Madeira

Secretaria Regional de Saúde e Proteção Civil, is the regional health authority in Madeira, one of the adoption sites where the xShare button will be adopted using the EHRxF, thus the EHR sharing will be consolidated in this region, through the development of networks and ecosystems that will contribute to the robustness of the EHDS.

Madeira’s aim in this project is to bring healthcare professionals and citizens closer, equipping health institutions with innovative, interoperable, and intelligent solutions that enhance the delivery of care. By integrating the xShare button, patients will gain seamless access to their health information, while interoperability between healthcare providers is assured, fostering a single, secure, and standardized digital health market across Europe.

This approach promotes patient empowerment, active participation in healthcare management, and creates synergies for a truly integrated, high-quality, and sustainable healthcare system.

Priority categories

  1. PATIENT SUMMARY

  2. Image report

  3. Laboratory results

  4. Discharge report

(2, 3 and 4 to be assessed upon the development of the patient summary category)

Yellow Button basic functionalities

  • Download (PDF; FHIR)

  • One-time Share

Architecture

Timeline

Kick-off – [M1-M6] Build on previous work aimed at health data portability, leveraging synergies with other projects where data from EHRs was mapped and transmitted in HL7/FHIR standards upon user request
Developing the xShare BUC [M6-M12]
Assessing and mapping health data to enable it to be downloaded in the EHRxF standard [M6-M20]
Evaluating the HIS systems from Madeira and Catalunya, establishing common ground, and defining the architectural steps for T3.5 and the xShare button functionalities demonstration [M11-M30]
Focus on Patient Summary data mapping to FHIR, appraising on resources made available to users: organisation; patient; main contact details; allergies; medication and active conditions [M12-M18]
Implementing the Patient Summary functionality and the FHIR resource for the xShare button, in the appSESARAM [M12-M20]
Integration of the xShare button in the appSESARAM [M12-M24]
First demonstration of the xShare button functionalities in the appSESARAM [M18-M20]
Show case the first results of T3.5 Patient-mediated use case: reaching out to medical tourism [M20-M24] between the Madeira and the Catalunya Regions
Further develop and demonstrations of the synergy between the MADEIRA and the Catalunya Regions by using the xShare button in medical tourism [M24-M30]

Next steps

Next steps will strengthen the FHIR-based output for the Patient Summary and its associated resources through the xShare button demonstrations. In the Madeira adoption site, export and sharing functionalities will be expanded, allowing appSESARAM users to generate their Patient Summary in the FHIR format, ensuring compliance with the latest standards and interoperability between Madeira health institutions.

Additionally, an upcoming priority will be to deepen collaboration between the Madeira and Catalunya Regions by integrating the xShare button within medical tourism testing initiatives and demonstration in both Regions.

Following, the next step will actively extend the scope to include additional health data shared via the xShare button, with a future focus on imaging reports, laboratory results, and discharge reports.

Contact information

andreia.pimenta@madeira.gov.pt