The main achievements of ITHACA have been: (1) The development of a common functional model for sharing information which reflects the user requirements of all sites and the three client areas of mental health, maternity and child health; (2) The development of four demonstrator systems for the lead sites in Andalucia, Belfast, Porto and Turku; (3) The transfer of the demonstrator developed for Belfast to sites in Greece and Italy as well as its evaluation by users in Sweden and Ireland.