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.
-------
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.
-------
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
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
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