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Madeira's public health service SESARAM, EPERAM cooperates with EU project Smart4Health

  • Over 260,000 residents and travelers to Madeira Islands can use the digital health solution free of charge

  • Easy access to healthcare data from the public healthcare services, via a  European electronic health record – the Smart4Health platform

Potsdam (Germany), February 21st, 2023. The Public Health Service of the Autonomous Region of Madeira – SESARAM, EPERAM – has successfully completed the integration with the prototype of a pan-European digital patient record, the Smart4Health platform, at the end of 2022. As a result, all individuals registered in the SESARAM patient portal (residents and tourists) are now able to synchronize their healthcare data with the Smart4Health platform. This allows any user of Madeira’s public health services to share its status information, medical records and clinical data, or test results, securely with other healthcare professionals and family members, anywhere and anytime, via the platform.

Madeira is a European pioneer in digital health data management

SESARAM was formally established in May 2003 and currently serves more than 260,000 residents and travelers receiving medical treatment in the Madeira Islands. It’s currently organized around 3 hospitals and 47 public health care facilities. In the 27th of May of 2003, SESARAM was formally established and from that day on, there was a strategy of interoperability between all IT systems and now all public healthcare units in Madeira Islands share an unique and innovative health information system, known as SEIS-RAM, where each person has an unique electronic health record (EHR), with all the medical records and structured social clinical data included.

The involvement of the Madeira region in EU projects such as Smart4Health, as well as the establishment of the Madeira Digital Health and Wellbeing initiative, involving SESARAM, the Regional Secretariat of Health and Civil Protection, the Regional Secretary of Tourism and Culture, and UNINOVA (Smart4Health coordinator), demonstrates that digital health is clearly a strategic area for Madeira, aiming to provide better care with the patient in the center of its activities.

Barbara Spínola, Director of Information Services, Tourism Projects and Events, Regional Directorate of Tourism, said: "It is exciting to bring a new and innovative platform to Madeira, providing an easy and convenient way for local citizens and tourists to have access to their health data anytime, both locally and while traveling abroad. We believe that the Smart4Health platform has the potential to transform the way people in Madeira, Portugal, and Europe envision the concept of health data access and how they can manage their own health data on one central platform and we are looking forward to seeing the positive impact it will have on the local and tourist community of Madeira.”

Smart4Health is the first prototype of a pan-European electronic health record

The project aims to achieve a cross-border paradigm shift in healthcare: all EU citizens should be able to manage their own health data in a self-determined, secure, and digital way. To this end, the consortium, consisting of 19 partners from various European countries such as Belgium, Germany, Luxembourg, Italy, Austria and Portugal, has been developing the Smart4Health platform since January 2019 based on real-life use cases from the fields of physiotherapy, nursing, and tourism. In addition to managing individual health data, users can share their data with trusted healthcare personnel regardless of the location, and voluntarily donate the pseudonymized data to research.

A milestone for Smart4Health

The Autonomous Region of Madeira, itself a partner in the consortium, supported the integration of the SESARAM health service with the Smart4Health platform.

Pablo Guerrero, Smart4Health Project Leader and Team Lead Collaborative Projects at Data4Life, said: "For many years, Madeira has been a pioneer in health data, interoperability, and digital health". He adds: "Smart4Health is an unprecedented pan-European project with a great vision focusing on EU citizens and their needs from the beginning. The integration with SESARAM is a milestone for the project."

Data4Life is a non-profit health tech organization based in Potsdam (Germany) and technology partner in the Smart4Health consortium. Among other responsibilities, Data4Life has developed the platform's software, storage and encryption technology, and enabled data interoperability with the SESARAM system. In order for the data to be effectively linked between SESARAM and the Smart4Health platform, users must register on the Smart4Health platform via the website ( Access is via two-factor authentication and a data key and, for some European Member States, also via electronic identities (eID).

With this project milestone, a main goal has been achieved by having developed the prototype of a platform that enables a citizen-centric EU-EHR exchange for personalized health data. 

To mark the occasion, the consortium invites to the closing event of this project phase in Madeira on February 23, 2023, where Pablo Guerrero and other representatives of the Smart4Health partners will provide insights into the project and its current status. 

The program can be followed via livestream from 2 p.m. on YouTube.


The Health Service of Madeira, EPERAM (SESARAM, EPERAM) is an integrated healthcare provider unit focused on the citizen, complementing the management of regional primary care centers and hospitals, with a team of over 6.000 people. As a legal public person governed by public law, of a business nature, SESARAM is endowed with administrative, financial, and patrimonial autonomy and applies the regime of public business entities, with the specificities contained in its statutes, internal regulations, as well as the rules in force for the Health Service of the Autonomous Region of Madeira. The management of the public health system of the Autonomous Region of Madeira is under the purview of the Regional Secretariat for Health and Civil Protection (SRS). Serving more than 260.000 inhabitants and tourists (considering the intense tourism flow of the islands), SESARAM is currently organized around 3 hospitals and 47 public health care facilities. SESARAM was formally established on the 27th of May of 2003. 

About Smart4Health

Smart4Health ( is a project of the European Union with the aim to realize a platform for electronic health records and far-reaching value-added services for EU citizens throughout Europe. The Smart4Health consortium consists of 19 partners from medical, social and technical sciences, and industry. Smart4Health is funded through the European Union's Horizon 2020 research and innovation programme under Grant Agreement No 826117 with a maximum of €21.8 million over 50 months. For more information about the partners, please visit the project page

About Data4Life

D4L data4life gGmbH is a nonprofit healthtech organization funded by the Hasso Plattner Foundation. With an international team, Data4Life is working towards its vision of a world where health data is ready for research in the areas of public health and personalized medicine to improve prevention, diagnosis, and treatment. In pursuit of these goals, Data4Life has been collaborating since 2017 with medical experts from renowned research institutions worldwide, including various university hospitals, the Robert Koch Institute, Mount Sinai Hospital in New York, and the Fraunhofer Heinrich-Hertz-Institut.

Data4Life was founded in 2017 and is headquartered in Potsdam, Germany with offices in Berlin and Singapore. Since July 2019, Data4Life is certified according to ISO 27001 based on the IT-Grundschutz by the German Federal Office for Information Security. More details on

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