Providing a lifelong electronic health record to citizens is the primary goal of most eHealth programs. When data should not only be transfered between organizations but be actively used for the improvement of cross-sectoral care processes  (e.g. by implementing electronic guidelines or collecting patient reported outcomes) and provide insights through data analytics, an open platform approach is needed. Not only for these reasons, countries like Scottland, Finland, Slovenia and Malta implement nationwide electronic health records based on openEHR.

EHRbase provides a solid foundation for the challenging task of large-scale intrastructures and gives governments full control over the data models and the procurement process: as EHRbase is based on openEHR, switching a substantial part of a nation’s underlying eHealth infrastructure becomes a feasible option.