The european commission issues a recommendation on a european electronic health record exchange format

4 February 2019
On February 6, 2019, the European Commission issued a Recommendation concerning the development of a European Electronic Health Record (EHR) exchange format (Recommendation no 243/2019), which can be found on the following website: The EHR consists of a digital collection of medical records or similar documentation.

The aim of this Recommendation is to enable EU citizens and healthcare providers to access EHR throughout the EU. Cross-border sharing of health data provides many benefits including the improvement of the quality of care provided to EU patients and the saving of resources for national health services. For example, access to the clinical data contained in the EHR, such as laboratory test results, will enable faster and more appropriate health care and will prevent the repetition of tests and therefore a considerable reduction in costs for health care facilities.

The Recommendation specifies the principles governing the access to and exchange of health records within the EU. It requires, inter alia, Member States to guarantee citizens the option to choose who is granted access to their health data and which information can be shared.

It is also essential that security and privacy of the health data contained in the EHRs are safeguarded. In this regard, the protection of health data shall be implemented in compliance with Regulation (EU) 2016/679. The Recommendation also encourages Member States to ensure that citizens and healthcare professionals have access to their electronic health data through secure electronic identification, as provided for by the Regulation (EU) 2014/910.

Furthermore, the Recommendation is aimed at identifying a set of common technical specifications for the cross-border exchange of data in certain health information domains. Within this framework, Member States should take appropriate measures to share specific health information domains such as the patient’s medical history, ePrescription/eDispensation, laboratory results and medical imaging and reports. These measures will be the foundation for the European electronic health record exchange format.

As such, it is necessary to enhance the interoperability and security of national health systems and records exchange among Member States. Therefore, the Recommendation suggests that Member States set up a national digital health network in collaboration with the competent national authorities.

In conclusion, the development of this European EHR exchange format should be designed and implemented with maximum collaboration from all Member States, the European Commission and any other relevant stakeholders through a joint coordination process.

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