Highlights: ? Effective semantic interoperability can only be obtained with structured routine data in predictable situations. ? Managerial, organizational, clinical and administrative priorities guide policy makers to select predictable situations. ? Structured routine data can be used for multiple purposes, also to timely extract indicators for management purposes. ? Ability to cooperate (co-operability) among people requires relevant data in right context with agreed admitted values. ? Willingness to cooperate requires agreements among organizations, which depend on regulations and cultural background.Abstract: Data depend on processes; processes depend on organizational models; organizational models depend on regulations and policies. This position paper envisages the future ….