Il fascicolo sanitario elettronico tra Semantic Web e diritto alla privacy

The main goal of the PhD research is providing the European and national state of the art on e-Health and the Electronic Health Record with a focus on Data Protection and Interoperability issues. It has been achieved through the overview of existing binding and non-binding EU legal documents and the analysis of selected European and national projects (as †œSmart Open Services for European Patients†� (EU); †œElektronische Gesundheitsakte†� (Austria); †œMedCom†� (Denmark); †œInfrastruttura tecnologica del Fascicolo Sanitario Elettronico†�, †œOpenInFSE: Realizzazione di un'infrastruttura operativa a supporto dell'interoperabilità  delle soluzioni territoriali di fascicolo sanitario elettronico nel contesto del sistema pubblico di connettività †�, †œEvoluzione e interoperabilità  tecnologica del Fascicolo Sanitario Elettronico†�, †œIPSE - Sperimentazione di un sistema per l'interoperabilità  europea e nazionale delle soluzioni di Fascicolo Sanitario Elettronico: componenti Patient Summary e ePrescription†� (Italy)). Legal and technical analyses show the urgent need to define models that encourage use of Health Data and to implement effective strategies improving usability of e-Health Data for secondary uses, such as Open Data and Linked Open Data. Technological and legal harmony is a strategic aspect for narrowing the gaps, such as conflicting data protection rules in different countries or the lack of interoperability between Electronic Health Record systems in Europe. To that end, three strategic guidelines are identified: (1) harmonization of law, (2) harmonization of rules, (3) harmonization of system design. Privacy by Design principles are a †œproactive†� and †œwin-win†� key solution for this change, such as Semantic Web standards.