones. The relevant European Standardization Organizations (or, if relevant, International Standardization Organizations), should be asked to launch them between July and December 2018.

e-Health proposals

- Quality criteria for the development of health and wellness apps (ongoing proposal within CEN/TC 251, still not developed).
We would recommend to elevate this to at least medium priority. Quality matters to get adoption and it would be good to have an off-the-shelf reference.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:37

Care and healthcare proposals

- Standardization of the quality of long-term care and social services for older people.
- Standardization of social care support and independent living (activity, diet, falls, safety).
We would suggest raising the profile of this proposal to at least medium. We should be more consistent with this support and not have citizens being disadvantaged by where they live.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:39
Completely agree with D. Henderson's comment. As it has been brought up in several points, the social care aspects need to be reflected on all levels - not just the healthcare perspective
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Persephone Doupi
Persephone Doupi
- 07 Dec 2016 11:44
- Standardization of education of AHA providers on good UX design, including accessibility aspects.
We would suggest to elevate this to a medium, or even high, priority given that we generally place a higher value on usability.
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Donna Henderson
Donna Henderson
- 02 Dec 2016 17:38
- Standardization of active (robotic) orthoses and prostheses, including wearable robots such as exoskeletons
- Standardization of fall prevention devices.
- Standardization of service robots for independent living
should not this be moved to "Independent living and age-friendly environments proposals"?
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Andrzej Klimczuk
Andrzej Klimczuk
- 29 Nov 2016 12:02

Independent living and age-friendly environments proposals

- Standardization on information and cognitive impairment
The formulation of this proposal is unclear. Does it mean standardization of information describing cognitive impairment or standardization of information to be provided e.g. to persons with cognitive impairment? Either way, it should be of higher priority.
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Persephone Doupi
Persephone Doupi
- 07 Dec 2016 11:43

Very low priority proposals (*)

The following proposals have been identified, due to the factors indicated above, as low priority ones. The relevant European Standardization Organizations (or, if relevant, International Standardization Organizations), should be asked to launch them launched in 2019.

e-Health proposals

No eHealth proposals have been identified within this prioritization category.

Care and healthcare proposals

No care and healthcare proposals have been identified within this prioritization category.

Independent living and age-friendly environments proposals

- Standardization of age-friendly built environments.
can we literally indicate housing and public spaces?
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Andrzej Klimczuk
Andrzej Klimczuk
- 29 Nov 2016 12:00
Inclusion of new design paradigms for environments of the care and treatment of people and for sustaining healthy societies
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Evangelia Chrysikou
Evangelia Chrysikou
- 09 Dec 2016 08:34
- Accessibility of products and services under a Design for All approach.
An entire smart ecosystem
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M Cristina Machado Guimarães
M Cristina Machado Guimarães
- 06 Dec 2016 20:31
There is a lot to be learned and taken up from Design for All- principles and experiences, therefore it should be raised to a considerably higher priority status.
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Persephone Doupi
Persephone Doupi
- 07 Dec 2016 11:56
- Standardization of age-friendly smart cities (including accessibility)
cities and communities?
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Andrzej Klimczuk
Andrzej Klimczuk
- 29 Nov 2016 12:01
What about smart nets ? - so many elderly are left far from the cities!
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M Cristina Machado Guimarães
M Cristina Machado Guimarães
- 06 Dec 2016 20:32
What about smart nets ? - so many elderly are left far from the cities!
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M Cristina Machado Guimarães
M Cristina Machado Guimarães
- 06 Dec 2016 20:32