The Extended Electronic Health Record (Xt-EHR) Joint Action supports the Commission’s policy priority for “A Europe fit for the digital age” by implementing the EU4Health Programme’s general objective of “strengthening health systems”. This project enhances the cooperation among Member States (MS) regarding the content and functionality of EHR, the interoperability and the exchange of healthcare data, contribute to the preparation of the foundations for the improved primary use of electronic health data, the most recently voted new regulation for the European Health Data Space (EHDS), and empower individuals to control their health data.

More specifically, the Xt-EHR activities since November of 2023 are effectively performing common actions across MS as above-mentioned for:

• The adoption of the EEHRxF common requirements and specifications on interoperability and health information.
• Evaluate telemedicine, mobile health, and other health software in the context of the EEHRxF and the EHDS Regulation proposal.
• Evaluate common EHR requirements for electronic identification for health professionals and patients, and the necessary metadata layer needed.
• Evaluate the sustainability of cross-border telemedicine services, including telemonitoring.
• Prepare a guideline and interoperability requirements for mobile wellness applications and provide a respective conformity assessment and or labelling scheme.
• Provide a conformity assessment scheme for the certification of EHRs under the EHDS regulation.

The Xt-EHR Joint Action is preparing implementation guides, technical specifications, and a conformity assessment framework for the adoption of the European Electronic Health Record Exchange Format (EEHRxF), at a European Level. Through Xt-EHR, the content and functionality, the interoperability and cross-border exchange of different types of health data are promoted by proposing the necessary implementation guidelines for the implementation of new services that will complement the MyHealth@EU initiative.