Regulation on the European Health Data Space (EHDS)
The EU regulation creating the European Health Data Space: patients get free, immediate access to and portability of their priority health data (summaries, e-prescriptions, imaging, results, discharge reports) with cross-border exchange through MyHealth@EU; EHR systems must carry harmonised interoperability and logging components with CE-marked self-declared conformity; and health data holders make data available for research, innovation and policy through health data access bodies, data permits and secure processing environments, with an opt-out. In force 26 March 2025; applies in stages from 26 March 2027 to 2035.
Regulation on the European Health Data Space (EHDS) is a compliance framework from European Union (and EEA) with 9 domains and 63 controls that map to 172 other frameworks. The largest domains are EHR systems: requirements and economic operators – Regulation on the European Health Data Space (EHDS) (18 controls), Secondary use: health data access bodies and procedures – Regulation on the European Health Data Space (EHDS) (12 controls), Primary use: rights of natural persons and healthcare duties – Regulation on the European Health Data Space (EHDS) (11 controls). Every control below carries what it requires and what an assessor expects to see.
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Framework Domains (9)
EHR systems: requirements and economic operators – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::104 | Use the EHDS conformity route to show Cyber Resilience Act conformity for EHR systems |
| regulation-on-the-european-health-data-space-ehds::26 | Place or put into service only EHR systems whose harmonised components comply with Chapter III |
| regulation-on-the-european-health-data-space-ehds::27 | Medical devices and high-risk AI claiming EHR interoperability must meet the Annex II component requirements |
| regulation-on-the-european-health-data-space-ehds::28 | Make no misleading claims about an EHR system's purpose, interoperability or security |
| regulation-on-the-european-health-data-space-ehds::30 | Meet the manufacturer duties: conformity, documentation, declaration, CE marking, contact details and registration |
| regulation-on-the-european-health-data-space-ehds::30(1)(i) | Correct, withdraw or recall non-conforming systems and keep complaint and non-conformity registers |
| regulation-on-the-european-health-data-space-ehds::31 | Non-EU manufacturers: appoint an EU authorised representative with a sufficient written mandate |
| regulation-on-the-european-health-data-space-ehds::32 | Importers: verify conformity before supply, keep records and act on non-conformity |
| regulation-on-the-european-health-data-space-ehds::33 | Distributors: check marking and documents before supply and report non-conformity |
| regulation-on-the-european-health-data-space-ehds::35 | Identify suppliers and customers of EHR systems to authorities for 10 years |
| regulation-on-the-european-health-data-space-ehds::37 | Draw up Annex III technical documentation and produce it within 30 days of a request |
| regulation-on-the-european-health-data-space-ehds::38 | Supply an information sheet stating identity, version, purpose, data categories and standards supported |
| regulation-on-the-european-health-data-space-ehds::39 | Issue an Annex IV EU declaration of conformity and affix the CE marking before placing on the market |
| regulation-on-the-european-health-data-space-ehds::40 | Test the harmonised components in the digital testing environment before placing on the market |
| regulation-on-the-european-health-data-space-ehds::43 | Designate market surveillance authorities and act on risk and non-compliance |
| regulation-on-the-european-health-data-space-ehds::44(7) | Report serious incidents involving an EHR system within three days |
| regulation-on-the-european-health-data-space-ehds::Annex II-2 | Build the interoperability component to export, receive and not obstruct data in the exchange format |
| regulation-on-the-european-health-data-space-ehds::Annex II-3 | Authenticate professionals reliably and log every access event with the required fields |
Member State measures, penalties and remedies – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::83 | Train health professionals and promote patients' digital health literacy |
| regulation-on-the-european-health-data-space-ehds::85 | Reference the EHDS specifications in public procurement and funding conditions |
| regulation-on-the-european-health-data-space-ehds::99 | Lay down and notify penalties by 26 March 2027 and allow compensation claims |
Primary use governance and MyHealth@EU – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::19 | Designate resourced, independent digital health authorities by 26 March 2027 |
| regulation-on-the-european-health-data-space-ehds::20 | Publish a biennial activity report of the digital health authority |
| regulation-on-the-european-health-data-space-ehds::21 | Receive and route complaints, and let data protection authorities enforce patient rights with GDPR-level fines |
| regulation-on-the-european-health-data-space-ehds::23 | Run a national contact point for digital health, connect every provider and dispense foreign e-prescriptions |
| regulation-on-the-european-health-data-space-ehds::IR2083 | Pass MyHealth@EU compliance checks, fix findings within set deadlines and report significant incidents within 24 hours |
Primary use: rights of natural persons and healthcare duties – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::11 | Give health professionals access to the relevant priority data of their patients, including across borders |
| regulation-on-the-european-health-data-space-ehds::13 | Register priority-category data electronically, keep it updated and record who changed it |
| regulation-on-the-european-health-data-space-ehds::15(4) | Issue priority data in the European exchange format and accept it when received |
| regulation-on-the-european-health-data-space-ehds::16 | Identify patients and professionals electronically for cross-border exchange under the 2026 identification act |
| regulation-on-the-european-health-data-space-ehds::18 | Never charge patients or receiving providers for making or sharing health data |
| regulation-on-the-european-health-data-space-ehds::3 | Give patients immediate, free, readable access to and a download of their priority health data |
| regulation-on-the-european-health-data-space-ehds::4 | Operate free patient access services with proxy and legal-representative functions |
| regulation-on-the-european-health-data-space-ehds::5 | Let patients add information to their record and request rectification online |
| regulation-on-the-european-health-data-space-ehds::7 | Transmit patient data to another provider or reimbursement body immediately, free and without hindrance |
| regulation-on-the-european-health-data-space-ehds::8 | Honour patient restrictions and any national primary-use opt-out, with a vital-interest override that is logged |
| regulation-on-the-european-health-data-space-ehds::9 | Show patients who accessed their data, when and what, for at least three years |
Secondary use: health data access bodies and procedures – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::55 | Designate health data access bodies by 26 March 2027 with resources and segregated functions |
| regulation-on-the-european-health-data-space-ehds::57 | Run the access body tasks: decide, prepare data, supervise, and publish permits and refusals |
| regulation-on-the-european-health-data-space-ehds::59 | Publish a biennial access body activity report with the required statistics |
| regulation-on-the-european-health-data-space-ehds::62 | Charge only transparent, cost-based fees and disclose estimates before issuing a permit |
| regulation-on-the-european-health-data-space-ehds::63 | Enforce against users and holders, with fines of up to 20 million euro or 4 percent of turnover |
| regulation-on-the-european-health-data-space-ehds::66 | Give only necessary data, anonymised where possible and pseudonymised only with justification |
| regulation-on-the-european-health-data-space-ehds::68 | Decide on permits within three months against the Article 68 criteria and set permit conditions |
| regulation-on-the-european-health-data-space-ehds::69 | Answer health data requests only in anonymised statistical form within the set periods |
| regulation-on-the-european-health-data-space-ehds::71 | Provide an easy, reversible opt-out from secondary use and apply it to later permits |
| regulation-on-the-european-health-data-space-ehds::72 | Trusted health data holders: assess requests within two months and provide the secure environment |
| regulation-on-the-european-health-data-space-ehds::73 | Provide permitted data only in a secure processing environment with the Article 73 controls and audits |
| regulation-on-the-european-health-data-space-ehds::74 | Document the controller and processor roles along the secondary-use chain |
Secondary use: health data holders and users – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::51 | Make the minimum data categories available for secondary use unless exempt |
| regulation-on-the-european-health-data-space-ehds::52 | Flag data protected by IP, trade secrets or regulatory data protection and justify the protection |
| regulation-on-the-european-health-data-space-ehds::60 | Deliver requested data within three months and keep dataset descriptions accurate |
| regulation-on-the-european-health-data-space-ehds::61 | Health data users: process only under the permit, never re-identify, publish results within 18 months |
| regulation-on-the-european-health-data-space-ehds::67 | Submit complete access applications with purpose, data, safeguards and pseudonymisation justification |
Secondary use: infrastructure, catalogues and quality – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::75 | Designate a national contact point for secondary use and connect it to HealthData@EU |
| regulation-on-the-european-health-data-space-ehds::77 | Describe datasets with the HealthDCAT-AP minimum metadata in the national catalogue |
| regulation-on-the-european-health-data-space-ehds::78 | Label publicly funded datasets with a data quality and utility label |
| regulation-on-the-european-health-data-space-ehds::81 | Provide complaint tools on secondary use and route opt-out complaints to data protection authorities |
Storage, international access and transfers – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::87 | Store and process personal data for secondary use inside the EU or an adequacy country |
| regulation-on-the-european-health-data-space-ehds::89 | Resist unlawful third-country access to non-personal health data and transfer personal data only under GDPR Chapter V |
| regulation-on-the-european-health-data-space-ehds::91 | Accept third-country applications only from authorised or reciprocal countries |
Wellness applications and registration – Regulation on the European Health Data Space (EHDS)
| Code | Title |
|---|---|
| regulation-on-the-european-health-data-space-ehds::47 | Label wellness apps that claim EHR interoperability and never share data automatically |
| regulation-on-the-european-health-data-space-ehds::49 | Register EHR systems and labelled wellness apps in the EU database before placing on the market |
Your Compliance Coverage
If you comply with Regulation on the European Health Data Space (EHDS), you already cover:
TEFCA - Trusted Exchange Framework and Common Agreement
5%
4 controls mapped
Compare →NAIC Insurance Data Security Model Law (MDL-668)
5%
4 controls mapped
Compare →MDS2 (Medical Device)
5%
4 controls mapped
Compare →+ 169 more: Florida Digital Bill of Rights (FDBR) (5%), Qatar DPL (5%)
See all 172 mapped frameworks ↓Maps to 172 other frameworks
Coverage is not the same as your position
This page shows what Regulation on the European Health Data Space (EHDS) overlaps with in general. Where your organisation actually stands, against the standard you are going for and the certifications you already hold, is a different question. Same graph and the same recorded refutations, scoped to you rather than to a pair.
The Compliance Position Diagnostic, $5,000 fixed, ten business daysWhat is Regulation on the European Health Data Space (EHDS) and who does it apply to?
Regulation on the European Health Data Space (EHDS) is a compliance framework from European Union (and EEA) with 9 domains and 63 controls. The EU regulation creating the European Health Data Space: patients get free, immediate access to and portability of their priority health data (summaries, e-prescriptions, imaging, results, discharge reports) with cross-border exchange through MyHealth@EU; EHR systems must carry harmonised interoperability and logging components with CE-marked self-declared conformity; and health data holders make data available for research, innovation and policy through health data access bodies, data permits and secure processing environments, with an opt-out. In force 26 March 2025; applies in stages from 26 March 2027 to 2035. It is used by organisations to establish and maintain compliance with industry standards and regulatory requirements.
What does Regulation on the European Health Data Space (EHDS) actually require?
Regulation on the European Health Data Space (EHDS) has 63 controls organised across 9 domains. The largest domains are EHR systems: requirements and economic operators – Regulation on the European Health Data Space (EHDS) (18 controls), Secondary use: health data access bodies and procedures – Regulation on the European Health Data Space (EHDS) (12 controls), Primary use: rights of natural persons and healthcare duties – Regulation on the European Health Data Space (EHDS) (11 controls). Each control defines specific requirements that organisations must implement to achieve compliance.
If I already comply with another framework, how much of Regulation on the European Health Data Space (EHDS) do I already cover?
Regulation on the European Health Data Space (EHDS) maps to 172 other compliance frameworks. The top mapping partners are TEFCA - Trusted Exchange Framework and Common Agreement (5% coverage), NAIC Insurance Data Security Model Law (MDL-668) (5% coverage), MDS2 (Medical Device) (5% coverage). Use our comparison tool to explore control-level mappings between frameworks.
How do I implement Regulation on the European Health Data Space (EHDS)?
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