Sessions

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.

This session explores the ambitious goals of the European Health Data Space and the steps needed to fully realize its potential. It will focus on lessons learned from past initiatives, the role of TEHDAS2 and the Nordic VALO project, and the path forward for a harmonized and impactful health data framework in the EU.

Even under the most extreme conditions — including full-scale invasion, mass displacement of civilians, and systematic attacks on healthcare infrastructure — Ukraine has managed to maintain the functioning of its health system by relying on a robust digital backbone: the national Electronic Health System. With over 35 million patient records and more than 400,000 connected healthcare professionals, the system ensures secure medical data exchange, supports continuity of healthcare services, and enables real-time coordination across all regions of the country.What began as part of a healthcare reform agenda before the pandemic has evolved into a nationwide system ensuring interoperability and efficiency under extreme conditions. Ukraine’s experience demonstrates how public digital infrastructure — when built with flexibility, national stewardship, and long-term vision — can sustain essential services even in crisis.This presentation offers a powerful case study on how public sector digital transformation, driven by urgency, innovation, and determination, can operate under fire—and inspire international partnerships for the future of health data exchange in Europe.

The European Health Data Space stands as a cornerstone for the ambitious European Health Union, with its success dependent on decisions and foundations laid today. This panel brings together key architects of current Joint Actions and diverse European perspectives to envision where EHDS could realistically be in ten years and what critical choices must be made to achieve this shared vision.

Explore the XpanDH project’s key insights into implementing the European Electronic Health Record Exchange Format (EEHRxF) within the European Health Data Space (EHDS). This session highlights actionable strategies to foster interoperability, build trust, and drive digital health innovation across Europe.

Dataspace4Health (DS4H) in Luxembourg showcases a practical pathway to implementing the European Health Data Space. By addressing critical health data challenges in diabetes and cancer, DS4H demonstrates how secure, compliant data ecosystems can enhance care delivery and advance research. This lecture will explore Luxembourg's current approach to primary and secondary use of data and federated data space frameworks through real-world healthcare applications.

The European Health Data Space (EHDS) aims to improve access to and control over personal electronic health data in the context of healthcare. In addition,  establishing a common mechanism to access electronic health data for secondary use across the Union is a necessity for improving health care.

While EHDS represents a landmark regulatory framework, its success hinges on our collective ability to transform fragmented, variable-quality health data into actionable insights that benefit patients, researchers, and healthcare systems. This panel brings together experts who have implemented practical solutions—from Luxembourg's implementation pathway and XpanDH project recommendations to cancer research initiatives and the development of ecosystem approaches—to discuss how we can make health data truly work across primary and secondary uses.

The Dorieh Data Platform, developed in collaboration with Harvard, utilizes comprehensive data management tools, including domain-specific languages, to enhance data provenance and regulatory compliance in health research. By enabling detailed lineage tracking and error logging, Dorieh ensures trustworthy and reproducible use of health data. Its application to Medicare data demonstrates its effectiveness, with potential scalability to frameworks like the European Health Data Space, reinforcing modern data governance strategies.

A presentation of important EHDS questions from the perspective of Region Stockholm and Karolinska University Hospital.

As healthcare research advances rapidly, institutions face the dual challenge of building robust data foundations for innovation while implementing necessary safeguards for ethical and regulatory compliance. This panel brings together experts from Harvard's Dorieh Platform, Karolinska's Data Strategy, and SciLifeLab to explore practical approaches for balancing innovation imperatives with the increasing stringency of data protection regulations.

Presentation of of the Horizon Europe project, AIDAVA with specific focus on 3 aspects: architecture and technology components,  results of the evaluation of the first generation of the prototype, value of AIDAVA as interoperability enabler for the implementation of the EHDS

The infrastructure, called Cancer Image Europe, is designed to preserve the data sovereignty of providers, and provide a platform, including an Atlas of Cancer Images, for the development and benchmarking of AI tools towards Precision Medicine.EUCAIM and the Cancer Image Europe platform targets clinicians, researchers, and innovators, providing the means to finally build up validated clinical decision-making systems supporting diagnosis, treatment, and predictive medicine to benefit citizens.The project is half-way and an update of recent achievements will be presented.

As AI promises to transform healthcare, significant gaps remain between theoretical potential and responsible real-world implementation that addresses patient experience concerns and ethical considerations. This panel brings together leaders in AI-based data curation, cancer imaging infrastructure, and clinical implementation to examine how far we've come in building responsible AI tools and what breakthroughs we can realistically expect as we navigate the complex regulatory landscape of the AI Act, MDR, and EHDS.

Join Rachel Dunscombe, CEO of openEHR International, and Grahame Grieve, Product Director of HL7 FHIR, in a dynamic fireside chat exploring the evolving collaboration between openEHR and FHIR. This session will shed some light on how their synergistic efforts are shaping the global interoperability landscape and its impact on EU regulatory efforts.

The presentation will focus on explaining how IHE works, how IHE has evolved in the FHIR and EHDS era and more specifically why testing and the testing continuum are of critical importance in the successful development of Digital Healthcare transformation processes that incorporate interoperability transactions.

This panel explores how Europe can approach health data standardization in a way that is both purpose-driven and implementation-ready. Moderated by Alexander Berler (IHE), the session brings together perspectives from Inera, SNOMED International, Cambio , and CEN/TC 251 to discuss how standards like FHIR, openEHR, SNOMED CT, and OMOP can be applied effectively across diverse healthcare settings. Panelists will address how to align national strategies with EHDS objectives while keeping interoperability practical and scalable.