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.
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