ICAR, following three agreements established in 2009 with the Department for the Digitization of Public Administration and Technological Innovation (former Department for Technological Innovation) of the Presidency of the Council of Ministers, has signed since 2014 a series of operational agreements with the Agency for Digital Italy having as their objective the definition, validation, and promotion of ICT architectures for the implementation of interoperable Electronic Health Record systems on a national scale, through active participation in the institutional Boards of competence.