Making the vision of the medical informatics initiative a reality entails willingness on the part of many individuals and groups. Patients must consent to the aggregation, integration and use of digitally compiled data. Medical professionals must embrace new working practices and organisational structures.

The medical informatics initiative employs a range of mechanisms to understand the requirements and concerns of stakeholders, and to act upon these insights when creating new infrastructures.

The dialogue forum of the national steering committee allows representatives from the various groups to exchange ideas and information. Participants include ministries and political bodies, scientific establishments, healthcare IT industry organisations, and, in particular, patient advocacy groups. The various institutions are appointed by the national steering committee; each provides one or more delegates.

In addition, central stakeholders will be involved at the corresponding consortia sites.