The testing of electronic medical records (EMR) was a trending topic at the 11th annual IHE European Connectathon that took place April 11-15 in Pisa, Italy. The conference had discussions on dependency of computer systems and the affirming a strong quality management system (QMS) for EMRs. The major stakeholders were the vendors, users, patients and health authorities who need to agree on practical solutions to validate and assert the interoperability of eHealth systems by means of appropriate testing and certification or quality labeling. The European Commission is sponsoring Healthcare Interoperability Testing and Conformance Harmonisation (HITCH). It explains their blueprint for critical implementation of e-health in Europe during the Connectathon. The QMS model they shared will be developed by IHE for its interoperability testing process. All through the event, vendors, healthcare institutions and Member States of the European Union validated their information systems internationally to guarantee interoperability of their systems. A HITCH satellite workshop featured presentations from the partners in the project. Leading organizations for interoperability standards and process improvement in Europe were in attendance, as well as representatives of the European Commission.