{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:52:23Z","timestamp":1777337543950,"version":"3.51.4"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,2,11]],"date-time":"2023-02-11T00:00:00Z","timestamp":1676073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,11]],"date-time":"2023-02-11T00:00:00Z","timestamp":1676073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007655","name":"Czech Technical University in Prague","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007655","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100007655","name":"Czech Technical University in Prague","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007655","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Syst"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Introduction: European Union intends to enable cross-border health services through a program referred to as \u201cMyHealth@EU\u201d. The first main service is the dispensation of medicine by interlinking national electronic prescription systems. The second one is the Patient Summary, which enables providing the basic set of patients\u2019 medical data. Methods: The contemporary technical documentation of the project was studied and selected published Key Performance Indicators of the project were analyzed. Where necessary, data were acquired directly from the European Commission. Results: Data from the start of the project (fourth quarter of 2019) until the second quarter of 2022 were analyzed. During this time both the overall number of EU countries with operational cross-border healthcare and their particular abilities in both services have risen. At present, there are eleven countries with capabilities in at least one of the services, of which nine have reported transactions. More countries are in the test phase now and will join the operational phase of the project shortly. Discussion and Conclusion: Nevertheless, the program is still used mostly for testing purposes. It seems that only electronic prescription and dispensation are commonly and widely used so far and only Estonian and Finnish patients usually get their medication dispensed abroad. The rest of the operational countries is still at present missing country pairs with a strong cross-border use case.<\/jats:p>","DOI":"10.1007\/s10916-023-01920-9","type":"journal-article","created":{"date-parts":[[2023,2,11]],"date-time":"2023-02-11T09:05:36Z","timestamp":1676106336000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["The Current State and Usage of European Electronic Cross-border Health Services (eHDSI)"],"prefix":"10.1007","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0961-395X","authenticated-orcid":false,"given":"Jan","family":"Bruthans","sequence":"first","affiliation":[]},{"given":"Kl\u00e1ra","family":"Jir\u00e1kov\u00e1","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2023,2,11]]},"reference":[{"key":"1920_CR1","doi-asserted-by":"publisher","unstructured":"Oh H, Rizo C, Enkin M, Jadad A, Powell J, Pagliari C. 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Medsoft 2021;33:89\u201392. https:\/\/doi.org\/10.35191\/medsoft_2021_1_33_89_92.","journal-title":"Medsoft"},{"key":"1920_CR4","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1108\/IJHCQA-09-2016-0136","volume":"31","author":"LL Fragidis","year":"2018","unstructured":"Fragidis LL, Chatzoglou PD. Implementation of a nationwide electronic health record (EHR): The international experience in 13 countries. Int J Health Care Qual Assur 2018;31:116\u201330. https:\/\/doi.org\/10.1108\/IJHCQA-09-2016-0136.","journal-title":"Int J Health Care Qual Assur"},{"key":"1920_CR5","doi-asserted-by":"publisher","first-page":"104205","DOI":"10.1016\/j.ijmedinf.2020.104205","volume":"141","author":"J Bruthans","year":"2020","unstructured":"Bruthans J. The state of national electronic prescription systems in the EU in 2018 with special consideration given to interoperability issues. Int J Med Inf 2020;141:104205. https:\/\/doi.org\/10.1016\/j.ijmedinf.2020.104205.","journal-title":"Int J Med Inf"},{"key":"1920_CR6","unstructured":"Directive 2011\/24\/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients\u2019 rights in cross-border healthcare. vol.\u00a0OJ L. 2011."},{"key":"1920_CR7","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1093\/fampra\/cmv052","volume":"32","author":"M Moharra","year":"2015","unstructured":"Moharra M, Almaz\u00e1n C, Decool M, Nilsson A-L, Allegretti N, Seven M. Implementation of a cross-border health service: physician and pharmacists\u2019 opinions from the epSOS project: Table\u00a01. Fam Pract 2015;32:564\u20137. https:\/\/doi.org\/10.1093\/fampra\/cmv052.","journal-title":"Fam Pract"},{"key":"1920_CR8","unstructured":"European Commission. Connecting Europe Facility. Innov Netw Exec Agency - Eur Comm 2015. https:\/\/ec.europa.eu\/inea\/en\/connecting-europe-facility (accessed June 9, 2022)."},{"key":"1920_CR9","unstructured":"European Commission. EU4Health programme 2021\u20132027 \u2013 a vision for a healthier European Union 2021. https:\/\/ec.europa.eu\/health\/funding\/eu4health-programme-2021-2027-vision-healthier-european-union_en (accessed June 9, 2022)."},{"key":"1920_CR10","doi-asserted-by":"publisher","unstructured":"Krastev E, Kovachev P, Tcharaktchiev D, Abanos S. Using QR Code for Uniform Representation of Content in Cross-Border Exchange of ePrescriptions in the EU. In: Mantas J, Stoicu-Tivadar L, Chronaki C, Hasman A, Weber P, Gallos P, et al., editors. Stud. Health Technol. Inform., IOS Press; 2021. https:\/\/doi.org\/10.3233\/SHTI210259.","DOI":"10.3233\/SHTI210259"},{"key":"1920_CR11","unstructured":"European Commission. 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Data Policy 2020;2:e3. https:\/\/doi.org\/10.1017\/dap.2020.2.","journal-title":"Data Policy"},{"key":"1920_CR14","doi-asserted-by":"publisher","first-page":"103408","DOI":"10.1016\/j.csi.2019.103408","volume":"69","author":"X Larrucea","year":"2020","unstructured":"Larrucea X, Moffie M, Asaf S, Santamaria I. Towards a GDPR compliant way to secure European cross border Healthcare Industry 4.0. Comput Stand Interfaces 2020;69:103408. https:\/\/doi.org\/10.1016\/j.csi.2019.103408.","journal-title":"Comput Stand Interfaces"},{"key":"1920_CR15","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1109\/ICDH55609.2022.00018","volume-title":"Interoperability Challenges and Critical Success Factors in the Deployment of Cross-border Digital Medical Prescriptions in Finland and Estonia. 2022 IEEE Int. Conf. Digit","author":"FNS Palma","year":"2022","unstructured":"Palma FNS. Interoperability Challenges and Critical Success Factors in the Deployment of Cross-border Digital Medical Prescriptions in Finland and Estonia. 2022 IEEE Int. Conf. Digit. Health ICDH, Barcelona, Spain: IEEE; 2022, p.\u00a060\u20135. https:\/\/doi.org\/10.1109\/ICDH55609.2022.00018."},{"key":"1920_CR16","doi-asserted-by":"publisher","first-page":"103183","DOI":"10.1016\/j.jbi.2019.103183","volume":"94","author":"M Nalin","year":"2019","unstructured":"Nalin M, Baroni I, Faiella G, Romano M, Matrisciano F, Gelenbe E, et al. The European cross-border health data exchange roadmap: Case study in the Italian setting. 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The authors declare no other competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}],"article-number":"21"}}