Spain Electronic Health Records Market Overview, 2030

Spain’s Digital Clinical History of the National Health System HCD‑SNS serves as the foundation for the nation’s electronic health record EHR framework that supports interoperability, allowing authorized professionals secure, online access to crucial clinical documents produced within any of the 17 autonomous regions. Initiated in 2006, the comprehensive implementation necessitated the unification of various regional systems through agreements made in the Inter-Territorial Council of the SNS, the establishment of a standard dataset for clinical summaries Royal Decree 1093/2010, and the connection with the Individual Health Card TSI to ensure unique identification for patients. As each region was progressively linked, the HCD‑SNS now facilitates the movement of health information so that essential medical histories, prescriptions, and diagnostic results can be retrieved beyond regional borders, aiding ongoing care for residents, travelers, and EU patients who cross borders via the eHealth Network. Main users include SNS hospitals that merge inpatient, outpatient, and diagnostic processes into the collective record, along with general practitioners GPs in primary care facilities, who rely on it for ongoing patient management, electronic prescriptions, and referrals. Patients can access their own summaries through secure platforms. In terms to operational healthcare, Spain is committing resources to AI and analytics research and development to utilize the extensive, standardized datasets produced by the HCD‑SNS. Various national and regional initiatives frequently in partnership with the Barcelona Supercomputing Center, Hospital Clínic de Barcelona, and health technology companies are employing machine learning for predictive modeling, clinical decision support, and population health analysis. These projects include AI-based risk assessment for chronic diseases, natural language processing for non-structured clinical notes, and the incorporation of genomic data for personalized medicine. The objective of these efforts is to improve early diagnosis, enhance resource distribution, and shape public health strategies while complying with GDPR and national privacy regulations.

According to the research report, ""Spain Electronic Health Records Market Overview, 2030,"" published by Bonafide Research, the Spain Electronic Health Records market was valued at more than USD 690 Million in 2024. This growth is largely attributed to ongoing investments in digital healthcare infrastructure, requirements for interoperability, and the growth of remote healthcare services. A major factor fueling this advancement is the incorporation of telemedicine into EHR systems, allowing for video consultations, remote monitoring, e-prescribing, and AI-supported diagnostics integrated into everyday clinical practices. This integration fosters hybrid care models, boosts accessibility in rural locations, and improves management of chronic conditions, all in line with the Ministry of Health’s Estrategia de Salud Digital 2021–2026. The competitive scene includes domestic frontrunner Indra, which has implemented expansive regional health information networks and interoperability systems, in terms to Cerner Spain Oracle Health, which has projects in various autonomous regions and private hospital systems, providing high-level solutions with sophisticated analytics and patient engagement features. Looking forward, one of the biggest prospects is integrated data sharing at the EU level under the upcoming European Health Data Space EHDS, which will require cross-border interoperability through the European electronic health record exchange format. This initiative will enable authorized healthcare professionals in any Member State to safely access essential health information of patients, while allowing secondary usage for research, innovation, and public health strategies under strict guidelines. Spanish EHR companies and healthcare organizations that align promptly with the EHDS's technical and semantic requirements will be well-positioned to engage in EU-wide care coordination and data-driven research activities. Compliance is a critical necessity every EHR system must be in line with the EU General Data Protection Regulation GDPR and Spain’s Organic Law 3/2018 on the Protection of Personal Data and Guarantee of Digital Rights LOPDGDD, which together stipulate lawful and transparent handling of personal health information.

In Spain's Electronic Health Records EHR sector, by type is divided into Acute, Ambulatory and Post -Acute. Acute care digitization is most progressed in public hospitals within the National Health System SNS. Here, extensive platforms unify inpatient, surgical, emergency, and diagnostic processes. These implementations are frequently connected to the Historia Clínica Digital del SNS framework, which allows secure data exchange among autonomous communities and facilitates national reporting. In the ambulatory area, primary care centers employ EHRs for ongoing patient management, electronic prescriptions, referrals, and collaboration with diagnostic services. The uptake in this area is motivated by interoperability requirements, local digital health initiatives, and the necessity to interact with hospital systems to provide coordinated care. The post-acute domain, which includes elderly care facilities, rehabilitation centers, and long-term care homes, is experiencing a slow digital evolution, driven by an aging population and the demand for integrated chronic disease management. EHRs in this field are progressively incorporating telemonitoring, medication oversight, and secure information sharing with hospitals and GPs to enhance care continuity. Spanish EHR market is anticipated to expand at a ~6% CAGR until 2030, bolstered by government funding under the Estrategia de Salud Digital 2021–2026, EU recovery resources, and the growth of telehealth services. Prominent players include Indra, a national frontrunner in extensive health information systems and interoperability frameworks, and Dedalus Spain, part of the European health IT coalition, providing modular, standards-compliant platforms aligned with HL7 FHIR and the upcoming European Health Data Space EHDS. Both are prepared to cater to multi-regional implementations and cross-border data sharing projects. Achieving success in this changing market will rely on ensuring that solutions comply with national interoperability standards, maintaining GDPR-compliant data governance, and meeting the unique workflow needs of every care environment.

In the context of Spain's Electronic Health Records EHR system, by application is divided into Clinical Application, Administrative Application, Reporting in Healthcare System, Healthcare Financing and Clinical Research Application. Both clinical and administrative roles within the National Health System SNS serve as the foundation of digital transformation, with interoperable platforms enhancing inpatient, outpatient, diagnostic, and back-office operations across public hospitals and primary care facilities. These systems are closely associated with reporting for self-governing health regions, which allows for standardized data submission related to service performance, epidemiological tracking, and adherence to national and EU health standards. Funding and reimbursement methods are progressively being incorporated into EHR settings through financial tools that interact with regional funding systems similar to Caisse models, aiding in claims processing, expense monitoring, and service reconciliation across regions. Aside from operational functions, EHR data is utilized for clinical research, where hospitals and research communities rely on organized, anonymized data to back observational studies, AI-based analytics, and involvement in EU initiatives such as the European Health Data Space EHDS. From a market segmentation viewpoint, the acute care hospital sector commands the largest value owing to extensive, complex implementations, followed by primary care and outpatient services, while specialty and research-focused organizations comprise smaller but crucial niches. Although the private sector's involvement is relatively limited, it is expanding, especially in high-revenue specialty care. A significant area for growth lies in interoperability opportunities both within Spain's decentralized healthcare governance framework and across EU borders by aligning regional systems using HL7 FHIR-based APIs, shared patient identifiers, and semantic protocols. Achieving seamless data transfer among autonomous communities could minimize redundancy, enhance continuity of care for mobile populations, and generate more comprehensive datasets for research and public health strategies. Cross-border interoperability under EHDS has the potential to further position Spain as a center for international clinical trials and collaborative data analysis.

In Spain's market for Electronic Health Records EHR, by deployment is divided into Web based and Client-Server. Online systems are gradually growing due to the efforts of local health authorities promoting interoperability, mobile access, and links with telemedicine services. These solutions, typically offered through cloud or mixed models, are being increasingly utilized by independent regions that are updating their health information technology under the Historia Clínica Digital del SNS program, allowing secure, real-time patient data access across various healthcare environments. Web-based EHRs are appealing to both public and private healthcare providers because of their scalability, lower initial expenses, and capability to facilitate data sharing across different regions, which aligns with the upcoming European Health Data Space EHDS regulations. Meanwhile, legacy client-server systems continue to be prevalent in certain public sector areas, especially in larger hospitals where on-site systems have been adapted over many years to cater to complex inpatient, diagnostic, and administrative needs. Although these systems provide high customization and a sense of control over sensitive health information, they demand large financial investments, specialized IT support, and slower update processes, making them less flexible in embracing new interoperability or analytical features. The transition to cloud-based EHRs presents significant advantages, such as improved disaster recovery, AI-based analytics, and centralized patient records that can be accessed across Spain’s 17 autonomous communities. Nevertheless, any cloud implementation must comply with strict regulatory guidelines the EU’s General Data Protection Regulation GDPR and Spain’s Organic Law 3/2018 regarding the Protection of Personal Data and Guarantee of Digital Rights LOPDGDD. These laws require lawful and transparent handling of personal health information, clear consent for sensitive data, strong encryption, role-specific access control, audit logs, and notification procedures for breaches.

In Spain's market for Electronic Health Records EHR, by end user is divided into Hospital, Clinics, Specialty Centers and Other End Users Government, Homecare. Hospitals affiliated with the National Health System SNS comprise the most significant and sophisticated segment. Regional health authorities are implementing interoperable platforms that unify inpatient, outpatient, diagnostic, and administrative processes. These systems are progressively connected to the Historia Clínica Digital del SNS, facilitating secure data sharing across communities and assisting in national reporting efforts. General practitioner GP practices serve as the foundation of primary care digitization, utilizing EHRs for ongoing patient management, electronic prescriptions, referrals, and connections with diagnostic services, often via region-specific platforms customized to fit local processes. Specialty centres which include oncology facilities, cardiology offices, and units for rare diseases demand highly tailored EHR modules that can blend advanced diagnostics, imaging, and research data while ensuring interoperability with referring hospitals and primary care facilities. The public sector leads in EHR adoption, as Spain's universal health system promotes standardization and shared resources throughout its 17 autonomous regions, although each area maintains financial and operational authority. Regional adoption trends differ certain regions, like Catalonia and the Basque Country, have reached a significant level of digital advancement with integrated hospital-primary care records, while others are still merging older systems. A key area for growth is chronic care management, particularly due to Spain's ageing demographic and the high rates of ailments like diabetes, cardiovascular diseases, and cancer. EHRs are being improved with tools for managing care pathways, telemonitoring features, and patient portals to facilitate long-term follow-up, multidisciplinary collaboration, and self-management. These advancements are in line with the Estrategia de Salud Digital 2021–2026 and the EU's interoperability objectives under the upcoming European Health Data Space EHDS.

Considered in this report
• Historic Year: 2019
• Base year: 2024
• Estimated year: 2025
• Forecast year: 2030

Aspects covered in this report
• Electronic Health Records Market with its value and forecast along with its segments
• Various drivers and challenges
• On-going trends and developments
• Top profiled companies
• Strategic recommendation

By Type
• Acute
• Ambulatory
• Post -Acute

By Application
• Clinical Application
• Administrative Application
• Reporting in Healthcare System
• Healthcare Financing
• Clinical Research Application

By Deployment
• Web based
• Client-Server

By End User
• Hospital
• Clinics
• Specialty Centers
• Other End Users(Government, Homecare) Show more