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Jerry Malone's avatar

Excellent article. Since working in the interoperability space since the late '80s, I see the sharing of data within "Closed" systems and between competing systems improving, but it is still not the panacea we thought would happen. Introducing AI into the mix only creates more uncertainty. TEFCA and data blocking rules are a good start, but don't open the full spectrum of data housed within proprietary systems since that "proprietary" data that is crucial to the patient in that system, is often meaningless to other systems. QHINs and HIEs provide much more data than ever before and improve the availability of "meaningful" data but still, systems that do not take into consideration social determinants of health miss 80% of the reasons why the patient is ill to start with, since ALL data is health data.

How do you possibly coordinate a patient's health without all the data? Until we can create a personal health record with a patients complete health history, with duplications eliminated and SDoH included, and provide that record on an as needed basis at the POC, we will continue to struggle with chronic diseases and an aging population wondering why technology is passing them by.

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