In this paper, we provide an overview of the seventh annual edition of the CLEF eHealth evaluation lab. CLEF eHealth 2019 continues our evaluation resource building efforts around the easing and support of patients, their next-of-kins, clinical staff, and health scientists in understanding, accessing, and authoring electronic health information in a multilingual setting. This year’s lab advertised three tasks: Task 1 on indexing non-technical summaries of German animal experiments with International Classification of Diseases, Version 10 codes; Task 2 on technology assisted reviews in empirical medicine building on 2017 and 2018 tasks in English; and Task 3 on consumer health search in mono- and multilingual settings that builds on the 2013–18 Information Retrieval tasks. In total nine teams took part in these tasks (six in Task 1 and three in Task 2). Herein, we describe the resources created for these tasks and evaluation methodology adopted. We also provide a brief summary of participants of this year’s challenges and results obtained. As in previous years, the organizers have made data and tools associated with the lab tasks available for future research and development.