epSOS (Smart Open Services for European Patients ) -  was a pilot project aimed to design, build and evaluate a service infrastructure that demonstrates cross-border interoperability between electronic health record systems in Europe. Both a methodological process and durable implementations (termed building blocks) which form the basis for a longer term, pan-European approach to building interoperable solutions were delivered during the course of the project. 

e-Estonia – Estonia prides itself as a digital society is made possible largely open, decentralized infrastructure system that links together various services and databases. It is the first country in the world to implement a nationwide Electronic Health Record system, registering virtually all residents' medical history from birth to death."


A large amount of health data on Norwegian citizens are already available electronically in Norway. Advocacy and support for health data linkage is prominent among health experts, as seen in the article titles “Unethical to restrict linkage of health data” according to Camilla Stoltenberg, Director-General of the Norwegian Institute of Public Health” in the Science Nordic.  

Swedish eHealth Agency (eHälsomyndigheten) - The Swedish eHealth Agency aims to contribute to improved health care, care and the nation's health by pursuing development of a national e-health infrastructure. The activities focus on promoting public involvement and providing support for professionals and decision-makers. 90% of all prescriptions are e-prescriptions.

NHS England –has a vision to improve health outcomes and the quality of patient care through digital technology and innovation. “Patients will only have to tell their story once. With consent, care records will be available electronically across the health system by 2018 for urgent care services and 2020 for all services – dramatically improving coordination of care, particularly for those with complex conditions.”

Kaiser Permanente:
 “Even if patients need to be hospitalized, care delivery is seamless because all physicians and other health professionals have access to KP HealthConnect, our electronic medical record database.” Hal Wolf, senior vice president and chief operating officer of the Permanente Federation. 
 “Access to complete, integrated health information improves care through better informed decisions,” Jamie Ferguson, vice president, Health IT Strategy and Policy at Kaiser Permanente (Calif.), one of the Care Connectivity Consortium’s five founding organizations.

“Access to the patient’s entire ambulatory and hospital information is available to emergency physicians and consultants through HealthConnect, the KP EHR. The EHR is accessible by every medical facility and provider, including the 37 KFH hospitals and some contracted non-KFH hospitals.”  Kaiser Permanente – California: A Model for Integrated Care for the Ill and Injured