{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:15:39Z","timestamp":1791915339990,"version":"4.3.4"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The European Health Data Space Regulation (EHDS), published in the Official Journal since 5 March 2025, requires Electronic Health Record (EHR) systems across the European Union (EU) to adopt harmonized interoperability and logging components using the European EHR Exchange Format (EEHRxF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What is at stake<\/jats:title>\n                    <jats:p>The EHDS has come into force and the deadlines for implementation acts are approaching, Clarity on scope, obligations, and implementation options is needed to meet these deadlines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Policy options<\/jats:title>\n                    <jats:p>This article examines ways to accelerate EEHRxF adoption, including hybrid implementation models, and coordinated national and EU-level support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recommendations<\/jats:title>\n                    <jats:p>Utilize the European EHRxF Standards and Policy Hub, align national and regional strategies, support SMEs and providers with guidance and funding, and promote digital health literacy to ensure effective EEHRxF implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2025.1648170","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T05:26:27Z","timestamp":1757395587000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Accelerating European electronic health record exchange format (EEHRxF) implementation across Europe: a policy perspective"],"prefix":"10.3389","volume":"12","author":[{"given":"Nathan","family":"da Silva Carvalho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexia","family":"Papadimitriou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Stegwee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Gille","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Str\u00fcbin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Maes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Cangioli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Chronaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"B1","year":"2025","journal-title":"European Commission, \u2018Regulation (EU) 2025\/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and Amending Directive 2011\/24\/EU and Regulation (EU) 2024\/2847 (Text with EEA Relevance)."},{"key":"B2","year":"2025","journal-title":"Directorate-General for Health and Food Safety, \u2018Frequently Asked Questions on the EHDS."},{"key":"B3","year":"2025","journal-title":"\u201cEuropean Health Data Space Regulation (EHDS) - European Commission,\u201d."},{"key":"B4","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1055\/s-0042-1742504","article-title":"FAIR health data, HL7 FHIR, and the European health data space: setting the interoperability agenda.","volume":"31","author":"Chronaki","year":"2022","journal-title":"Yearb. Med. Informatics."},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.48550\/arXiv.2106.08737","article-title":"Data governance in digital health: a scoping review.","author":"Scheibner","year":"2021","journal-title":"ArXiv [Preprint]"},{"key":"B6","year":"2019","journal-title":"\u2018Commission Recommendation (EU) 2019\/243 of 6 February 2019 on a European Electronic Health Record Exchange Format\u2019."},{"key":"B7","year":"2025","journal-title":"Yellow Button Information View - xShareYellow Button v0.1.0\u2019."},{"key":"B8","year":"2021","journal-title":"Refined eHealth European Interoperability Format (ReEIF)."},{"key":"B9","year":"2025","journal-title":"Working on EHRxF | EHRxF Electronic Health Record Exchange Format."},{"key":"B10","year":"2025","journal-title":"xShare Business Use Cases | Use Case Repository."},{"key":"B11","year":"2025","journal-title":"X-Bundle Registry."},{"key":"B12","year":"2025","journal-title":"Join Us for the First xShare Webinar on the EHDS Adoption Kit for Citizens."},{"key":"B13","year":"2025","journal-title":"Community of Excellence."},{"key":"B14","year":"2025","journal-title":"EU4Health Call for Tenders to Set up a Support Centre for the European Electronic Health Record Exchange Format and Interoperability of Health Record Systems - European Commission\u2019."},{"key":"B15","year":"2025","journal-title":"European Standards for Health Interoperability Alliance."},{"key":"B16","year":"2025","journal-title":"\u2018Leveraging the IHE Methodology to Accelerate Successful Implementation of the European Health Data Space\u2019."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1648170\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T05:26:28Z","timestamp":1757395588000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1648170\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,9]]},"references-count":16,"alternative-id":["10.3389\/fmed.2025.1648170"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1648170","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,9]]},"article-number":"1648170"}}