Electronic Health Record: digital health record

Medical reports, prescriptions, vaccinations, and hospital records all in one place: That's the Electronic Health Record (FSE), Italy's digital health record. Anyone navigating the Italian healthcare system should be familiar with it and set it up correctly. This guide explains what's in it, how to access it, and what you need to keep in mind in 2026.

What is the Fascicolo Sanitario Elettronico?

The Electronic Health Record (literally „electronic health record,“ or FSE for short) is your personal digital health record with the national health service. Among other things, it includes:

• Findings (referti): Laboratory test results, imaging such as X-rays, CT scans, or MRIs.
• Electronic Prescriptions (Digital Recipes).
• Vaccinations, hospital stays (hospitalizations) and exemptions from copayments (exemptions).

This way, you—and, with your permission, your treating physicians—can keep track of your health data at any time. The FSE complements the Registration with the Health Service (SSN) and the Tessera Sanitaria (health card).

Access: SPID, CIE, or Tessera Sanitaria

The FSE is administered by the regions; you can access it through the national portal fascicolosanitario.gov.it or your region's portal. You can sign in using a digital identity:

• SPID (digital identity for government services) – see below for how to get it Apply for a SPID.
• CIE, the electronic ID card (Electronic Identity Card), via NFC-enabled smartphone and the CieID app.
• TS-CNS, the health card with a chip (National Service Charter), with a card reader.

Don't forget to get consent (consenso)

Your FSE is created automatically—but in order for doctors, pharmacists, and other healthcare providers to be able to view it, you must complete the consent to the consultation (consent to access). Without this consent, they cannot access your documents. You will be asked for this consent when you log in for the first time; you can change or withdraw your consent at any time.

Change in 2026: Private laboratories will also contribute data

Until now, the file has mainly contained information generated by the public system. Since March 31, 2026 are also Private healthcare facilities are required to, to upload their documents to the FSE—usually within five days of the service being provided. This means that blood tests done at a private lab, visits with a specialist, or physical therapy reports will also be automatically added to your file in the future.

Privacy and Power of Attorney (delega)

You decide who has access. You can hide individual documents, manage consent, and delega Grant (power of attorney)—for example, to a family member, a trusted person, or as a guardian for someone who needs care. This allows someone to manage the account on your behalf without knowing your login credentials.

Getting Started

First, get a digital identity (SPID or CIE), log in to your region's FSE portal, and grant the consenso. Then check to see if your test results and prescriptions look correct. If you're new to the country, you should first SSN Registration Complete these steps—without them, you won't get a Tessera Sanitaria or a funded FSE. To find out how a doctor's visit works in everyday life, read At the doctor's office in Italy.

What You Need to Do Next

Activate SPID or CIE, log in to the FSE, and give your consent—otherwise, the file will remain empty for healthcare providers. If necessary, create a power of attorney for family members and check after doctor’s visits to ensure the documents have been entered correctly.