{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:09:45Z","timestamp":1789657785840,"version":"4.0.1"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643686875","type":"electronic"}],"license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,17]]},"abstract":"<jats:p>Introduction: The European Health Data Space (EHDS) is one of the European Union\u2019s most ambitious data-governance projects. It aims to create a common framework through which electronic health data can be accessed and reused across Member States for care, research, innovation, policy, and public-interest purposes. Its practical viability depends not only on digital infrastructure, but also on legal, ethical, and organisational harmonisation, particularly for genetic and genomic data. Methods: This paper examines the EHDS with emphasis on the secondary use of health data. It reviews the EHDS institutional architecture, discusses Finland\u2019s Findata as a national model for structured access, and analyses challenges for data holders and data donors, including interoperability, governance burdens, privacy protection, residual re-identification risk, and genomic-data sensitivity. Results: A cross-border cancer-genomics case study shows that the EHDS can streamline data discovery and the routing of access requests, but does not by itself eliminate legal fragmentation, heterogeneous ethics review, and consent-related barriers. Discussion: Effective implementation will require harmonisation beyond infrastructure, including clearer consent standards, more consistent ethics procedures, interoperable metadata, and proportionate safeguards for genomic data.<\/jats:p>","DOI":"10.3233\/shti261011","type":"book-chapter","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T14:48:20Z","timestamp":1789656500000},"source":"Crossref","is-referenced-by-count":0,"title":["The European Health Data Space and the Secondary Use of Sensitive Health Data"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7126-0561","authenticated-orcid":false,"given":"Sameeksha","family":"Sriram","sequence":"first","affiliation":[{"name":"Georg-August-University G\u00f6ttingen, Germany"},{"name":"Campus-Institute Data Science, G\u00f6ttingen (CIDAS), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7466-9668","authenticated-orcid":false,"given":"Sin-Yin","family":"Huei","sequence":"additional","affiliation":[{"name":"Georg-August-University G\u00f6ttingen, Germany"},{"name":"University Medical Center G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2515-863X","authenticated-orcid":false,"given":"Marie","family":"Haucke","sequence":"additional","affiliation":[{"name":"Georg-August-University G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8188-3495","authenticated-orcid":false,"given":"Ulrich","family":"Sax","sequence":"additional","affiliation":[{"name":"Georg-August-University G\u00f6ttingen, Germany"},{"name":"University Medical Center G\u00f6ttingen, Germany"},{"name":"Campus-Institute Data Science, G\u00f6ttingen (CIDAS), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","German Medical Data Sciences 2026: BIG DATA, small data, Your Data; Transitions in the age of biomedical AI"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI261011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T14:48:20Z","timestamp":1789656500000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI261011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,17]]},"ISBN":["9781643686875"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti261011","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,17]]}}}