Ceci est une version HTML d'une pièce jointe de la demande d'accès à l'information 'Meeting between Ralf Kuhne and Association Internationale de la Mutualité (AIM)'.

The patient interest is at the core of the proposal and the best way to achieve trust is for people do be 
actually being in control of their health data. 
E-health literacy (not only for patient but also for health care professional) is also an important issue for 
COM in order to avoid a widening of the health digital divide. 
With telemedicine, COM want to ensure that all segment of the population have access to health care. 
There is for instance lot of potential for people in rural area to have access to specialist healthcare and 
avoid long travel trip. 
However, there are financial and legal limit to what COM can do linked to its competence in this domain. 
Discussion on the initial concerns of AIM members 
The main concern of AIM relate to the sharing data with commercial providers as well as the safety of 
such system. The global opinion of the AIM members on the EHDS changed with the pandemic. Some 
limited measures such as telemedicine were adopted. However, there is room to reach a consensus on 
the implementation of an EHDS. 
COM indicated that the current work of MS on their national health data space in particular on 
governance and secure system were taken on board. COM is aware that governance and security are 
major aspects in order to achieve trust of people in such system. All the 27 EU MS have to work together 
in order to achieve a critical size and diversity in the available health dataset. 
Discussion on some specifics aspects of the EHDS initiative 
SANTE is working closely with JUST in order to integrate this initiative with the GDPR. The EHDS will not 
impact the GDPR, DPAs will still be calling the shots in relation to data protection. But there is lot of 
fragmentation in the implementation of the GDPR for the health sector. The EHDS is trying to overcome 
these huddles to wider access and sharing of health data while promoting a secure system and 
strengthening the role of data subjects on their health data. 
GDPR should be seen as a framework and the EHDS is using some of the possibility offered by the GDPR 
for European law to take forward the provision under the GDPR in relation to health data. 
Impact of the Data Governance Act (DGA) 
COM indicated that the DGA is a horizontal framework. Specific safeguards that are needed for the 
specificity of health data will be addressed in the sectoral EHDS. COM is keenly aware of the sensitivity 
of health data. 
Role of TEHDaS 
AIM has joined the TEHDAS (Joint Action Towards the European Health Data Space) project and was 
wondering if their current work on the EHDS will be taken into account. 
COM confirmed that despite the proposal moving faster than the current work in TEHDAS, their current 
work was a valuable contribution and does feed on the reflections at COM level. In addition, pilot 
projects such as on secondary use or data altruism are being planned. TEHDAS work packages will need 

to be adjusted to reflect the evolution of the proposal and the practical needs in order to ensure rapid 
implementation of the system following the proposal entering into force. There will lot of opportunities 
for TEHDAS to contribute beyond the adoption of the proposal. 
Timeline for the proposal 
COM indicated that it is looking at presenting the proposal during the spring this year.