The speaker says it is very difficult to build patient trajectories across different locations in the United States or Germany because medical records are difficult to connect across those locations.

“Like when patients, you know, sort of go to, to different states in US is similar as in Germany, when they go to different places, it's like very hard to build patient trajectories, right? But there are some places that know how to do this, and there's a thing like the European Union tells you, it's called the European Health Data Space, where in like maybe next two years, these things need to be sort of going across boundaries.”