Toyota/Lexus typically use three manufacturers for their audio and infotainment systems. The US systems have satellite radio, emergency assist, vehicle location tracking, remote vehicle information and service alerts, remote engine start/door unlocking etc. and are therefore quite different even if the same manufacturer is used.
The European systems would need different software development to gain CayPlay or AA - I suspect the current systems are capable of offering such functionality - whether Toyota will commission it is another thing.