AI translation of the German original. Legal references and sources remain those of the original document. German version.
¶ SwissHDS and DigiSanté – The Sequence Matters
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¶ Three Levels
| Level | Task |
|---|---|
| Practice, clinic and laboratory systems | Medical work and primary documentation on site |
| E-GD | Cross-organisational, longer-term available treatment-relevant information |
| Swiss Health Data Space | Shared services, standards and controlled exchange between organisations |
The FOPH fact sheet cites HL7 FHIR as the basis for structured information and standardised interfaces. A PDF report remains possible; a standardised medication dataset, by contrast, can be processed by machine. Technical aspects, pp. 1–2
¶ SwissHDS Is Not Simply a Second Central Archive
The official project description envisages a federated architecture: data remain in principle with the responsible organisations and are made controllably usable via shared services. The project does not automatically finance the local IT upgrade of all practices and hospitals. Project description, objectives and demarcation
A separate legislative project, the Federal Act on the Digital Health Data Space (BDG), is to create legal foundations for its establishment and operation. Its project period 2025–2031 is not evidence that this legislation is already in force. Official legislative project description
¶ The Medical Profession's Objection
The FMH supports the stronger federal role but demands joint legislation and a coordinated introduction of the E-GD and SwissHDS. Its concern: a repository alone does not yet create smooth workflows between treatment partners; isolated projects could generate additional costs. Position on the overall architecture
¶ Budget Constraints Are Changing the Planning
On 5 June 2026 the FOPH announced that for DigiSanté 31.5 million rather than the original 59 million francs are planned for 2027. SwissHDS is to focus initially on core elements of the E-GD and selected pilot projects. These figures relate to the DigiSanté programme, not a fixed total price for the E-GD. Budget and new prioritisation
Editorial assessment: The statement "dossiers first, then data exchange" describes a concern about dependencies. A sound assessment requires concrete milestones: which interfaces must be functioning at the start of the dossier, which services follow later, and who pays for adaptations?
Further: Costs · Implementation