natgillin/translations-raw huggingface dataset:
Similarly, evidence from various countries suggest that up to 20 % of healthcare spending is wasteful, for example because patients receive unnecessary tests or treatments, or as a result of avoidable hospital admissions.
Digitalne rešitve, povezane z zdravstvenimi aplikacijami, ali nosljive naprave, kombinirane s sistemom, ki omogoča državljanom varen dostop do njihovih lastnih zdravstvenih podatkov, bi morale pacientom s kroničnimi stanji, kot sta sladkorna bolezen ali rak, omogočati spremljanje njihovih simptomov doma in hitro skupno uporabo teh podatkov z njihovimi kliničnimi ekipami.
Digital technologies are powerful solutions to address those issues and to adapt health systems to future challenges.
Tako bi zmanjšali število obiskov v zdravstvenih ustanovah za namene spremljanja.
For example, digital solutions linked to health apps, or wearable devices, combined with a system that allows a citizen secure access to their own health data, should enable patients with chronic conditions, such as diabetes, or cancer, to monitor their own symptoms at home and share them quickly with their clinical teams.
Digitalne tehnologije prav tako prispevajo k zgodnjemu zaznavanju potreb po spremembah zdravljenja, zaradi česar je manj hospitalizacij zaradi zapletov.
This should reduce the number of visits to a health facility for monitoring.
Z boljšo oskrbo kroničnih stanj v skupnosti bi se poleg zmanjšanja podvajanja zdravstvenih ukrepov (na primer preiskav) povečala trajnost sistemov in tudi izboljšala splošna kakovost življenja, kakovost zdravstvenega varstva za državljane, stroški, povezani z zdravstvenim varstvom za posameznike in gospodinjstva pa bi se znižali.
Digital technologies can also help to detect early a need for a change in treatments, resulting in fewer hospitalisations due to complications.
Svet redno poziva države članice h krepitvi izvajanja njihovih digitalnih zdravstvenih strategij.
Better management of chronic conditions in the community, alongside reducing duplication of healthcare actions (such as tests) should not only make systems more sustainable but also improve overall quality of life, the quality of healthcare provided to citizens, and reduce the costs associated with healthcare for individuals and households.
V sklepih Sveta na temo zdravja v digitalni družbi, sprejetih 8. decembra 2017, je še posebej poudarjena potreba držav članic, da okrepijo interoperabilnost svojih elektronskih zdravstvenih sistemov, da bi imeli državljani več nadzora nad svojimi zdravstvenimi podatki.
The Council has regularly called for Member States to strengthen the implementation of their digital health strategies.
Komisija je z namenom pospeševanja digitalizacije zdravstva in zdravstvenega varstva sprejela Sporočilo „o omogočanju digitalne preobrazbe zdravstva in zdravstvenega varstva na enotnem digitalnem trgu: krepitev vloge državljanov in oblikovanje bolj zdrave družbe“.
In particular, the Council conclusions on Health in the Digital Society adopted on 8 December 2017 stress the need for Member States to make their electronic health systems more interoperable in order to give citizens greater control over their health data.
Digitalizacija zdravstvenih zapisov in priprava sistemov, ki omogočajo državljanom varen dostop do zapisov in njihovo varno notranjo skupno uporabo in skupno uporabo med različnimi deležniki v zdravstvenem sistemu (pacienti, njihove klinične ekipe v skupnosti in bolnišnice), predstavlja pomemben ukrep za vključevanje digitalnih tehnologij v pristope na področju zdravja in zdravstvenega varstva.
That Communication adapts for the health sector, the objectives set out in the Communication ‘A Digital Single Market Strategy for Europe’ adopted on 6 May 2015 and the Communication ‘EU eGovernment Action Plan — Accelerating the Digital Transformation of Government’, adopted on 19 April 2016.
Nove tehnologije za zdravje bi morale državljane podpirati pri prevzemanju aktivne vloge na področju njihovega zdravja.
It addresses the concerns raised in the Communication on the Mid-Term Review on the implementation of the Digital Single Market Strategy, ‘A Connected Digital Single Market for All’ regarding the fact that the uptake of digital solutions for health and care remains slow and varies significantly across the Member States and regions.
V ta namen bi bilo treba pri oblikovanju zdravstvenih informacijskih sistemov upoštevati potrebe državljanov in pacientov, vključno z večjo dostopnostjo teh sistemov uporabnikom, zlasti invalidom, v skladu z zahtevami glede dostopnosti iz Direktive (EU) 2016/2102 Evropskega parlamenta in Sveta, kadar je to ustrezno.
Digitising health records, and creating systems that enable them to be securely accessed by citizens and securely shared within and between the different actors in the health system (patients, their clinical teams in the community and hospital facilities) is an important step towards integrating digital technologies into health and care approaches.
Cilj interoperabilnosti elektronskih zdravstvenih zapisov je omogočiti dosledno obdelavo informacij med temi zdravstvenimi informacijskimi sistemi, ne glede na njihovo tehnologijo, aplikacijo ali platformo, in sicer tako, da si prejemnik informacije lahko smiselno razloži.
That integration requires electronic health records, to be interoperable across the Union whereas currently many of the formats and standards in electronic health record systems — that are information systems for recording, retrieving and managing electronic health records — used across the Union are incompatible.
Pomanjkanje interoperabilnosti glede elektronskih zdravstvenih zapisov povzroča razdrobljenost in slabša kakovost čezmejnega zagotavljanja zdravstvenega varstva.
New technologies for health should support citizens to become active agents of their own health journey.
Najvišji mogoči standardi za varnost in varstvo podatkov so poglavitnega pomena pri razvijanju in izmenjavi elektronskih zdravstvenih zapisov.
To this end, citizens' and patients' needs should be taken into account when designing health information systems including making these systems more accessible to users, in particular to persons with disabilities, according to the accessibility requirements laid down by Directive (EU) 2016/2102 of the European Parliament and of the Council, where applicable
Splošna uredba o varstvu podatkov zahteva, da so podatki pacienta zaščiteni in ustrezno zavarovani, s čimer se zagotavljajo zaupnost, celovitost in razpoložljivost teh podatkov.
The lack of interoperability with regard to electronic health records leads to fragmentation and a lower quality of cross-border healthcare provision.
Podlago za to pa določajo številne evropske razširjene digitalne rešitve ter skupni pristopi za upravo in institucije.
The Commission has already identified specific ‘Integrating the Healthcare Enterprise’ (IHE) profiles listed in the Annex to Commission Decision (EU) 2015/1302 with the potential to increase interoperability of eHealth services and applications to the benefit of citizens and the healthcare professional community and to be eligible for referencing in public procurement.
Uporaba varnih sredstev za elektronsko identifikacijo in avtentikacijo, ki je opredeljena v Uredbi (EU) št. 910/2014 Evropskega parlamenta in Sveta (eIDAS), mora spodbujati dostop, varnost in zaupanje v sisteme elektronskih zdravstvenih zapisov.
Those profiles provide detailed specifications for different layers of interoperability.
Navedena uredba določa pogoje, v katerih lahko državljani uporabljajo priznana sredstva za elektronsko identifikacijo, ki spadajo v priglašeno shemo elektronske identifikacije države članice, za pridobitev dostopa do spletnih javnih storitev iz tujine, kar vključuje dostop do zdravstvenih storitev in zdravstvenih podatkov.
Some of those profiles are already used to address specific business requirements in the eHealth Digital Service Infrastructure (‘eHDSI’).
Prav tako določa pravila za storitve zaupanja, kot so elektronski podpisi, elektronski žigi in storitve elektronske priporočene dostave, za varno upravljanje in izmenjavo zdravstvenih podatkov ob zmanjšanju tveganj za morebitno nedovoljeno poseganje vanje in zlorabo.
The highest possible standards for security and data protection are central to developing and exchanging electronic health records.
V skladu z Direktivo (EU) 2016/1148 Evropskega parlamenta in Sveta izvajalci zdravstvenih dejavnosti, ki jih države članice opredelijo kot izvajalce bistvenih storitev, in ponudniki digitalnih storitev, ki spadajo na področje uporabe te direktive, morajo sprejeti ustrezne ter sorazmerne tehnične in organizacijske ukrepe za obvladovanje tveganj za varnost omrežij in informacijskih sistemov, ki jih uporabljajo pri svojih dejavnostih.
The General Data Protection Regulation requires patient data to be protected and properly secured so that its confidentiality, integrity and availability are ensured.
Prav tako morajo pristojnim državnim organom ali nacionalnim skupinam za odzivanje na incidente na področju računalniške varnosti (CSIRT) priglasiti vse varnostne incidente, ki imajo znaten ali pomemben vpliv na neprekinjeno izvajanje storitev, ki jih zagotavljajo.
As a consequence, systems must be secure, safe, trustable and integrate data protection by design and by default.
Zlasti na področju kibernetske varnosti za sisteme elektronskih zdravstvenih zapisov se lahko s certificiranjem kibernetske varnosti dokaže, da so kibernetskovarnostne zahteve na podlagi ustreznega okvira Unije za kibernetsko varnost izpolnjene.
A series of European wide digital solutions and common approaches for government and institutions lay the basis for this.
Države članice so s podporo Komisije sprejele pomembne ukrepe za spodbujanje interoperabilnosti, in sicer z dejavnostmi mreže e-zdravje, vzpostavljene v skladu s členom 14 Direktive 2011/24/EU.
The use of secure electronic identification and authentication means provided for in Regulation (EU) No 910/2014 of the European Parliament and of the Council (eIDAS) should enhance access, security and trust in electronic health record systems.
Glavni cilj mreže e-zdravje je podpirati razvoj trajnostnih sistemov e-zdravje, storitev in interoperabilnih aplikacij, izboljšati sodelovanje in izmenjavo informacij med državami članicami, izboljšati stalnost oskrbe ter zagotoviti dostop do varnega in visokokakovostnega zdravstvenega varstva.
That Regulation lays down the conditions under which recognised electronic identification means, falling under a notified electronic identification scheme of a Member State, may be used by citizens to gain access to online public services from abroad, including access to health services and health data.
Tako ima ključno vlogo pri interoperabilnosti elektronskih zdravstvenih zapisov.
It also lays down rules for trust services such as electronic signatures, electronic seals and electronic registered delivery services, to securely manage and exchange health data by minimising the risk of possible tampering and misuse.
Številne države članice, ki sodelujejo v mreži e-zdravje, so sodelovale s Komisijo pri zasnovi infrastrukture za digitalne storitve e-zdravja, ki ga podpira program Instrumenta za povezovanje Evrope (IPE), še zlasti z namenom izboljševanja interoperabilnosti evropskih sistemov e-zdravja.
Under Directive (EU) 2016/1148 of the European Parliament and of the Council healthcare providers, that are identified as operators of essential services by Member States and digital service providers falling in its scope are required to take appropriate and proportionate technical and organisational measures to manage the risks posed to the security of network and information systems they use in their operations of provision of service.
V nekaterih od teh držav članic se je začela čezmejna izmenjava e-receptov med zdravstvenimi delavci prek infrastrukture za digitalne storitve e-zdravja, medtem ko se v kratkem pričakuje tudi izmenjava povzetkov o pacientih.
They are also required to notify security incidents having a significant or substantial impact on the continuity of the services they provide to the competent national authorities or to the national Computer Security Incident Response Teams (CSIRTs).
Spodbujanje interoperabilnosti elektronskih zdravstvenih zapisov bi moralo prispevati k širitvi naborov podatkov, ki se trenutno izmenjujejo znotraj infrastrukture za digitalne storitve e-zdravja, kar bi vključevalo pomembne informacije o laboratorijskih rezultatih, medicinskem slikanju in poročilih ter poročilih o odpustih iz bolnišnic, s čimer bi se izboljšala stalnost oskrbe.
As regards in particular cybersecurity for electronic health record systems, cybersecurity certification may allow the demonstration that cybersecurity requirements are fulfilled, under the relevant Union cybersecurity framework.
Številna orodja, ki so bila razvita za infrastrukturo za digitalne storitve e-zdravja, so vir za izmenjavo elektronskih zdravstvenih zapisov za države članice.
Member States have taken important steps to foster interoperability with the support of the Commission, through the activities of the eHealth Network established under Article 14 of Directive 2011/24/EU.
Mreža e-zdravje ima v okviru izmenjave elektronskih zdravstvenih zapisov pomembno vlogo pri nadaljnjem razvoju evropske oblike izmenjave elektronskih zdravstvenih zapisov, in sicer z njeno uporabo za infrastrukturo za digitalne storitve e-zdravja in s pospeševanjem uporabe te infrastrukture za izmenjave med izvajalci zdravstvenih dejavnosti na nacionalni ravni.
The eHealth Network's main objective is to support the development of sustainable eHealth systems, services and interoperable applications, facilitate cooperation and the exchange of information among Member States, enhance continuity of care and ensure access to safe and high-quality healthcare.
Digitalizacija zdravstvenih zapisov in omogočanje njihove izmenjave bi lahko tudi podpirala oblikovanje večjih struktur zdravstvenih podatkov, ki so, združeni z uporabo novih tehnologij, kot sta analitika velepodatkov in umetna inteligenca, lahko v podporo pri iskanju novih znanstvenih odkritij.
Consequently it plays a crucial role for the interoperability of electronic health records.
Obstoječe nacionalne specifikacije za sisteme elektronskih zdravstvenih zapisov se lahko še naprej uporabljajo vzporedno z evropsko obliko izmenjave elektronskih zdravstvenih zapisov –
In particular, in order to facilitate the interoperability of European eHealth systems, a number of Member States participating in the eHealth Network have worked together with the Commission to build the eHealth Digital Services Infrastructure, supported by the Connecting Europe Facility (CEF) Programme.
SPREJELA NASLEDNJE PRIPOROČILO:
In some of those Member States, the exchange of ‘ePrescriptions’ between health professionals across borders through the eHealth Digital Services Infrastructure has started, while the exchange of ‘Patient Summaries’ is expected to start soon.
CILJI
Enhancing the interoperability of electronic health records should help expanding the datasets currently being exchanged within the eHealth Digital Services Infrastructure to include valuable information concerning laboratory results, medical imaging and reports, and hospital discharge reports, which would enhance continuity of care.
To priporočilo določa okvir za razvoj evropske oblike izmenjave elektronskih zdravstvenih zapisov za doseganje varnega, interoperabilnega in čezmejnega dostopa ter izmenjavo elektronskih zdravstvenih podatkov v Uniji.
A number of tools developed for the eHealth Digital Services Infrastructure are a resource for Member States for the exchange of electronic health records.
Okvir vključuje:
In the context of exchanging electronic health records, the eHealth Network plays a valuable role in further developing the European electronic health record exchange format, by using it for the eHealth Digital Services Infrastructure and promoting its use for exchanges between healthcare providers at national level.
sklop načel, ki bi urejala čezmejni dostop in izmenjavo elektronskih zdravstvenih zapisov v Uniji;
Digitising health records and enabling their exchange could also support the creation of large health data structures which combined with the use of new technologies, such as big data analytics and artificial intelligence can support the search for new scientific discoveries.
sklop skupnih tehničnih specifikacij za čezmejno izmenjavo podatkov na določenih področjih zdravstvenih informacij, ki bi morale predstavljati osnovo za evropsko obliko izmenjave elektronskih zdravstvenih zapisov;
Existing national specifications for electronic health record systems may continue to apply in parallel with a European electronic health record exchange format,
postopek nadaljnje priprave evropske oblike izmenjave elektronskih zdravstvenih zapisov.
HAS ADOPTED THIS RECOMMENDATION:
Prav tako spodbuja države članice k zagotavljanju varnega dostopa do sistemov elektronskih zdravstvenih zapisov na nacionalni ravni.
OBJECTIVES
SISTEMI ELEKTRONSKIH ZDRAVSTVENIH ZAPISOV V DRŽAVAH ČLANICAH
This Recommendation sets out a framework for the development of a European electronic health record exchange format in order to achieve secure, interoperable, cross-border access to, and exchange of, electronic health data in the Union.
Zagotavljanje varnega dostopa do sistemov elektronskih zdravstvenih zapisov
The framework includes:
Države članice bi morale zagotoviti, da sistemi elektronskih zdravstvenih zapisov izpolnjujejo visoke standarde za zaščito zdravstvenih podatkov ter varnost omrežja in informacijskih sistemov, na katere se zanašajo takšni sistemi elektronskih zdravstvenih zapisov, da bi se izognili kršitvam varstva podatkov in zmanjšali tveganja za varnostne incidente.
a set of principles that should govern access to and exchange of electronic health records across borders in the Union;
Države članice bi morale zagotoviti, da imajo državljani in njihovi zdravstveni delavci spletni dostop do svojih elektronskih zdravstvenih zapisov z uporabo varnih sredstev za elektronsko identifikacijo, pri čemer se upošteva okvir za varnost in zaupanje, ki ga vzpostavlja Uredba (EU) št. 910/2014.
a set of common technical specifications for the cross-border exchange of data in certain health information domains, which should constitute the baseline for a European electronic health record exchange format;
Orodja in pobude
a process to take forward the further elaboration of a European electronic health record exchange format.
Države članice bi morale uporabljati orodja in gradnike, ki jih zagotavlja infrastruktura za digitalne storitve e-zdravja s podporo programa Instrumenta za povezovanje Evrope (IPE), ter se sklicevati na izpopolnjeni okvir za interoperabilnost e-zdravja kot skupni okvir za upravljanje interoperabilnosti na področju e-zdravja.
It also encourages Member States to ensure secure access to electronic health record systems at national level.
Države članice bi morale sprejeti ustrezne ukrepe za podporo uporabi interoperabilnih sistemov elektronskih zdravstvenih zapisov, kot so vzvodi namenskih finančnih naložb, tudi mehanizmov spodbujanja, in prilagajanje zakonodaje, kadar je ustrezno.
ELECTRONIC HEALTH RECORD SYSTEMS IN MEMBER STATES
Nacionalne digitalne zdravstvene mreže
Ensuring secure access to electronic health record systems
Za izboljšanje interoperabilnosti in varnosti nacionalnih zdravstvenih sistemov ter izboljšanje varne čezmejne izmenjave zdravstvenih podatkov bi vsaka država članica morala vzpostaviti nacionalno digitalno zdravstveno mrežo, ki bi vključevala predstavnike ustreznih pristojnih nacionalnih organov in – kadar je ustrezno – regionalnih organov, ki bi skrbeli za digitalne zdravstvene zadeve in interoperabilnost elektronskih zdravstvenih zapisov, varnost mrež in informacijskih sistemov ter za varstvo osebnih podatkov.
Member States should ensure that electronic health record systems meet high standards for the protection of health data, and the security of network and information systems on which such electronic health record systems rely, to avoid data breaches and minimise the risks of security incidents.
Nacionalne digitalne zdravstvene mreže bi morale vključevati predvsem naslednje:
Member States should ensure that citizens and their healthcare professionals have online access to their electronic health records using secure electronic identification means, taking into account the framework for security and trust established by the Regulation (EU) No 910/2014.
nacionalnega predstavnika mreže e-zdravje;
Tools and incentives
nacionalne ali regionalne organe s kliničnimi in tehničnimi kompetencami za digitalne zdravstvene zadeve;
Member States should use the tools and building blocks provided by the eHealth Digital Services Infrastructure supported under the Connecting Europe Facility Programme and refer to the Refined eHealth European Interoperability Framework as the common framework for managing interoperability in the eHealth domain.
nadzorne organe, ustanovljene v skladu s členom 51 Uredbe (EU) 2016/679;
Member States should take appropriate measures to support the use of interoperable electronic health record systems such as leveraging dedicated financial investments, including incentive mechanisms, and adapting legislation where appropriate.
pristojne organe, določene v skladu z Direktivo (EU) 2016/1148.
National digital health networks
Rezultati razprav ali posvetovanj o nacionalnih digitalnih zdravstvenih mrežah bodo posredovani mreži e-zdravje in Komisiji.
To enhance the interoperability and security of national health systems and support the secure exchange of health data across borders, each Member State should set up a national digital health network involving representatives of the relevant competent national authorities and, where appropriate, regional authorities dealing with digital health matters and the interoperability of electronic health records, and security of networks and information systems, and the protection of personal data.
OKVIR ZA ČEZMEJNO IZMENJAVO ELEKTRONSKIH ZDRAVSTVENIH ZAPISOV
In particular national digital health networks should involve the following:
Načela za dostop in čezmejno izmenjavo elektronskih zdravstvenih zapisov
the national representative of the eHealth Network;
Države članice bi morale zagotoviti, da državljani lahko dostopajo in varno ter čezmejno skupno uporabljajo elektronske zdravstvene podatke.
national, or regional, authorities with clinical and technical competence for digital health matters;
Države članice se spodbuja, da državljanom omogočijo, da sami izberejo, komu bodo zagotovili dostop do svojih elektronskih zdravstvenih zapisov, in katere podrobnosti o zdravstvenih informacijah bodo delili.
supervisory authorities established under Article 51 of Regulation (EU) 2016/679;
Države članice bi morale zagotoviti, da se pri razvijanju rešitev, ki omogočajo dostop in izmenjavo elektronskih zdravstvenih podatkov v Uniji, upoštevajo načela iz Priloge.
competent authorities designated pursuant to Directive (EU) 2016/1148.
Osnova za evropsko obliko izmenjave elektronskih zdravstvenih zapisov
The results of discussions or consultations of the national digital health networks should be transmitted to the eHealth Network and to the Commission.
Države članice bi morale sprejeti ukrepe, s katerimi zagotovijo, da naslednja področja zdravstvenih informacij kot osnova predstavljajo del evropske oblike izmenjave elektronskih zdravstvenih zapisov:
FRAMEWORK FOR CROSS-BORDER EXCHANGE OF ELECTRONIC HEALTH RECORDS
povzetek o pacientu;
Principles for access to and cross-border exchange of electronic health records
e-recepti/e-predpisovanje;
Member States should ensure that citizens are able to access and securely share their electronic health data across borders.
laboratorijski rezultati;
Member States are encouraged to give citizens the ability to choose to whom they provide access to their electronic health data, and which health information details are shared.
medicinsko slikanje in poročila;
Member States should ensure that the principles set out in the Annex are observed when developing solutions enabling access to, and exchange of electronic health data in the Union.
poročila o odpustih iz bolnišnice.