Table 2 Deconstruction of pilots’ eHealth service in its main functionalities. Reports the organization of the eHealth solutions implemented by the 9 pilots according with the three functionalities identified: information, education and communication

Pilot 1 – Andalusia (Spain)

● Patient access to Personal Health Record and management of personal health information (medications, appointments, exams, allergies, clinical reports)

● Tailored education and lifestyle guidance through (virtual) games: Diabetes self-management Education (diet counseling, daily activities, measurements, games)

● Communication with their healthcare team: Secure messaging between patients and health care professionals

Chronic disease management support services: Recording and tracking of patient’s own measurements (blood sugar levels, weight, blood pressure) through tensiometers and glucometers

Pilot 2 – Lombardy (Italy)

● Patient access to Personal Health Record and management of personal information: citizens can see his/her clinical documents and upload documents

● Tailored education and lifestyle guidance (guidelines, recommendations on lifestyle to adopt, diet, physical activities to do)

● Access to Integrated Care Pathways (for healthcare professionals and patients) and data entry and updates (only for healthcare professionals)

● Timeline view providing bird’s eye view of the HER

● Better integration with new services of booking and payment

● Patient summary and structuration

Pilot 3 – Turkey

● Access to Personal Health Record and Electronic Health Record

● Tailored education and lifestyle guidance through Educational exercise videos on disease and treatment

● Messaging service between patient and doctor

● Chronic disease management support service

● Diary service which allows patients to record their daily or weekly health status and inform the doctors if necessary (Patient diary)

● Remote follow-up

● Remote consultation

● Medication and non-pharmacological treatment follow-up and Medication and non-pharmacological treatment benefit analysis

● Reminders

Pilot 4 – Norway

● Electronic discharge notes in the local electronic health record

● A guidance tool that helps visualizing factors (food, insulin and physical activity) that influence blood sugar levels in a 24 hour clock

● Consultation form and self-reporting tools to support self-management Internet-based patient/ provider communication and interaction

● Modules tailored for chronically ill patients (diabetes)

Secure messaging between patients and health care professionals

● Recording and tracking of patient’s own measurements (blood sugar levels, weight, blood pressure, HbA1c)

Patient access to Personal Health Record

Pilot 5 – Styria (Austria)

● Patient access to his/her personal X-ray-Record that reports X-ray exposure

● Storing of individual information about radiation exposure data for all examinations into the existing hospital information system (HIS)

● Develop an informative and comprehensible presentation for the radiation exposure data

Provide access for patients to their personal eXrayRecord via a patient-portal on the internet (and for health professionals via the HIS)

Pilot 6 – Czech Republic

● Scheduling appointments

● Sending alert reminders via SMS

● Patient access to Personal Health Record

● Monitoring individual parameters related to children growth

● Accessing to the Vaccinations program

● Monitoring the Preventive check-outs calendar

● Monitoring the child growth (height/weight)

Pilot 7 – Basque Country (Spain)

● Integration of all the data and information that a patient generates through the health services (health habits, treatment, symptoms…)

● Tailored education and lifestyle guidance

● Secure text & voice messaging and videoconference with the healthcare team and alerts:Call/videoconferencing/audio and text messaging; the patient can be in contact with other people in charge of his/her care (family, care assistants, etc.), Sharing/discussing with other professionals about certain symptoms, treatments, etc.

● Patient access to Personal Health Record

Telerehabilitation (physical exercises)

Pilot 8 – France

● Patient access to personal heath folder and download of personal contents

● Tailored education and lifestyle guidance

● To correspond securely with a healthcare professional, after his consent

● To view data and to be informed about new documents

● Telerehabilitation (physical exercises)

● Data entry: self-monitoring results, their wishes regarding arrangements at the end of their lives, etc.

● To download all or some of contents of the personal health folder

Pilot 9 – Denmark

● Patient management of personal health information

● Patient access to Personal Health Record

● Chronic disease management support services

● Online EHRs from hospitals, cross-sectorial personal electronic medicine profile, access to lab/test results

● List of contacts with public hospitals and publically subsidized contacts in PHC

● Organ Donor Registration and Living Will

● Patient’s audit of any access to his/her data