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This work presents an approach for the organized development of a countrywide framework to address the ever-growing demand for acquiring, exchanging and exploiting patient information to support high quality and cost-effective healthcare delivery. The national electronic health (eHealth) landscape in Greece is examined within the context of the recent recommendation on a European electronic health record (EHR) exchange format. Improving quality of life and well-being, in a secure and safe manner that respects the patients’ privacy, is the key challenge. Interoperability of information and communication technology (ICT) systems is central for reliable and efficient collaboration between the involved stakeholders, including the patient and associated caretakers. In order to accelerate transformation towards citizen empowerment and a more sustainable health system, national authorities need to address issues relevant to mutually beneficial goals in a coherent manner. Practical implications are related to the sustainability of the underlying national infrastructure required to support reliable and secure exchange of meaningful EHR data, for both primary and secondary use, and by defining technical specifications for well-defined use cases, in a legitimate and standardized manner, under a highly regulated environment.

A Framework for the Consistent Management of eHealth Interoperability in Greece