AUTHOR=da Silva Carvalho Nathan , Papadimitriou Alexia , Stegwee Robert , Gille Hans , Strübin Michael , Maes Christophe , Cangioli Giorgio , Chronaki Catherine 

TITLE=Accelerating European electronic health record exchange format (EEHRxF) implementation across Europe: a policy perspective

JOURNAL=Frontiers in Medicine

VOLUME=Volume 12 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2025.1648170

DOI=10.3389/fmed.2025.1648170

ISSN=2296-858X

ABSTRACT=BackgroundThe 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 harmonized interoperability and logging components using the European EHR Exchange Format (EEHRxF).What is at stakeThe 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 optionsThis article examines ways to accelerate EEHRxF adoption, including hybrid implementation models, and coordinated national and EU-level support.RecommendationsUtilize 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.