The 2019 Commission recommendation on the European Electronic Health Record Exchange Format proposed a process for interoperability specifications; The EHDS regulation is giving it legislative force. The Commission has been funding research actions to develop and refine the EEHRxF. The XpanDH project supports an expanding ecosystem developing, experimenting and adoption the EEHRxF between 2023 and 2024; the xShare project is building a European standards and policy hub. Both projects convene major SDOs and a wide variety of experts and stakeholders.