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Using the European Electronic Health Record Exchange Format (EEHRxF) from Primary Systems to Public Health Dashboards
Eugenia Rinaldi1, Luc Nicolas2, Nienke Schutte3
1Berlin Institute of Health, Charité Universitätsmedizin, Berlin, Germany.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
The European Health Data Space (EHDS) pilots demonstrate the European Electronic Health Record Exchange Format (EEHRxF) for public health dashboards. This standard enables near-real-time data visualization for monitoring key health indicators across Europe.
Area of Science:
- Public Health
- Health Informatics
- Health Data Exchange
Background:
- The European Health Data Space (EHDS) aims to harmonize health data exchange and secondary use.
- The European Project xShare investigates the European Electronic Health Record Exchange Format (EEHRxF).
Purpose of the Study:
- To explore the potential of EEHRxF in supporting public health dashboards using primary health data.
- To illustrate the reuse of EHDS-prioritized health data for monitoring public health indicators.
Main Methods:
- Three integrated pilot initiatives were conducted in Germany, Italy, and Belgium within the European Project xShare.
- Pilots focused on utilizing EEHRxF for near-real-time data visualization of public health indicators.
Main Results:
- Demonstrated the feasibility of using EEHRxF to monitor healthcare-associated infections, influenza-like illnesses, antimicrobial resistance, and circadian rhythm disruption impacts.
- Highlighted the potential of a single standard format for enabling timely data access and reducing administrative burden.
Conclusions:
- EEHRxF shows promise for evidence-based public health across Europe through interoperable dashboards.
- Ongoing legal, ethical, and technical challenges must be addressed for successful implementation.
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