This document analyzes data governance frameworks for using real-world data (RWD) to generate real-world evidence (RWE) in eight countries. It identifies 29 elements of an ideal governance framework and assesses each country's framework against these criteria. Recommendations include having clear data protection laws that allow secondary uses of health data to benefit patients, using opt-out consent for large cohort data collection, and transparent data linkage mechanisms with national interoperability standards. Current country frameworks show varying adherence to these recommendations.