The U.S. has embarked on a major effort to achieve "meaningful use" of health information technology (HIT), including electronic health records, by clinicians and hospitals. A new issue brief describes the extent of meaningful use in three countries with very high levels of HIT adoption—Denmark, New Zealand, and Sweden. While all three countries have achieved high levels of meaningful use, in none of them have physicians reached 100 percent in all categories of e-health functionality.