• Germany is the first country to implement a "fast track" for reimbursement of digital therapeutics (DTx), aka DiGA
• The ePA electronic medical record has been automatically opened for every German citizen, from January 2025, with mandatory use for healthcare professionals from October 2025.
• Germany stands out for its landscape of rapidly expanding innovation clusters - the most dynamic in Europe.
  

• A hybrid healthcare system based on a central national infrastructure, “My Health Record” (a shared electronic health record).
• A digital health strategy aimed at building a more connected, person-centered, inclusive, and data-driven healthcare system.
• Rapid growth in the digital health sector, driven by several major trends: widespread smartphone use, the rise of telehealth, the development of connected devices, and the integration of artificial intelligence.

• The Austrian healthcare system is based on a division of responsibilities between the federal state and the nine Länder.
• Austria pioneered the electronic health insurance card (eCard) back in 2005.
• The national eHealth 2024 strategy sets 8 objectives and ~60 measures to improve digital access to care, interoperability and the secure use of data.

• At European level, very active participation by the country in major health information projects
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• About 10.14 million Belgians have given the green light to the electronic sharing of their health data.
• Healthdata.be is theplatform to facilitate and standardize the registration of health data
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• Health databases are at the heart of the national dematerialized and secure platformSundhed.dk
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• Several specialized agencies, including the national investment agency Invest in Denmark, stimulate the development of digital healthcare innovation in the country
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• Hybrid public‑private model, with mandatory health insurance and emirate‑level health authorities.
• Key structural challenges: rapid population growth, reliance on expatriate workforce, and rising noncommunicable diseases.
• Advanced digital health strategy with the unified EHR system Riayati and fast expansion of telemedicine.
   

• Each autonomous community defines its health and innovation policy and, together, that of Spain.
• The private sector occupies an important place in the country and plays a key role in healthcare innovation.

• It reconciles e-health and security
• Connected Health Cluster, integrated into Tallinn's Tehnopol Science Park, isthe first digital health innovation center.

• Digital health and innovation in Finland are the the remit of the State, which works closely with healthcare industries, healthcare institutions and universities.
• A system of test beds enables innovators to test their products directly on Finnish hospital equipment.
• Findata is the one-stop shop for Finnish health and social data.

• The Ségur du numérique en santé(2021) is a 5-year, €2 billion investment program to support the massive development of digital healthcare in France, creating a environment favorable to the integration of innovative solutions into the French healthcare ecosystem.
• Launched in 2022, Mon espace santéis the citizen's digital health record adopted by over 20 million users. This platform strengthens the structuring of health data and paves the way for the integration of secure digital services.
• Since August 2022,telemonitoring has become part of common law and telemonitoring activities and devices are reimbursed by health insurance. The prise en charge anticipée numérique (PECAN) permits a prise en charge dérogatoire, en avance de phase, of one year for therapeutic digital medical devices or remote medical monitoring activities.

• Funding and service provision are provided by a mixed system, comprising a National Health Service (NHS), employment-based health insurance and private providers. The country has seven administrations responsible, within their areas of competence, for coordinating and implementing health policies and actions.
• Several healthcare clusters and innovation and research centers are there to accompany entrepreneurs and facilitate market knowledge
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• The national patient record can be accessed via national e-health infrastructure - Elektronikus Egészségügyi Szolgáltatási Tér (EESZT)
• The development of digital in Hungary is supported by the digital strategy DJP2030, which offers innovative solutions to global challenges
  

• India's healthcare system relies on shared governance between central government and federal states, with a private sector that provides a large share of care.
• India built its health foundations on its "India Stack" strategy: the Aadhaar biometric ID and the UPI payment system laid the groundwork for an interoperable digital infrastructure.
• The Ayushman Bharat Digital Mission (ABDM), India's equivalent of Mon Espace Santé, relies on the ABHA identifier (700 million accounts created) to connect citizens, healthcare professionals, and health facilities.

• More than 300 Medtech companies in attendance, including 14 of the world's top 15 MedTech companies.
• In 2024, a new government strategy "Digital for Care" to drive digital healthcare.

• The Italian healthcare system is highly decentralized thanks to the 125 local health agencies (ASLs) that are responsible for providing the healthcare basket to the population
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• Each region retains its autonomy in organizing its healthcare system, and an essential level of assistance (ELA) must always be guaranteed to citizens.
• Now, 16 billion euros are being invested between 2021 and 2026 to digitize the healthcare system, via the Next Generation Italy plan.
  

• World leader in advanced technologies: Japan regularly ranks among the most innovative countries, particularly in the fields of robotics, AI and medical technologies.
• Japan is among the first countries to reimburse software-based treatments via its national healthcare system.
• With 30% of its population aged 65 and over, Japan's aging society highlights the important role of digital health in supporting the elderly.

• From now on, all health data in Lithuania is digitized and medical records can be consulted on a single online health platform respecting the principle of "one patient, one medical record, one care path"
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• "Invest Lithuania" is an investment promotion agency that informs, connects and supports international companies in Lithuania.

• Luxembourg's healthcare system is patient-centered and guarantees universal access to care, whether for residents or foreign workers
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• In 2023, Luxembourg published its Plan National Santé (PNS) for the next 10 years. In particular, it includes a digital health component, which aims to put in place more investment to improve the interoperability of IT systems and promote access to and sharing of healthcare data.

• 2013: Deployment of electronic prescribing.
• 2018: Integration of medical records into the emergency medicine pathway.
• 2023: Launch of the new national strategy by the Norwegian eHealth Directorate for the period 2023-2030.
• 2024: Project manager PREVENT NCD
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• Basic health insurance is mandatory for all citizens. The social insurance system is made up of 11 funds.
• The Zorgvoorinnoveren platform helps entrepreneurs decipher the Dutch ecosystem and gives them access to the country's funding opportunities.

• The role of the Center for eHealth is to develop the use of electronic medical records and electronic prescriptions
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• The Warsaw Health Innovation Hub supports innovative medical solutions to increase the efficiency of the Polish healthcare system
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The Health Cluster Portugal, made up of 223 stakeholders representing the Portuguese healthcare ecosystem, contributes to the success of the national healthcare innovation policy.

The national healthcare innovation policy is an essential part of the national healthcare innovation policy.

• The national e-health authority, is responsible for supporting the development of digital innovations in healthcare. It is also responsible for integrating and aligning e-health with other national strategic health policy objectives.
• eHealth4U is a research project that is developing a prototype for a national electronic medical records system and defining the structure and content of this system.

• MyHealth: a single platform to access numerous digital healthcare services
• Pioneering integration with MySanté@EU since 2019

Innovation in digital healthcare is fostered by:

• The creation of a centre of competence in telemedicine in 2019 by the Ministry of Health, which ensures a mission of expertise and evaluation of innovations in healthcare.
• The creation of a remote monitoring program AKORD encourages doctors to use telemedicine to improve patient care.
  

• Many online services offered to citizens, such as the ability to communicate with healthcare professionals, book appointments or manage care pathways.
• A digital health agency, NHS Digital, launched in 2013 and integrated into NHS England in 2023, which continues its missions and services.
• More than a billion e-prescriptions issued by 2022.
• 72 DigiTrials clinical trials (decentralized clinics) for innovative treatments and solutions have been completed to August 2025.

Innovation in Sweden is the result of narrow collaboration between public sector players and private and academic players spread across 7 regions.

• A national program to digitize the healthcare system from 2025 to 2034.
• A national rollout of the electronic patient record (EPR).
• 4 official national languages: German, French, Italian and Romansh.