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Spanish regions aim for shared European EHR

The devolved Spanish regions of Castilla-La Mancha and The Canary Islands have begun work on developing a shared electronic health record based on international standards. The aim is to create a shared EHR that can interoperate with existing electronic patient and clinical record systems and data models in use in Europe. The project is being led by the Health Service of the devolved Castilla-La Mancha region (Sescam), and has funding from the European Regional Development Fund (ERDF).

The project has been named the ISO HCE Multiregional and Interoperable Clinical Record (ISOHCE) (Iso HCE Historia Clínica Interoperable y Multiregional). It is supported by the ministries of Health and Science, and of Innovation and the Universities.

The two Spanish regional health services aim to make it possible to share patient clinical data between the different data systems and patient data models in use among the different Spanish devolved regions, and further afield throughout different European health providers and regions.

The ERDF is funding the project with a grant of €5 million, which is coming from its Innovation in Healthcare Provision component.

Between 2020 and 2023, the Castilla-La Mancha Health Service will receive €2.4 million, and will take the lead in developing the shared EHR.

The two health services will develop an open application development platform to allow healthcare software companies and software developers to create compatible applications and other software.

Development will be based on the UN ISO international standard 13606. This provides a model for EHR interoperability and data exchange. It was originally developed as European Standard EN 13606. As an International Standard, it has been through a number of revisions, with the latest version appearing in 2019.

ISO 13606 provides a framework for specifying and formalising EHR structures and data models, as well as providing semantic interoperability and data exchange. The standard incorporates the HL7 v3 standard for data communications.

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