European Electronic Health Record Exchange Format

Adopting EHRxF

Adopting EHRxF

Adopting EHRxF – X-Bundle Registry and other sources

This section provides a collection of references, documentation, and external links related to interoperability assets supporting the European Health Data Space (EHDS) and the European Electronic Health Record Exchange Format (EEHRxF) meant to enable secure, seamless, and cross-border exchange of health data across Europe.

These resources are essential for developers, healthcare providers, policymakers, and stakeholders working towards greater health data interoperability in line with EU regulations.

X-Bundle Registry

    An X-Bundle is a structured aggregation of assets and artefacts designed to facilitate interoperability within and between health systems particularly based on European EHRxF (Electronic Health Record Exchange Format) specifications and covering a set of selected Health Information Domains (HID), aligned with the priority categories of personal health data as defined by art 14 of the EHDS regulation, hereafter indicated as priority domains. To fulfill its scope, an X-Bundle should be:

    • Scalable: Capable of growing and adapting to meet evolving interoperability needs.
    • Reusable: Designed for application across various use cases and scenarios.
    • Searchable: Easily navigable to locate specific assets and artifacts.
    • Relationship-Driven: Able to support the management of relationships between assets, ensuring seamless interoperability.
    1. Specifications – the detailed specifications on how interoperability (at all levels of the ReEIF) is to be achieved for the business use case at hand.
    2. Tools – tools for developing and testing compliant software components for interoperability, including a sandbox with terminology services, test data, and (open source) reference implementations.
    3. Supporting materials – materials to support the adoption of the digital health innovation in real-world healthcare practice, including educational material, maturity questionnaires, and adoption roadmaps.

    Other sources of information

    Besides the information, references and resources offered via the X-Bundles, there are multiple organizations, platforms and projects that offer material on the EHRxF and its implementation. Below an overview of those resources and their locations is provided:

    This overview will be expanded upon during the further development of this website.