Interoperability among systems is a challenge that requires several regards and infrastructure often complex. The best worldwide reports and frameworks say that this can also improve health care and bring the best outcomes for stakeholders. Implementing Interoperability in developing countries is less affordable even it can also promote quality care and save lives. The best models and guidelines could offer protocols for sharing health data allowing to build a system that can deliver at the same time quality, transparency, and social value. This paper addresses an interoperability problem providing the steps built in a pilot to enable a conceptual framework for exchange healthcare data through EHR, and presents the first step and overview of a platform build using rules of PDCA. The experiment was built in a small Brazilian town intends to be a standard for deliver interaction between local government and citizens and also to offer to patients to control own medical data records through a mobile application.