Thanks for looking at this. It's a complicated idea and hard to summarize in posts. There's several ways this model could be deployed. I'm working on a few paths.
I think the major researsh/ teaching hospitals would do well to consider biological domains for the portable portion of patient health records. It's a powerful model and solves a lot of problems of consent, scale and data quality over time. Any entity can head in this direction unilaterally.
Feel free to drop me a note if you have any other questions.
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