for all anatomical regions are not yet available. However, the market for e-health and teleradiology is evolving more rapidly than any laws or regulations. Initiatives USA See Electronic health records in the United States Russia In 2011, Moscow's government launched a major project known as UMIAS as part of its electronic healthcare initiative. UMIAS - the Unified Medical Information and Analytical System - connects more than 660 clinics and over 23,600 medical practitioners in Moscow. UMIAS covers 9.5 million patients, contains more than 359 million patient records and supports more than 500,000 different transactions daily. Approximately 700,000 Muscovites use remote links to make appointments every week. European Union The European Commission wants to boost the digital economy by enabling all Europeans to have access to online medical records anywhere in Europe by 2020. With the newly enacted Directive 2011/24/EU on patients' rights in cross-border healthcare due for implementation by 2013, it is inevitable that a centralised European health record system will become a reality even before 2020. However, the concept of a centralised supranational central server raises concern about storing electronic medical records in a central location. The privacy threat posed by a supranational network is a key concern. Cross-border and Interoperable electronic health record systems make confidential data more easily and rapidly accessible to a wider audience and increase the risk that personal data concerning health could be accidentally exposed or easily distributed to unauthorised parties by enabling greater access to a compilation of the personal data concerning health, from different sources, and throughout a lifetime. United Kingdom The Lloyd George envelope digitisation project is the aim to have all paper copies of all historic patient data transferred onto computer systems. as part of the roll out new patients will no longer be given a transit label to register when moving practices. Not only is it a step closer to a Digital NHS and reduce the movement of records between practices, The Project also frees up space in practices that are used to store records as well as having the added benefit of being more environmentally friendly Lyniate was selected to provide data integration technologies for Health and Social Care (Northern Ireland) in 2022. Epic Systems will supply integrated electronic health records with a single digital record for every citizen. Lyniate Rhapsody, already used in used in 79 NHS Trusts, will be used to integrate the multiple health and