XpanDH – Expanding Digital Health through a pan-European EHRxF-based Ecosystem

Programme: Horizon Europe
Project Status: ONGOING (January 2023 – December 2024)

What aims and scope

The XpanDH project will prepare and build capacity in individuals and organisations to be ready to use the European Electronic Health Records Exchange format (EEHRxF), by establishing a pan-European effort through a Network of Networks approach. It pursues the main goal of maturing and accelerating a sustainable and scalable interoperability environment in Europe for digital health innovations based on the EEHRxF, involving both the supply and demand sides of healthcare provision.

How it will become possible 

A consortium of 27 Digital Health Actors has been brought together using co-creation and co-implementation concepts, and will be supported by a Policy Board linked to Governments and the eHealth Network.

To expand its impact, 10 XpandDH networks of health stakeholders will be nurtured to form a vibrant pan-European (Digital) Health space converging on common, usable, and reliable tools for real interoperable services that adopt the EEHRxF and enhance healthcare cooperation for better health towards a European Health Union.

This pan-European effort will use a “network-of-networks” approach ensuring that digital health actors are motivated and supported by tailored guidance and real examples to help early adopters to advance to the concrete use of EEHRxF embedded digital health solutions to add value to health and care and promote personal and European health data spaces.

Where EHMA delivers 

In XpanDH EHMA will:

  • Raise awareness of EEHRxF use and the added organisational value of data sharing.
  • Build organisational and individual capacity on integrating EEHRxF into everyday practices.
  • Promote available solutions of the EHRxF-based infrastructure in real-case scenarios.
  • Facilitate participation in EEHRxF community networks to exchange knowledge and experience of applying EEHRXF to specific domains (e.g. hospital discharge letters, lab results).
  • Support communication and dissemination of XpanDH’s activities and results.


Funded by the European Union. Views and opinions expressed are however those of the author(s) only and do not necessarily reflect those of the European Union or HaDEA. Neither the European Union nor HaDEA can be held responsible for them.


Streamlining data use across the health system will improve the continuity of care and clinical workflows across services allowing health managers to optimise service delivery, detect risk situations, monitor quality, and outcomes and improve environmental sustainability – and all this in a more cost-efficient manner. The large-scale adoption of interoperable solutions based on a common EU foundation will facilitate easier sharing of patient data between hospitals at national level and across borders thus fostering Digital Health innovation and nurturing interoperability. The application of a standardised EEHRxF format to specific adoption domains will allow policy and decision-makers to be better informed and advised regarding the extension of the EEHRxF to other use cases. The health management community including, providers, policymakers and insurers can use standardised data from multiple settings to accurately compare performance, whilst the availability of patient-level data for research purposes to assess and improve treatment outcomes will be more accessible.

Moreover, health professionals will have access to exploitation and capacity-building support, e.g. training material, real case examples, dedicated tools, guidelines, mentorship, and collaboration programs.


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What our Members say

I have been active in EHMA since the first years of the '90s and I have seen its evolution from a small association of members interested in sharing knowledge on health management practices to the current status of reference and advisory key player for EU, health systems and organisations, stakeholders associations, industry and universities. EHMA is now a unique knowledge hub, policy advisor, community of practice and network of best in class organisations involved in health policy and management. A place where health managers can build their competences, policy-makers and stakeholder associations envision how to implement and sustain change through health management, industry leaders understand how to engage more effectively with health organisations and systems. The right place to nurture and grow health management capabilities and capacity for every stakeholder of health systems.

Prof. Federico Lega, University of Milan, Italy

Health management has a crucial function in shaping public health and health system challenges. The Medical University of Varna, Bulgaria had success in collaborating with EHMA on EU-funded projects that has resourced us to create new health management competencies for the future workforce. In addition to all classical definitions, health management is a science dealing with individuals, groups, and society at large. It is an art contributing to the beauty of our lives and an interactive communication process at all levels of institutions and human energy. I have also had the pleasure to chair the South Eastern European Special Interest Group which gives members a space to discuss and tools to address how health systems are managed in our regions.

Prof. Todorka Kostadinova, Medical University of Varna, Bulgaria

I enjoy the high level of interaction and engagement in EHMA’s activities, in particular during the annual conference where the panel discussions are rich and well prepared. As a hospital manager and professor of health management, EHMA motivates and inspires me to be creative. You go back home feeling energised from seeing old friends and making new connections, as well as being convinced of serving as EHMA’s ambassador. It’s a strong feeling of interdisciplinary engagement, but it also feels like being part of family-like community.

Prof. Sandra C. Buttigieg, University of Malta, Malta

EHMA is a pre-eminent organisation for everyone working in planning, managing and delivering health services across Europe. As a long standing member of EHMA I have always been impressed by the vibrant community of managers, researchers and academics it has created and by the many opportunities for sharing knowledge and funding opportunities it has brought to its members. Its international scope is impressive and its impact is often felt in management and research across European and national health systems.

Prof. Axel Kaehne, Edge Hill University, UK

Health workforce has become more essential in operating, managing and maintaining health systems lately, particularly in crisis and emergency situations. European healthcare professions and the workforce need to be high on the agenda of managers and decision makers. The Health Services Management Training Centre, Semmelweis University in Hungary is a longstanding EHMA member, because it connects us with collaborators and experts, with whom we can have complex debates, from whom we can learn and at the end find solutions in various challenging fields of healthcare management.

Dr Eszter Kovács, Health Services Management Training Centre, Semmelweis University, Hungary

As a hospital administrator and health management professor, I see on a daily basis that the healthcare challenges require talented and skilled managers to transform it. the EHMA membership has been beneficial to bring healthcare management research and education to the demanding healthcare services world, promoting healthcare management competencies and knowledge creation.

Dr Alexandre Lourenco, APAH - Association of Portuguese Hospital Managers, Portugal

Many healthcare systems in Europe and beyond are facing similar challenges which require innovative and creative solutions. EHMA’s annual conference, webinars, Programme Directors’ group and other activities and resources provide incredible opportunities for networking, connecting and sharing experiences. A distinct feature of EHMA is the diversity of members with representation from many countries, sectors and different communities of practice – academic, policy-makers, practitioners, managers, leaders and students. The annual conference is a highlight in the calendar year, offering a friendly, fun and learningful environment for emerging and established members to engage, collaborate and meet up with old and new friends. I am proud to be a member of the EHMA Board.

Prof. Ann Mahon, University of Manchester, UK

Society evolution, pandemics and ageing modify health needs. So, health policies and services are to change dramatically. EHMA, through webinars, workshops and annual conference provides an excellent insight to a professional changing world, favouring closeness to management innovation and the protagonists of these changes. As a primary care services’ manager, participating in EHMA activities is really worth it and allows to involve oneself in the innovation processes.

Dr Antoni Peris Grao, Consorci Castelldefels Agents de Salut (CASAP), Spain