This poster presents a regional, speedy, nurse led, 24/7 response service in North Karelia Hospital District. Expert nurses have access to medical and pharmacy databases and Electronic Patient Record is used to consult and record patient data. Laboratory results are delivered, also warfarin dosing. Patients get advice for self care, information on health care services and they are guided to appropriate service. Appointments are made for doctor's or nurse's offices as appropriate. The goals of the project are to change call center into a health consultancy as well as a regional health care appointment center.