i2X seized the opportunity to bring the EEHRxF implementation agenda to the centre of the conversation.

On February 19th, i2X organised and contributed to a dedicated programme under the theme “From EHDS Policy to Real-World Exchange: Aligning EU Projects, National Ecosystems and Implementation.” 

The day opened with the Plenary Session “EHDS in Motion,” moderated by Henrique Martins (UpHill Health, i2X Coordinator), who also delivered a speech alongside representatives from MyHealth@MyHands, Gravitate-Health, xShare, Xt-EHR, XiA, IHE Europe, and the EEHRxF Support Centre. The session framed how multiple EU-funded initiatives are converging around a shared operational narrative, making the European Electronic Health Record Exchange Format (EEHRxF) work in practice — not just in specifications, but in hospitals, clinics, and cross-border corridors. 

i2X also contributed to a Co-Creation Workshop on EEHRxF Readiness, facilitated by Diogo Martins (UpHill Health), in coordination with NeHA and Mindview. The workshop engaged policy stakeholders and project representatives around a readiness model for organizational and policy-level adoption of the EEHRxF. The activity was organized by i2X project’s WP6, that connects governance with implementation. 

Henrique Martins and Simon Lewerenz also participated in a Capacity Building Workshop co-organised with ISCTE/XiA, HL7 Hellas, and the EURIDICE initiative. Using medical imaging as a reference use case participants co-designed training approaches for an interoperable European Health Data Space. 

A dedicated session on New Services for European Citizens – Wallet & Digital Health Services also featured i2X participation. Rather than focusing on isolated project presentations, this session addressed ecosystem orchestration and operational maturity, while also discussing implementation challenges. The session also mapped use cases to be tested at the IHE Connectathon in March. 

ADHW 2026 was never meant to stand alone on i2X's calendar — it was intentionally designed as a preparation milestone for what comes next. As the IHE-Europe Connectathon Week takes place from 23 to 27 March 2026 in Brussels, i2X is preparing to participate in the IHE Plugathon with a clearly defined clinical use case: the exchange of International Patient Summaries (IPS), laboratory results, and Hospital Discharge Letters using HL7 FHIR, validated against European profiles and in collaboration with partners and projects. 

In Athens, the i2X team also presented the i2X Plugathon framework, structured in three levels of participation — from importing and displaying a FHIR-based IPS, to interacting with a shared FHIR server, up to full peer-to-peer exchange between systems. The clinical scenario centers on a cancer patient who requires continuity of care across providers, validating how EEHRxF-compliant data can flow in realistic cross-border and inter-organizational settings. The discussions in Athens helped map use cases across the consortium and assess the technical and organizational readiness of the ecosystem ahead of Brussels.  

i2X kicked off on 1 April 2025 as an €8 million Digital Europe Programme project with 38 partners across 12 EU Member States, coordinated by UpHill Health. As the project approaches its first anniversary, Athens Digital Health Week provided a timely check-in on progress and direction. 

With more than 35 business use cases identified, 16 implementers engaged, and demonstration sites being prepared across 10 countries, the project is transitioning from design into active testing. The work presented in Athens reflects a project delivering on its promise to bridge the gap between EU-level policy and the operational reality of health systems. 

Looking ahead 

ADHW showed us that the path from specification to implementation is not walked alone. It requires alignment between projects, engagement with national ecosystems, and the willingness to test early and learn fast. That is exactly what i2X is here to do. 
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i2X—Intelligent Implementations of the European Electronic Health Record Exchange Format (EEHRxF)—is co-funded by the European Union under the Digital Europe Programme. Learn more at www.i2Xhealth.eu. 

Views and opinions expressed are those of the author(s) only and do not necessarily reflect those of the European Union or DG CONNECT. Neither the European Union nor the granting authority can be held responsible for them.