# Top Ranked Countries In Healthcare Interoperability (Black Book Research) **URL:** \ **Category:** Open Forum\ **Tags:** interoperability\ **Created:** [April 25, 2025, 11:01pm UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982 "2025-04-25T23:01:10Z")\ **Posts on this page:** 10\ **Page:** 1
**Author:** ![pkjordan](https://ehealthforum.nz/user_avatar/ehealthforum.nz/pkjordan/32/5077_2.png) [@pkjordan](https://ehealthforum.nz/u/pkjordan)\ **Post date:** [April 25, 2025, 11:01pm UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/1 "2025-04-25T23:01:10Z")
NZ Ranked 5th at 90.3% > **[Global Interoperability Gaps Revealed in 2025 Healthcare Connectivity Rankings...](https://apnews.com/press-release/access-newswire/medical-technology-estonia-denmark-finland-03805a4607033ec9a9b48d7066296947)** > > Estonia, Finland, and Denmark lead global performance in health data exchange; the U.S. ranks below key international peers ---
**Author:** ![NathanK](https://ehealthforum.nz/user_avatar/ehealthforum.nz/nathank/32/6064_2.png) [@NathanK](https://ehealthforum.nz/u/NathanK)\ **Post date:** [April 26, 2025, 10:30am UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/2 "2025-04-26T10:30:24Z")
This is quite surprising!!! When confronted by the limitations of our interoperability daily in clinical work it is easy to lose sight of the fact that we are actually doing pretty well on this front. > Sweden (95.4%), New Zealand (90.3%), and Singapore (90.1%) - These countries have achieved high interoperability through national strategies that prioritize data standards, patient-centered platforms, and public-private collaboration. New Zealand’s Health Information Standards Organisation ([HISO](https://www.tewhatuora.govt.nz/our-health-system/digital-health/data-and-digital-standards/health-information-standards-organisation-hiso/)) and Singapore’s national electronic health record system were specifically highlighted in surveys for their responsiveness and efficiency in clinical workflows. And a bit shout out to our [HISO](https://www.tewhatuora.govt.nz/our-health-system/digital-health/data-and-digital-standards/health-information-standards-organisation-hiso/) colleagues - @alastairk, @Evan, @dmeiklejohn to name just 3. Well done, over a long haul too! But still, we really should be shooting for where Estonia (No 1) is. That (of course) would mean embracing OpenEHR… ---
**Author:** ![keithduddy](https://ehealthforum.nz/user_avatar/ehealthforum.nz/keithduddy/32/6700_2.png) [@keithduddy](https://ehealthforum.nz/u/keithduddy)\ **Post date:** [April 28, 2025, 6:01am UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/3 "2025-04-28T06:01:31Z")
I don’t want to denigrate anything that [HISO](https://www.tewhatuora.govt.nz/our-health-system/digital-health/data-and-digital-standards/health-information-standards-organisation-hiso/) is doing. And congratulations to that team on this global top 5 status… But (yes, there had to be a but), I think there are deeper cultural reasons why Finland and Estonia do things in a different way with better outcomes. I found this ABC radio documentary about Finnish “comprehensive security” (which no doubt impacts on their ability to deliver at the top of the scale on e-health as well) to be quite informative: > **[Finland: A mad prepper nation or a role model for all small to medium...](https://www.abc.net.au/listen/programs/rearvision/finland-security-preparedness-disasters-military/105149046)** > > As the world becomes an increasingly dangerous and uncertain place – how prepared are we in Australia to face these new challenges?  This week on Rear Vision the story of one nation that take security and preparedness very seriously –... Keith ---
**Author:** ![RMcBeth](https://ehealthforum.nz/user_avatar/ehealthforum.nz/rmcbeth/32/2683_2.png) [@RMcBeth](https://ehealthforum.nz/u/RMcBeth)\ **Post date:** [May 5, 2025, 10:30pm UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/4 "2025-05-05T22:30:11Z")
Hi @pkjordan I’m writing an article about this today, if you’re keen to comment, please get in touch 🙂 ---
**Author:** ![pkjordan](https://ehealthforum.nz/user_avatar/ehealthforum.nz/pkjordan/32/5077_2.png) [@pkjordan](https://ehealthforum.nz/u/pkjordan)\ **Post date:** [May 6, 2025, 7:40am UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/5 "2025-05-06T07:40:48Z")
@RMcBeth I’ve just been alerted to the fact that they’ve accidentally put a map of NZ for Norway! ---
**Author:** ![SamuelWong](https://ehealthforum.nz/user_avatar/ehealthforum.nz/samuelwong/32/3755_2.png) [@SamuelWong](https://ehealthforum.nz/u/SamuelWong)\ **Post date:** [May 8, 2025, 1:03am UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/6 "2025-05-08T01:03:28Z")
Great to be recognised. We often view ourselves in less favourable light but when objective international assessments are done, we actually come out better on the whole. Well done! ---
**Author:** ![alastairk](https://ehealthforum.nz/user_avatar/ehealthforum.nz/alastairk/32/6631_2.png) [@alastairk](https://ehealthforum.nz/u/alastairk)\ **Post date:** [May 8, 2025, 5:34am UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/7 "2025-05-08T05:34:25Z")
It’s great to see the mention of [HISO](https://www.tewhatuora.govt.nz/our-health-system/digital-health/data-and-digital-standards/health-information-standards-organisation-hiso/) and its standards for interoperability that have helped keep the data safely flowing for over 20 years. The standards are by and for the sector, and many, many people have contributed to their development and implementation. It’s a challenge to stay current, but SDOs including HL7, SNOMED and ISO are working together more closely now, and through the Global Digital Health Partnership, WHO and Sparked we’re on the right track. ---
**Author:** ![RMcBeth](https://ehealthforum.nz/user_avatar/ehealthforum.nz/rmcbeth/32/2683_2.png) [@RMcBeth](https://ehealthforum.nz/u/RMcBeth)\ **Post date:** [May 12, 2025, 9:47pm UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/8 "2025-05-12T21:47:23Z")
Article is live [https://www.hinz.org.nz/news/700461/New-Zealand-in-top-give-globally-for-health-data-interoperability.htm](https://www.hinz.org.nz/news/700461/New-Zealand-in-top-give-globally-for-health-data-interoperability.htm) ---
**Author:** ![keithduddy](https://ehealthforum.nz/user_avatar/ehealthforum.nz/keithduddy/32/6700_2.png) [@keithduddy](https://ehealthforum.nz/u/keithduddy)\ **Post date:** [May 16, 2025, 4:56am UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/9 "2025-05-16T04:56:47Z")
Thanks @RMcBeth … I see you have injected the right notes of caution, with a great quote from @pkjordan , the master of diplomatic understatedness: “Peter Jordan, HL7 New Zealand secretary, says the top-five ranking surprised him a little and while New Zealand has a lot of technical interoperability, the country still has a way to go.” K ---
**Author:** ![ABlack](https://ehealthforum.nz/user_avatar/ehealthforum.nz/ablack/32/15624_2.png) [@ABlack](https://ehealthforum.nz/u/ABlack)\ **Post date:** [January 16, 2026, 12:10am UTC](https://ehealthforum.nz/t/top-ranked-countries-in-healthcare-interoperability-black-book-research/32982/10 "2026-01-16T00:10:41Z")
Let’s go for 1st place 😄