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POLICY BRIEF article

Front. Med.

Sec. Regulatory Science

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1648170

This article is part of the Research TopicPushing Boundaries in EHR Implementation and Innovation through Advanced Digital Health TechnologiesView all 5 articles

Accelerating European Electronic Health Record Exchange Format (EEHRxF) implementation across Europe: a policy perspective

Provisionally accepted
Nathan Da Silva CarvalhoNathan Da Silva Carvalho1Alexia PapadimitriouAlexia Papadimitriou1Robert StegweeRobert Stegwee2Hans GilleHans Gille3Michael StrübinMichael Strübin4Christophe MaesChristophe Maes5Giorgio CangioliGiorgio Cangioli6Catherine ChronakiCatherine Chronaki6*
  • 1DIGITALEUROPE, Brussels, Belgium
  • 2CEN/TC251, Brussels, Belgium
  • 3CGI Netherlands, Amstelveen, Netherlands
  • 4EHTEL, Brussels, Belgium
  • 5European Institute for Innovation through Health (I~HD), Gent, Belgium
  • 6HL7 Europe Foundation, Brussels, Belgium

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Background: The European Health Data Space Regulation (EHDS), published in the Official Journal since 5 March 2025, requires Electronic Health Record (EHR) systems across the European Union (EU) to adopt harmonised interoperability and logging components using the European EHR Exchange Format (EEHRxF).What is at stake: The EHDS has come into force and the deadlines for implementation acts are approaching, Clarity on scope, obligations, and implementation options is needed to meet these deadlines. Policy options: This article examines ways to accelerate EEHRxF adoption, including hybrid implementation models, and coordinated national and EU-level support. Recommendations: Utilise the European EHRxF Standards and Policy Hub, align national and regional strategies, support SMEs and providers with guidance and funding, and promote digital health literacy to ensure effective EEHRxF implementation.

Keywords: interoperability, Health data, Standards, Digital Health, regulations & health policy, Electronic Health Records, European Electronic Health Record Exchange Format

Received: 16 Jun 2025; Accepted: 27 Aug 2025.

Copyright: © 2025 Da Silva Carvalho, Papadimitriou, Stegwee, Gille, Strübin, Maes, Cangioli and Chronaki. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Catherine Chronaki, HL7 Europe Foundation, Brussels, Belgium

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Supplementary Material