A patient-centric approach to health

1. Patient-centric Information Care

Timing the initiative to release the ideas and technology behind this GMA initiative is not chosen randomly. It is backed by skills, expertise and experience from similar activities conducted successfully before. Included in the preparation is the five-year innovation and preparation process.

Health systems worldwide are in a bad state, totally unprepared for entering into the world of AI.

Health systems are unable to "talk" properly to each other. They cannot exchange basic information, not the accurate and precise health information necessary to get patients well.

1.1. Healthcare is, by definition and has always been Patient-centric, so what is new this time?

Correct! Doctors and nurses carry out their healthcare tasks with only one Patient in their focus at a time. However, the distribution of the health information related to the patient "under the scalpel" is scattered and stored "everywhere". It rests in the random EPJ systems of the doctors, clinical specialists and health institutions, having had the Patient within their premises.

Healthcare is not only Health; it is also business. The "Standardisation industry" is living high on the cries for "more standards" - which will not help! Collecting, deciphering and making read- and understandable to the random doctor or nurse, the data from an undefined number of healthcare units, all more or less on different "standards", has been and will forever be impossible.

The senders and receivers of health information use different communication standards, medical coding, national language and, most importantly, a variety of descriptive medical languages and -dialects.

Some institutions even claim ownership of Patient-related health information originating from their institution to secure future visits from the Patient at hand. Patient-centricity in this picture is long gone!

GMA has added "Patient-Centric Information Care" to the picture above

The eME® back-office system processing and health information management will be centrally executed by the best computers. The eME-App, your always-updated, personal electronic health information platform, is inside your mobile phone. Patients bring their handheld "MedicAirbag®" (The popular slang name for the eME-App) containing a complete personal Health Record stored on their mobile phones when entering healthcare institutions, their local doctor or doctor specialists. The eME-App is always updated with every known piece of health information belonging to its owner. It also serves as the base for collecting data from personal body sensors to be sent to the back office eME-processors.

All health-relevant information is stored digitally on the Patient's mobile phone. The doctor can read the digital data from the phone-based Electronic Patient Journal in the eME-APP.

Alternatively, the eME-based EPJ can be downloaded via an accurate and carefully designed digital interface, taking care of lingual and standards harmonisation issues, to the EPJ system of the Health institution in question. They will receive the digital health information, tailored and reconfigured terms- and standard vice, readable in their local language with their own standards, codings, etc.

Keeping the patient information stored, updated, collected and used, all from one digital location, is the core idea driving the development of Patient-centric health care systems. *) eME® and MedicAirbag®, the applications and philosophy are outlined later in this script.

1.2. The Standardisation industry is killing standardisation.

Old-school keywords, "standardisation" or "lack of standardisation", are the "donkey bridge" used by consultants and self-appointed experts to explain why this chaos exists. Although hundreds of healthcare standardisation initiatives executed globally over the last decades have failed to bring results, the Standardisation industry(*), the advisors and the consultants call for more standards and more cost-driving standardisation. These industries endorse the "standardisation path". It is their highway to never-ending healthcare integration projects, with no exit.

The author of this document, the initiator and inventor of the "Simlrs box of digital methods", among which is the eME® concept and its technology, has never heard or seen the same "experts" pointing out the way out of the deadly "standard-based" information chaos. They will never do it! By removing the disorder and the related digital operational difficulties, the need for "expert services" is gone.

Also, ongoing standardisation initiatives will die due to a lack of adaption in busy, operative health care units, plus the effects of the vital human "like/dislike" factor.

Add to this that no commonly accepted standards, nomenclatures, values, terms or phrases have ever seen the light of day over decades!

Standardisation by old-school methods will never happen! Healthcare professionals want to use the tools, the terms and the standards they know.

The eME® project has developed technology to Bridge the Standardisation gap. The Harmonizer®, a clever sector-universal concept, is vital to the GMA/eME® projects.

2. Introduction to the eME® project.

2.1. eME® is short for "electronic ME".

In short, your "eME®" is the complete digital representation of your Personal Health-related information – Your Personal Health Record. It is stored in a guarded digital environment by dedicated data security professionals at more than arm's length distance from healthcare units. It is protected by an advanced algorithm using a combination of biometric- and digital keys. You will carry a complete, always updated version placed on your mobile phone. All sensors carried on or in your body will update the eME® unit, which updates the centrally stored, original eME® information structure. The effect is that wherever you are, at home, travelling or moving around, you bring a completely updated personal health record, electronically stored under a coded bonnet, in your mobile phone.

The eME® unit has communication options enabling the download of your Health information, including a basic eME® EPJ system to be used by the random doctor while treating you. The language-independent EPJ application will reduce the risk of misunderstandings between healthcare units while travelling.

eME® is essential to GMA's more extensive technical/conceptual platform development (*).

2.2. Information logistics is critically important.

When designing, describing, and developing the base technology solutions for eME®, creating a model for the information logistics that a "Personal Health System" entails became critical.

During this work, which has been going on for more than five years, the reason why effective Health institution-centric systems have failed to reach their functional targets became clear.

eME® is a system that serves and protects human individuals - the patients. Digital information exchange, the Achilles heal of current healthcare system implementations, must happen faultlessly in seconds to accomplish this.

Later in this document, please read more detailed information about the front-end eME® and the back-end technology platform.

2.3. The effects of simplification

With the starting as mentioned above and the digital complexity under control, the possibility of dramatic Healthcare systems simplification is at hand. Simplification will benefit the Institutional Health Systems and, to a great extent, bring them back on track.

The Patient-centric philosophy built into the GMA/eME® development does not eliminate the need for Institutional Health Systems or EPJ applications. These systems, used by hospitals, local doctors or other types of health care units, are still in place locally, developed to support the local need for updated patient information, treatment-related and on a need-to-know basis. Their task is the "production of patients" well enough to leave the place and go home. The patients leaving the health unit and the health unit are not interested in patient information sitting in the local institution after the exit door closes.

Suppose the Patient reenters at a later stage. In that case, he may have visited doctors, specialists, health units of all kinds, pharmacies to collect new drugs and more, providing information out of reach for the hospital or on their preferred information standard of choice.

The problem is that the information these units provide may be vital to the Patient's cure at the hospital at the reentrance later.

The GMA/eME® technology removes this complexity from the hospital. In return, the health care unit receives a digital connection through which they receive what they need for each Patient, delivered on their own defined variant/version of information standards.

2.3.1 I, therefore, dare to make this bold statement:

Introducing a patient-centred concept according to the guidelines drawn for eME® will significantly simplify the Institutional health care systems. This powerful effect will enable National Health Projects to serve the Patient best, seen from both the patients' and society's perspectives.

The eME® three-level information storage platform introduces simplification, absolute digital precision and 100% synchronised data across all healthcare institutions. Without this ambition, I can confidently say that the investment in national health systems in Norway and other countries will fail - again.

New strategies with these elements are as valuable as the previous editions.

Looking at previous strategies retrospectively, significant aspects of simplification, left out or missing in the design, are easily identified. These shortcomings must be understood and rectified in future attempts.

2.4. Briefly about Patient- and Event-Driven Health Systems

"Patient-centered" or "Patient-centric" thinking best describes the eME® philosophy. All people are "Patients." Healthcare is thus about the human being, not about the institutions.

Everyone looking into this topic will be amazed by the powerful simplification effects of a Patient-centric health system compared to today's Institution-centric systems.

eME® will simplify something that has been made unnecessarily complicated.

2.5. It is easy to forget that Health Systems are Systems, not Health.

Information produced, stored, and processed in the health systems is patient- and health-related. Beyond that, like all information in all industries, it is digitised to be processed by computers.

Many people working inside health institutions have the critical job of collecting patient information for the Health System. The information logistics associated with this collected information, processing, and presentation are called "Health systems."

3. Can we bridge the standardisation gap?

My answer is a resounding "Yes!" and I add: "We have to!"

Over the last three decades, we have experienced healthcare administration systems designed and developed with the institutional focus needing to be more effective and accurate. For example, large and local hospitals cannot exchange digital information due to mutual inoperability in medical terms and - language.

The only "Standard element" in healthcare is the Patient – standard and diverse!

Healthcare systems must cater for what is standard and what is diverse. Only a Personal Health approach can meet this objective in full.

3.1. The eME® project is new thinking!

It aims at improving, inspiring, and creating!

eME® can, from the start, bridge the standardisation gap and build unity with intelligent technology and creative processes based on Artificial Intelligence.

The project will build a comprehensive technical, conceptual platform based on ongoing research from the beginning of the five-year planning period, which is now behind us.

Bringing the drawings from the study to the development process is the next step.

The first step is to engage one prime technical resource (IBM, Microsoft, Google or others) interested in looking at and evaluating in-depth the conceptual ideas, including the restricted and accurate implementation of AI methodology. The planned performance of a global secure Healthcare network, including local country-based solutions for linking health institutions domestically, is on the table.

I must remind the reader that the eME® conceptual idea is to build a detailed and standardised binary and digital information structure for the human body. In this structure, every person in the world has one standardised "slot" for private health care information "storage".

The buildup and digital design of this binary/digital "eME®" structure, with all its body-related points of medical interest, organs, systems and interlinked system components, is a related task that typically will be distributed to expert groups representing the top-level skills in each sector.

3.2. The eME® project is international cooperation!

The required skill diversity is secured by initiating cooperation on this global topic by inviting universities and groups of students representing various universities in several countries, in a mix with groups of seasoned experts, to become vital resources and elements in the project.

The project will invite the students into dedicated medical, pharmaceutical, and nutrition expert groups. Expertise from many countries and skills will join in fulfilling the entire system plan: Building and maintaining a globally standardised "Personal Health System." Likewise, in areas like communication, network security, application development, and Artificial intelligence, joining creative students and technical staff from prime suppliers will represent a potent mix of added creativity along the drawn path to the target.

Students are generally fed old global theories and studies, thoughts already tested and tried, and now serving as mouthfuls of "wisdom" from their lecturers. The effect is that the world stands still in vital areas of medical information handling.

In the eME® global project, the participants will walk into a landscape where the primary roads towards the target, revolutionary organisation- and indexing methods are available. A map is drawn, and the dedicated teams will add detailed skills to their devoted part of the work. From there, creativity, accuracy, spirit, and international exchange of ideas will expand and add the are valuable and conditional for hitting the target by creating this "close to perfect" solution, where no solution exists today.

4. The following is essential for understanding the effects of the patient-centric focus:

4.1. Simplification is the key to healthcare accuracy across standards

"The patient" – the healthcare element everything rotates around- is rarely the focal point in healthcare systems methodology discussions.

The focus is on the institutions and their problems related to technical systems- and content interoperability, inaccuracies, and errors. These are the favourite topics of the technical experts invited into these discussions. They often avoid Patient-centricity - not a favourite subject and often ignored.

4.2. Paid Resources often dislike simplification. It takes the bread out of their mouths.

The reason for leaving patient-centricity and simplification out of healthcare methodology improvement discussions in expert groups is easily spotted when knowing what to look for:

Most "expert consultants" leading the way in these discussions make their living on the broad back of complexity. They are of two groups: hired resources paid by the hour and looking for never-ending consulting contracts, or esteemed "expert professors/lecturers/theoreticians who talk to their audiences and build credibility upon "understanding" and explaining the need for complex solutions. These technical experts, some individuals even arriving as hired experts directly from education with little or no practical skills, will never recommend simplification.

4.3. The change of focus from institution-centric to patient-centric will entail immediate, massive, practical, and financial gains.

Further, this author believes that we have no choice. The change of focus must happen as soon as possible if the world wants to move forward in health care with improved efficiency, accuracy, and overall quality at a significantly reduced cost. During the eME® design- and invention phases, the effect and necessity of patient centricity became obvious.

Further, there will never be a "fight of the giants" between experts over "Patient-centric" or "Institutional-centric" focus or methods.

4.4. The patient centricity will add to the total picture

The added focus area, Patient centricity, will not overshadow the significance or importance of a Health Institutional focus but rather be complementary, strengthening and supporting.

My statement is that by creating the "electronic ME" (eME®) based on a patient-centric thorough and digital information structure, the life of healthcare institutions will be easy and smooth. Added accuracy and error reduction reduce the frustration levels between nurses and doctors. Unlimited, authorised access to updated Patient records across technical barriers will be available. New methods will result in massive cost savings.

The effects mentioned above are what a patient-centric approach to healthcare information handling will add to the toolbox of all Healthcare institutions, small and large. These effects benefit the often-forgotten object in the healthcare chain of events: the Patient.

4.5. Case Example:

When a person enters a doctor's office - or a random Hospital, he is in an Institution-centric sphere. "Institutional" because the local technical, medical, and pharmaceutical information handling may be unique, unstandardised, yet fully functional. The Institutional procedures are institution-unique, following the installed system parameters, and relevant in situ.

Suppose the Patient had coincidentally visited another doctor's office or landed in a different hospital. In that case, rules, standards, medical equipment used, and even medication may be other, hopefully resulting in the best result.

A problem occurs when the two institutions' EPJ systems cannot execute digital communication with each other at the absolute accuracy level required in healthcare reporting. The lack of content interoperability is the root of the alleged global healthcare information chaos!

The solution to the problem mentioned above, plus the complexity of organising the digital information related to each human being on the globe, independent of the Nomenclature industry, is contained in the term "Simlrs® World of Digital Accuracy™."

Traditionally, the paid experts, including "The majors"*, would like to continue tailoring individual hospital systems sitting in local institutions, at an immense total cost, to the flora of "global terms and expression standards". These are delivered, revised, and reissued by the "standardisation- and nomenclature industry – a never-ending story taking us nowhere!

*) "The Majors" is a common term for the large and often global consultant companies cashing in with shuffles on the current healthcare information chaos.

The introduction of a patient-centric approach will change and simplify this scenario overnight!

4.6. Heath systems alignments based on the Harmonizer™(**) technology

The EPJ reporting, whatever norm or standard is used locally, will be aligned** before updating the Patient-centric health information repository. The random institution system or doctor addressing this source of information regarding the Patient will always read the information in its/his local terms standard.

Understanding the significance of this functionality is essential! Terms alignment (harmonisation) removes most problems causing chaos in healthcare information. Terms alignment opens for painless national and global healthcare standardisation, including linguistics.

From this perspective, the importance of updating patient-related information immediately, from Institution-centric Healthcare systems to the Patient-centric Health repository, is easy to understand. All patient-related medical information must reside in the Patient-centric health information repository. This unit will be the primary synchronisation engine for all institutional patient health information use.

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With the Patient in front of him, a hospital doctor may request, e.g., x-rays of the Patient. The request is stored digitally in the Patient-centric health information repository as a pending process, executable without further ado. As the Patient arrives in the X-ray lab, the doctor's request is picked up, read and interpreted by the X-ray machine operator or, better, by the X-ray machine itself. In both cases, guided by patient-biometric readings or basic digital profile information, barcoded or keyed, the X-ray machine will execute the pending process.

The X-ray machine manufacturer will applaud this opportunity to deliver equipment matching hospitals. His concern is limited to reading each Patient's Patient-centric Health information repository, executing the task, and reporting the process digitally at the same place, tagged to the "x-ray needle" of the Personal healthcare information Fir-tree (described later).

**) Later in this paper, the effect of the information alignment tool, The Harmonizer™, is described. In short, the Harmonizer™ aligns data going into and out of the Patient-centric health information repository according to receivers/sender's standards/needs.

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Having completed its task versus the Patient and the medical reporting in the Patient-centric health information repository, the hospital need not pay more attention to this Patient's EPJ information. It is safely updated, maintained and stored at the individual patient level in the Patient-centric health information repository.

Anyone needing this patient-centric information will, when authorised, retrieve it the same way as the hospital, by picking it up from the predecided "fir-tree needle".

Updated, accurate, and complete patient information is available at all times, randomly within seconds when needed, at the Patient's authorisation.

There are no more missing patient journals, lost reporting, or insufficient medical information base for medical action caused by lack of interoperability.

There is no need for individual institutions, including the "good old private doctor," to keep, update and store Electronic (or handwritten!) Patient Journals in his domestic information repository.

5. The simplification effect is massive!

With the eME®unit in their hands, the patients have a complete picture of prior treatments, involved doctors and health institutions, plus an updated medical record stored in their mobile phone, readable on demand within seconds.

From one source, the eME® backbone health information Hub, hospital systems, EPJ systems, AI-supported diagnosis algorithms, and -cure design analysis methods - can collect updated patient information based on a "known to everybody" communication platform.

eME® has developed a method for creating complete digital profiles of every person on the earth today and in the future, including the information structure and the supporting digital lookup technology to match.

6. Historical/demographic patient information is key to the future!

Many countries store decades of historical demographic and medical information repositories for future research. As a rule, these files are inaccessible by normal digital means at the acceptable speed and cost today.

For the scientists:

The GMA / eME™ technology does not differ between dead and alive. With little or no adaption, the eME™ digital profiling- and lookup technology will lift ancient archives stored for decades out into the open. It may easily serve as the base system for bringing historical medical material into the reach of scientists interested in this content for research.

In this case, "into the reach" means direct digital lookup with a split-second response time or via AI-driven, algorithmic, combined, analytic lookup with variable response times, from seconds to minutes, unifying current and historical information along the same structural path.

For illustration:

eME® has incorporated the digital classification tool that will cover this situation and more intricate ones now and in the future.

The Patient-centric approach to Health eliminates the need for health institutions to "ask around" for patient information or store information locally. Instead, they must look for Patient data related to the Patient in question in the eME® information structure. It is tagged to the Patient's health information structure and addressed at the same relative location as every Patient, made available in split seconds.

Thus, serious information management at the hospital level, including information exchange, becomes easy, supported by a Personal Health System.

The "Personal Health System" will be the base for institutional health care. eME® is aiming to become "The Personal Health System."

7. Event-driven healthcare systems

7.1. All health-related information is from actions for one Patient at a time.

GPs, medical specialists in hospitals, and therapists outside hospitals continuously create information about the same Patient. New information arises during the patient examination, treatment, and general care. Not just about the Patient but also associated with the Patient. (e.g., the serial number of the pacemaker he received or the batch number of the medicine in the syringe)

All the actions are "events." The events initiate and control patient-centred information processing. Three analytical results and other relevant information captured are linked to the Patient and the event. For example, when a blood sample is taken (event), perhaps three results occur after analysing and treating the blood.

In a Patient-centric, event-driven information system, all Patient's medical events are stored, documented, and linked to the information that arises.

During diagnostics, treatment, medication, sampling, etc. - event-related information and -results, the Patient's digital "information folder" is updated. A lookup of, e.g. blood values, thus always gives the last picture plus access to the complete history.

All diagnoses, medications, treatments, and complex medical terms that have affected the Patient in an operation or injury are available from the structured, personal patient information system. Information is indexed, codified, and organised, reducing access time to correct and update patient data to milliseconds. In addition, the Patient himself authorises access to personal patient data.

In a Patient-centric health information system, the patients own, control and authorise the use, insight into, and distribution of their health data.

7.2. The support system updates the Patient's Personal Information Folder.

This process works continuously with digital information from his body-mounted sensors. The body sensor technology already covers extensive clinical areas, but that development has only begun.

The continuous updating of private health information "in situ" will, upon request, send patient data between departments in the hospitals' internal systems, doctors and hospitals, or between agencies in the health sector and municipal and state agencies.

All patient information is retrieved by lookup directly or by a digital handshake from remote computers in the Patient's digital "Information folder" in his "digital Information drawer." Everyone who retrieves information will receive the same information content, delivered from "one type of plug" but formatted to their domestic format".

7.3. Terms, nomenclature/vocabulary and content diversity

eME® is providing a solution to the content interoperability problem!

For those who use deviating term standards in their domestic system, eME® translates to their system values using proprietary technology - a digital Harmoniser ™.

7.4. Health is an international topic – The human body is standardised

Yet, on the other hand, patients are individual, proprietary, place-bound, and most often connected to a country with a health system. They have a regular doctor, a pharmacy they know, and treatment with traditional therapists. Nevertheless, one struggles to get documents sent safely between the parties and even between the hospital floors.

When something extraordinary happens, an accident in traffic, or even worse, if something happens while travelling abroad, different and worse problems arise. The hospitals need to be made aware of the person they will save and must start their analyses from scratch.

Conceptually and design-wise, we have designed the eME® technology to be used worldwide, with full linguistic transparency.

With access to eME®, doctors and Hospitals in Spain or another random country can treat their tourist patients in seconds, with updated and relevant health information in their language suit.

7.5. Personal Health systems will pull Institutional systems back on track.

I can tell Norwegian readers that introducing a Patient-Centered Information Philosophy in the Norwegian Health Service does not push the work with existing EHR solutions in the hospitals or the ongoing work with joint municipal journals into the cold.

On the contrary, the problems experienced in Institutional projects often come from the diversity and scope of the information to be processed. The simplification effect of eME® and the introduction of Patient-centered processes entails that all systems can retrieve information about the Patient from a central reference point, like grease in mechanical machinery. The exchange of information will take place via a major "HUB." The HUB has digital harmonisation technology that eliminates technical differences between the local systems. As a result, a significant simplification of the complexity related to confidential health information transmission between parties in the health care system has happened.

8. The eME patient experience

Imagine this!:

8.1. You are visiting the doctor's office carrying an "eME®" unit.

Each time you visit your medical doctor, you bring your complete health information repository, stored in your mobile smartphone, your Private Health Device, the eME® your MedicAirbag®.

When arriving at the doctor's office, your phone automatically connects via a safe and encrypted digital handshake to his computer by a short-distance communication protocol.

Your doctor may have an EPJ system with open medical interface procedures, or he can use the eME® doctors version available for download from the eME® cloud server. Your eME® downloads, under your control, the health information stored in your phone to the doctor's computer. All relevant information for your stay is visible in the Doc's Electronic Patient system. The work done by the doctor, prescriptions and comments are updated in your eME® device and then mirrored to the sky-based level 2 storage (L2eME). If authorised by you, your trusted Doc can connect directly to L2eME any time you need your health details without having access to your "eME."

The health information stored in eME® is complete, trustworthy and, most importantly, quality assured by a global health security control system at level 3, the "L3eME" (described in the more extensive Project information leaflet) - The ElectronicMe®.

8.2. A Safe Personal Health Information Repository

We designed the "eME®"- application to be the personal safe vault for one person's total amount of digital health-related information. The technical top-level end-user interface is Android or IOS-driven Smartphones.

eME® will serve as a local healthcare information repository, a communication platform for local, medical sensor-driven applications.

Expectedly, short-distance signals from monitoring devices inside the body, or "on the skin," will increase. eME® will serve as the communication- and processing centre for this information.

8.3. eME® will be your complete Personal Health Device

You will bring all your health-related information in your pocket, secure and protected from unwanted access but ready for immediate use when required. Your total healthcare repository is mirrored for comfort and safety and stored in a neutral, safe server location.

From this location, it is, by authorisation from you or your appointed access authority, e.g., Wife/Husband/kids/relatives/friends, accessible for medical experts wherever you are in case of an emergency.

8.4. The eME® is stand-alone by design.

Consequently, it will accommodate your medical records, x-rays, readings from under-skin or on-skin sensor technology units, security technology, and tables necessary to execute, e.g., a medication control offline, when you feel it!

A drug prescription security analysis is required when your doctor prescribes a new drug. This analysis may save your life there and then! eME® examines the content of your new drug from the perspective of already existing medication on your drug list and your health parameter readings before it says yes from a security perspective.

The eME® backbone system mirrors your eME® handheld data repository to a secure storage point. At the same time, your eME® updates from back-office quality assurance update procedures. These updates will be backed by global experts in various medicine sectors, from diagnostics to cure design and -implementation.

The scope of the eME® is broad. From the first symptoms of illness through medication, cure design, health monitoring, continuous health security measures, nutrition control and protection against dangerous chemicals found in skin-applied products, and Adverse Drug Reactions from prescription drugs and OTC products. ™

9. For the technically interested:

In the following, two terms need a brief explanation:

Central to eME® is a unique digital information organisation methodology invented to enable the project.

9.1. Patients' information "folder":

The digital individual-centred "Triplings" is a triple-centric, multidimensional information structure designed to detail every human globally, to the lowest known level, today and in the future. Tripling will house and make available digitally all body-related information about each person individually at the request of the owner.

9.2. "Patients' Information Tray":

The terms-organisation method "CLAS™" is the digital backbone that organises and makes available for viewing or processing individual digital information elements in milliseconds. In addition, CLAS™ contains the terms-synchronisation technology Harmonizer®, designed to bridge digital systems using different terms-/nomenclatures or "technical languages" for the same purpose. With Harmonizer™, those who want can keep their proprietary standard while waiting for and anticipating that one of the many standardisation projects underway today will be the winner.

9.3. About open standards/interfaces

All healthcare systems worldwide should be focused on and support open technical interfaces and nomenclatures. A standardisation everyone understands the usefulness of and endorses. Unfortunately, this fight for equality has been ongoing under various flags and banners for decades. So far, without a complete victory to any "General" in any battle.

With its internal harmonisation methodology, the "Harmonizer™" and eME® can support the global interface definitions when eventually decided. Meanwhile, the Harmonizer™ will translate a proprietary terms standard into any international standard.

Standard, open technical interfaces will benefit everyone. So, let's hope we get there one day. eME® could not wait. We designed the Harmonizer™ to solve the digital content exchangeability problem for digital information entering or leaving the system.

Contact information:

Per A. Sørlie

eME® could not wait. We designed the Harmonizer™ to solve the digital content exchangeability problem for digital information entering or leaving the system.

Global Medicines Agency AS

per @ eme. world