Evidence map›Paper›PMID 42209789›Full record

ArticleNPJ digital medicine2026

Guideline for secondary use of health records within Norwegian and EU regulatory frameworks.

Dipendra Pant, Thomas Brox Røst, Harald Krüger, Pieter Jelle Toussaint, Øystein Nytrø

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dipendra PantDepartment of Computer Science, Norwegian University of Science and Technology, Trondheim, Norway. dipendra.pant@ntnu.no.
Thomas Brox RøstDepartment of Computer Science, Norwegian University of Science and Technology, Trondheim, Norway.
Harald KrügerLegal Division, Sykehusinnkjøp HF, Vadsø, Norway.
Pieter Jelle ToussaintDepartment of Computer Science, Norwegian University of Science and Technology, Trondheim, Norway.
Øystein NytrøDepartment of Computer Science, Norwegian University of Science and Technology, Trondheim, Norway.

Funding

Central Norway Regional Health Authority (RHA) and the Norwegian University of Science and Technology (NTNU) 30233
6 · The paper itself

Abstract

Secondary use of health records is vital for research, quality improvement, innovation, but it must comply with complex legal, ethical, and security requirements. In Norway and the European Economic Area (EEA), this involves navigating national health legislation alongside the European Union (EU) regulations. For secondary use in Norway, we identified sixteen regulatory documents, notably the European Health Data Space (EHDS) regulation. We synthesized these documents into a nine-step guideline with checklists to operationalize secondary use as a structured workflow, encompassing Secure Processing Environments (SPE), security controls, lawful consent, ethical review, contractual, technical safeguards, and auditability. Additionally, we provide recommendations for applying the guideline in other EEA countries. The guideline reflects on the phased application of the EHDS, SPE requirements, and the Artificial Intelligence (AI) act. As a practice-oriented synthesis, it offers a practical starting point for navigating lawful secondary use of health records.

Identifiers

PMID42209789
PMCPMC13357775

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.