Sittings · Document

Draft report (COM(2022)0197 – C911202 – 2022/0140(COD)) 2023-04-05

European Health Data Space

Committee on the Environment, Public Health and Food Safety Committee on Civil Liberties, Justice and Home Affairs

AM_Com_LegReport

Amendment 2134

Kateřina Konečná

Proposal for a regulation

Annex I – Table A - MAIN CHARACTERISTICS OF ELECTRONIC HEALTH DATA CATEGORIES

Text proposed by the Commission

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Procedures

11. Functional status

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

Amendment

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The patient summary shall be harmonized across Member States and include a minimum data set that can be expanded to include disease-specific data. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Procedures

11. Functional status

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

18a (new) Blood type

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

Or. en

Justification

This amendment aims to promote patients' understanding and control of their personal health data. The blood type is a relevant type of data that should be added to the priority categories of health data.

Amendment 2135

Billy Kelleher

Proposal for a regulation

Annex I – Table A - MAIN CHARACTERISTICS OF ELECTRONIC HEALTH DATA CATEGORIES

Text proposed by the Commission

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Procedures

11. Functional status

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

Amendment

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Procedures

11. Functional status

11a (new) Prescription, dispensation and administration of current and past medications across the continuum of care, including, hospital and ambulatory/day hospitals

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

Or. en

Amendment 2136

Lucia Ďuriš Nicholsonová

Susana Solís Pérez

Proposal for a regulation

Annex I – Table A - MAIN CHARACTERISTICS OF ELECTRONIC HEALTH DATA CATEGORIES

Text proposed by the Commission

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Procedures

11. Functional status

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

Amendment

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

5a. (new) Blood type

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Procedures

11. Functional status

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data, including liwing wills

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

18a (new) History of donations in line with Regulation XXXX/XXXX (SOHO Regulation)

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report and medical test results

Electronic health data related to the use of or produced by technologies that are used to view the human body or parts thereof, as well as to monitor functions of organs (such as EG or holter monitors) in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

Or. en

Amendment 2137

Tilly Metz

Patrick Breyer

Proposal for a regulation

Annex I – Table A - MAIN CHARACTERISTICS OF ELECTRONIC HEALTH DATA CATEGORIES

Text proposed by the Commission

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Procedures

11. Functional status

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

Amendment

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:

1. Personal details

2. Contact information

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Medical procedures

11. Functional status

12. Current and relevant past medicines

12a (new) Blood type

13. Lifestyle observations related to health

14. Pregnancy history

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

6a (new) Patient provided data

Additional information provided by the patient directly in the EHR, marked as not validated by healthcare professional.

Or. en

Amendment 2138

Sara Cerdas

Proposal for a regulation

Annex I – Table A - MAIN CHARACTERISTICS OF ELECTRONIC HEALTH DATA CATEGORIES

Text proposed by the Commission

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems

8. Textual information related to medical history

9. Medical devices and implants

10. Procedures

11. Functional status

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

Amendment

Electronic health data category

Main characteristics of electronic health data included under the category

1. Patient summary

Electronic health data that includes important clinical facts related to an identified person and that is essential for the provision of safe and efficient healthcare to that person. The patient summary shall be harmonised across Member States and include a minimum data set that can be expanded to include disease-specific data. The following information is part of a patient summary:

1. Personal details

2. Contact information

3. Information on insurance

4. Allergies

5. Medical alerts

6. Vaccination/prophylaxis information, possibly in the form of a vaccination card

7. Current, resolved, closed or inactive problems in an international classification coding system

8. Textual information related to medical history

9. Medical devices and implants

10. Medical procedures

11. Functional status

12. Current and relevant past medicines

13. Social history observations related to health

14. Pregnancy history

15. Patient provided data

16. Observation results pertaining to the health condition

17. Plan of care

18. Information on a rare disease such as details about the impact or characteristics of the disease

2. Electronic prescription

Electronic health data constituting a prescription for a medicinal product as defined in Article 3(k) of Directive 2011/24/EU.

3. Electronic dispensation

Information on the supply of a medicinal product to a natural person by a pharmacy based on an electronic prescription.

4. Medical image and image report

Electronic health data related to the use of or produced by technologies that are used to view the human in order to prevent, diagnose, monitor, or treat medical conditions.

5. Laboratory result

Electronic health data representing results of studies performed notably through in vitro diagnostics such as clinical biochemistry, haematology, transfusion medicine, microbiology, immunology, and others, and including, where relevant, reports supporting the interpretation of the results.

6. Discharge report

Electronic health data related to a healthcare encounter or episode of care and including essential information about admission, treatment and discharge of a natural person.

6a. (new) Medical directives

Electronic health data related to the legal documentation that states a person’s wishes about receiving medical care if that person is no longer able to make medical decisions because of a serious illness or injury and that may also give a person (such as a spouse, relative, or friend) the authority to make medical decisions in such situations. Electronic health data related to the patient's will and consent in specific medical acts.

Or. en