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Structured data in the electronic patient record for effective medical treatment

Swiss Post established the EPR advisory board a year ago to further develop the electronic patient record (EPR) for the benefit of users. On 3 March 2025, the board met for a second meeting in Zurich, where its experts discussed new approaches to giving the EPR a boost.

20.03.2025

Granted, there is criticism of the EPR. But this ignores the fact that a lot has happened in recent months. Starting the meeting, Rajesh Nair, Head of Digital Health at Swiss Post, outlined the positive changes there have been since the advisory board’s first meeting: rising user numbers, further use cases with structured data, EPR App for convenient access to health data via smartphone.

One important challenge discussed at the last meeting has seen a major step forward as a result of the Federal Council’s policy decision that, in future, there will be only one technical platform for the EPR. This will greatly simplify the process of development on the part of EPR providers and integration of the platform by healthcare providers.

More connected institutions and growing user numbers

But there has been major progress in other areas too: over 1,300 institutions are now connected to the EPR, four million documents have already been uploaded and 100,000 new documents are being added every month. At several large hospitals, such as University Hospital Zurich (USZ) and Balgrist University Hospital, deep integration means that data is now automatically stored in the EPR.

« Access to high-quality health data enables healthcare professionals to practise more precise medicine and provide more effective treatments. »

Barbara Biedermann, practising physician and Vice-Chair of Swiss Health Data Space

Structured data as a key

Interoperability and compatibility with international exchange formats are very important in everyday practice. The board’s experts therefore welcome the focus on both the FHIR standard and the introduction of Sanela-Connect, which provides healthcare institutions with a simple connection to the EPR. Another important issue for the advisory board is structured data. “Access to high-quality health data enables healthcare professionals to practise more precise medicine and provide more effective treatments,” says Barbara Biedermann, practising physician and Vice-Chair of Swiss Health Data Space. Here again, some progress was made last year as Matthias Glück, Director of Post Sanela Health AG, explained: Sanela was the first reference community to integrate the vaccination module and structured radiology reports into the EPR. The technical requirements for e-medication have already been established and now just need to be rolled out.

Set further incentives

The advisory board emphasized that there is still a great deal to be done: By strengthening health literacy, citizens can become responsible managers of their own health data. Another suggestion was that anyone opening an EPR could be rewarded, for example with a discount on their health insurance premium. Finally, specific use cases could already be implemented today, e.g. the integration of vaccinations stored in VacMe into the EPR or the medication list. The members of the advisory board see great potential, particularly in the area of prevention, for attracting more users to the EPR.

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