All four projects (ASSESS CT, EURO-CAS, UNICOM, X-eHealth) focus on cross-border health data exchange and interoperability standards.
HRVATSKI ZAVOD ZA ZDRAVSTVENO OSIGURANJE
Croatia's national health insurance fund contributing eHealth interoperability, medical terminology, and cross-border health data exchange expertise to EU projects.
Their core work
HZZO is Croatia's national health insurance fund, responsible for managing compulsory health insurance coverage for the country's population. In the EU research context, they contribute domain expertise on national health data systems, insurance coding standards, and cross-border patient data exchange. Their H2020 participation focuses on ensuring Croatian health infrastructure aligns with European eHealth interoperability standards, particularly around medical terminologies, drug identification, and electronic health record formats.
What they specialise in
ASSESS CT evaluated SNOMED CT deployment feasibility, and UNICOM addresses IDMP standardisation for medicines identification.
X-eHealth developed a common EHR exchange framework covering lab results, discharge reports, and medical imaging; EURO-CAS addressed conformity assessment for eHealth systems.
UNICOM (their largest project at EUR 50,368) focuses on scaling up univocal drug identification using IDMP standards and pharmacovigilance.
How they've shifted over time
HZZO's early H2020 work (2015–2018) centred on evaluating and assessing health terminologies — particularly SNOMED CT — and eHealth conformity standards, essentially building the foundational knowledge for interoperability. From 2019 onward, the focus shifted decisively toward implementation: cross-border electronic health record exchange (X-eHealth) and large-scale pharmaceutical identification systems (UNICOM). This trajectory shows a clear move from assessment and evaluation toward operational deployment of interoperability solutions.
HZZO is moving from evaluating interoperability standards toward actively implementing cross-border health data exchange and pharmaceutical identification systems, positioning them as a national-level deployment partner.
How they like to work
HZZO participates exclusively as a consortium partner, never as coordinator — consistent with their role as a national public body contributing real-world health system expertise rather than leading research agendas. With 83 unique partners across 27 countries, they operate in large, pan-European consortia typical of eHealth infrastructure projects. This makes them a reliable institutional partner who brings national health system access and regulatory insight to broad EU initiatives.
HZZO has collaborated with 83 unique partners across 27 countries, reflecting the pan-European nature of eHealth interoperability projects that require representation from many national health systems. Their network is broadly European with no visible geographic concentration.
What sets them apart
As Croatia's national health insurance fund, HZZO brings something most research partners cannot: direct operational authority over a country's health data infrastructure and insurance coding systems. For any consortium needing a South-East European national health authority to pilot or validate cross-border eHealth solutions, HZZO is a natural fit. They provide real-world deployment context — actual patient data flows, regulatory constraints, and implementation challenges — rather than theoretical research contributions.
Highlights from their portfolio
- UNICOMTheir largest project (EUR 50,368), running until 2024, tackling the ambitious goal of scaling univocal drug identification across Europe using IDMP standards.
- X-eHealthDirectly addresses cross-border EHR exchange covering lab results, discharge reports, imaging, and rare diseases — the operational frontier of European health data interoperability.