Article 24

Supplementary cross-border digital health services and infrastructures

In short: Member States may provide through MyHealth@EU supplementary services, including the exchange of personal electronic health data with other infrastructures. Third countries or international organizations may also set up a NCP.

1. Member States may provide through MyHealth@EU supplementary services that facilitate telemedicine, mobile health, access by natural persons to existing translations of their health data, exchange or verification of health-related certificates, including vaccination card services supporting public health and public health monitoring or digital health systems, services and interoperable applications, with a view to achieving a high level of trust and security, enhancing continuity of care and ensuring access to safe and high-quality healthcare. The Commission shall, by means of implementing acts, set out the technical aspects of such supplementary services. Those implementing acts shall be adopted in accordance with the examination procedure referred to in Article 98(2).
2. The Commission and Member States may facilitate the exchange of personal electronic health data with other infrastructures, such as the Clinical Patient Management System or other services or infrastructures in the health, care or social security fields which may become authorised participants in MyHealth@EU. The Commission shall, by means of implementing acts, set out the technical aspects of such exchanges. Those implementing acts shall be adopted in accordance with the examination procedure referred to in Article 98(2).

   The connection and disconnection of another infrastructure to or from the central platform for digital health shall be subject to a decision of the Commission adopted by means of an implementing act, based on the result of compliance checks of the technical aspects of exchanges as referred to in the first subparagraph of this paragraph. That implementing act shall be adopted in accordance with the examination procedure referred to in Article 98(2).

3. A national contact point for digital health of a third country or a system established at international level by an international organisation may become an authorised participant in MyHealth@EU , provided that it fulfils the requirements of MyHealth@EU for the purposes of the personal electronic health data exchange as referred to in Article 23, that the transfer stemming from the connection to MyHealth@EU complies with the rules in Chapter V of Regulation (EU) 2016/679, and that the requirements concerning legal, organisational, operational, semantic, technical and cybersecurity measures are equivalent to those applicable to Member States in the operation of MyHealth@EU services. Those requirements shall be verified by the Commission through compliance checks.

   Based on the outcome of the compliance checks referred to in the first subparagraph of this paragraph, the Commission may, by means of implementing acts, decide to connect or disconnect the national contact point for digital health of the third country or the system established at international level by an international organisation, as applicable, to or from MyHealth@EU . Those implementing acts shall be adopted in accordance with the examination procedure referred to in Article 98(2).

   The Commission shall establish and maintain a list of national contact points for digital health of third countries or of systems established at international level by international organisations which are connected to MyHealth@EU pursuant to this paragraph and shall make that list publicly available.

Discussion

Points 1 and 2: memberstates MAY provide.. WP 9 is about telemedicine applications. No details in WP 9, so this is a potential future effort.

Point 3: e.g, Switzerland, UK (the latter are trying to be compliant to some degree with the principles of EHDS, as well as its FHIR specs)

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