X-eHealth

Please enter information about the product or services that intends to support the European EHRxF.

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NAME OF THE PRODUCT SERVICE

SHORT PROJECT/SERVICE DESCRIPTION

PROJECT WEBSITE

DATE WHERE A DEMONSTRATION/PRESENTATION CAN BE PROVIDED (no later than 30/11/2022)

WHAT IS THE EEHRxF TOPIC SUPPORTED? (Check what is relevant) *

Imaging Reports

Lab Orders

Lab Reports

Hospital Discharge Summaries

Patient Summary for Rare Diseases

Patient Summaries

ePrescription

Other

DEMONSTRATOR (Please select) *

Yes

Under Development

In Discussion

Not Yet

WHEN DO YOU EXPECT RELEASE OF THE EEHRxF PRODUCT OR SERVICE? *

Product exists and will be upgraded

Within 6 months

Within a year

More than a year

Unknown

CONTACT (Please enter email)

@

INTEND TO SIGN PLEDGE *

Yes

No

CONSENT FORM

I accept the terms and conditions. *