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Download the 2026 European EHR/EPR Interoperability & Connected Care Top Performers Report

Client-rated EHR/EPR vendor rankings, EHDS readiness scoring, and connected care performance intelligence for European healthcare IT buyers

Black Book Research’s 2026 European Health Information System Interoperability, Connectivity & Connected Care Top Performers Report gives European healthcare executives, CIOs, CTOs, clinical informatics leaders, interoperability teams, public-sector digital health stakeholders, procurement groups, consultants, investors, and healthcare technology vendors a clear view of which EHR/EPR platforms are best positioned for interoperable, connected, EHDS-aligned care.

Based on feedback from 1,756 European HIT/EHR/EPR users, including 1,688 vendor-rating respondents, the report evaluates EHR/EPR vendors across seven functional outcome domains and identifies top-performing vendors in country, regional, and Europe-wide award tables.

Why download the report

European healthcare buyers are moving beyond basic system connectivity toward measurable interoperability, workflow-embedded data exchange, patient access, EHDS readiness, and connected care performance. The report shows where EHR/EPR vendors are delivering operationally usable interoperability and where buyer risk remains high.

Key findings include:

  • 72% of respondents report that their EHR/EPR can connect to external systems in at least one major workflow.

  • 24% describe their platform as capable of structured, reusable, workflow-embedded interoperability.

  • 81% say their organization is aware of European Health Data Space implications.

  • 19% say their EHR/EPR vendor has provided a credible, product-specific EHDS readiness plan.

  • 13% rate their primary vendor as well prepared for true interoperability and EHDS-aligned exchange.

  • 58% report that successful data exchange depends more on national, regional, or customer-built infrastructure than on native EHR/EPR vendor capability.

  • 18% believe their vendor could support Patient Summary and ePrescription/eDispensation exchange without major new customization.

  • 9% believe their vendor has a credible path for imaging, laboratory, and discharge-report exchange at EHDS scale.

Register now to download the European health Information System Interoperability, Connectivity & Connected Care Top Performers Report - that gives European healthcare executives, CIOs, CTOs, clinical informatics leaders, interoperability teams, public-sector digital health stakeholders, procurement groups, consultants, investors, and healthcare technology vendors a clear view of which EHR/EPR platforms are best positioned for interoperable, connected, EHDS-aligned care.

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European EHR EPR Interoperability And Connected Care Top Performers 2026

Key European interoperability priorities covered

The report highlights the EHR/EPR technology categories shaping European healthcare IT investment, including:

  • EHDS, MyHealth@EU, and EEHRxF readiness

  • Structured, semantic, bidirectional, and workflow-embedded interoperability

  • Patient Summary, ePrescription/eDispensation, laboratory, imaging, and discharge-report exchange

  • Connected care, closed-loop clinical operations, referrals, medication, diagnostics, and follow-up workflows

  • Patient access, consent, digital front door, data contribution, and data-sharing controls

  • Clinical usability, safety, adoption, and workforce productivity

  • Data quality, analytics, registry, research, population health, and secondary-use readiness

  • Platform resilience, cybersecurity, audit logging, regulatory agility, implementation success, and commercial integrity

European EHR/EPR Interoperability & Connected Care 2026

EHDS, MyHealth@EU, and EEHRxF readiness

Structured interoperability, semantic exchange, data portability, and audit-ready access

Connected care, patient access, consent, and digital front door performance

Clinical usability, data quality, secondary-use readiness, cybersecurity, resilience, and trust

How buyers can use the report

Use the report to support 2026 European EHR/EPR planning, interoperability strategy, vendor evaluation, and procurement decisions. It helps buyers:

  • Benchmark EHR/EPR vendor performance across country, regional, and Europe-wide markets

  • Separate basic connectivity claims from true workflow-embedded interoperability

  • Assess vendor readiness for EHDS, MyHealth@EU, and EEHRxF-aligned exchange

  • Compare vendors across interoperability, connected care, clinical usability, patient access, data quality, secondary-use readiness, resilience, and trust

  • Strengthen RFPs, renewals, and vendor scorecards with evidence-based interoperability requirements

  • Identify market leaders, challengers, and regional performers before platform commitment

  • Reduce selection risk by understanding where vendor success depends on native capability versus national middleware, regional HIE infrastructure, or customer-funded integration work

What’s inside

The report includes:

  • 49 pages of European EHR/EPR interoperability and connected care market analysis

  • 1,756 European HIT/EHR/EPR user insights

  • 1,688 vendor-rating respondent evaluations

  • Country, regional, and Europe-wide top-performer reveal tables

  • Black Book’s seven-domain EHR/EPR interoperability performance architecture

  • EHDS, MyHealth@EU, and EEHRxF market context and readiness analysis

  • Master scorecards for basic connectivity, structured exchange, semantic interoperability, bidirectional exchange, patient-facing data access, audit/logging transparency, data portability, secondary-use readiness, and true interoperability readiness

  • Vendor differentiators, red flags, and evidence standards for interoperability claims

  • KPI ballot architecture based on Black Book’s 18 operational excellence performance areas

  • Vendor directory covering European EHR/EPR and interoperability market participants

Who should download it

This report is built for European healthcare leaders and technology buyers evaluating EHR/EPR strategy, interoperability readiness, vendor selection, platform renewals, connected care initiatives, and EHDS-aligned digital health investment.

It is especially relevant for:

  • Health system CEOs, CIOs, CTOs, chief digital officers, and digital health executives

  • Clinical informatics leaders, CMIOs, physicians, medical directors, nurses, allied health leaders, and care coordinators

  • Integration architects, interoperability leads, enterprise architects, and API strategy teams

  • Public-sector health organizations, national eHealth bodies, HIE stakeholders, registry leaders, and digital platform teams

  • Acute hospitals, academic medical centers, private hospital groups, primary care networks, ambulatory networks, community care, mental health, and social care-linked organizations

  • Privacy, security, compliance, data governance, analytics, registry, research, and population health teams

  • Procurement, finance, PMO, transformation, and vendor management leaders

  • Consultants, investors, and healthcare technology vendors tracking European EHR/EPR interoperability demand

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