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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

From: Empowering patients through eHealth: a case report of a pan-European project

Pilot # eHealth functionalities
Information Education 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