The implementation of an Electronic Patient Record in Germany has been delayed for years. Thus, it is lagging behind in comparison to other European countries (7 chapter 7 in this volume). Pioneers in this field are Denmark and Estonia. Both countries achieved a lead in the development of Electronic Patient Records through strong governance, setting binding goals and time frames for the digitisation of their healthcare system. The contents and functions as well as technical and interoperability standards were clearly defined from the outset. Germany should use the expertise arising from these best practice countries in order to successfully implement the Electronic Patient Record after more than 14 years of perceived stagnation.

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