The mid-term evaluation survey of the Xt-EHR Joint Action engaged 54 participants from 23 Member States, representing a wide range of roles including Work Package (WP) Leaders, Co-Leaders, Task Leaders, and general WP participants. The findings reflect a comprehensive snapshot of the consortium’s strengths, challenges, and opportunities for improvement at this stage of the project. The mid-term evaluation survey was conducted as an online questionnaire comprising 30 questions (including Likert-scale questions and open text fields) developed by the WP 3 Evaluation Team to address the project’s four core criteria: Relevance, Effectiveness, Efficiency and Sustainability. The survey remained open for approximately three weeks (23rd December 2024 until 14th January 2025). Closed-item data were analysed descriptively in SPSS, while narrative comments underwent Mayring’s qualitative content analysis.