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Electronic patient records in Finland were put into comprehensive use first in local institutions. By now we have reached a level of regional utilization of electronic patient data. This builds a solid basis for services provided for citizens and for a national archive of health information. The progress seen during the National Healthcare Project is remarkable. All this development has been accompanied by the intake of structured core data, national classifications and coding systems. A new collaborative working model has been created for an interoperable national sharing of electronic patient records including the management of patient consent.