Fig. 1

eSanté agency infrastructure and integration in the national health care system. The image illustrates some of the main services making up the eSanté platform. The core of its infrastructure corresponds to the DSP, the Luxemburgish electronic health record containing the patient’s health-related medical information. Fundamental for a reliable functioning of the DSP are the HPD and the MPI, both of which represent two key databases integrated within the platform’s architecture. The HPD contains information about all health professionals in Luxembourg as well as health institutions and structures. This directory ensures the identity of health professionals who wish to use the services of the platform to exchange medical information or to consult the DSP of a patient. The MPI directory represents the national patient identity database that enables health sector stakeholders to have a single shared view of a patient identity, regardless of the sources of identity data. Importantly, the image depicts the different healthcare stakeholders that can connect to the platform. These include primary and secondary care actors (general practitioners, hospitals, pharmacies, laboratories, […]), long term actors (care homes and nursing services) as well as others actors and institutions (European health-related institutions). Another leading service of the platform is the pseudonymization service, which is mainly aimed at universities and research institutions [4]