Health systems face many challenges. New technologies are believed to be a solution to these problems. The digitalization of the health care system plays a significant role in improving health care, as well as in planning and financing health services.However, addressing these issues with the digitalization of health care will involve the correct use of technologies. health systems, be they big data or artificial intelligence tools for the surveillance, planning and management of “personalized data” in the form of universal electronic recording systems and personalized treatment protocols. Digitalization therefore represents one of the most effective responses to the growing pressures to increase the quality of health ecosystems while reducing their costs. ICTs offer opportunities to reconcile the ability to leverage current resources with the ability to move away from them to explore new and better ways to deliver value. In a strategic value-building perspective, the healthcare organizations decided to develop knowledge-sharing strategies by encouraging knowledge codification with the help of Information Communication Technology (ICT). ICT provides a wide spectrum of tools and means to facilitate value creation. On these premises the paper analyze implementation and use of ICT tools like the EMR and EHR in Italian public and private health care sector, analyzing the state of the art in the dissemination of theese applications within the Italian healthcare context.