Reflecting on my last post: where you store your health data should be a choice, like picking a server on the #Fediverse.
We don't need more national databases or HIEs to act as "landing zones" for unorganized data. HIEs often fail because they are just dumb pipes moving unstandardized noise.
What we need is a shared vocabulary (#OMOP/ #FHIR).
When we have that, the location of our data can be a choice, and we can let the protocol handle the rest. #HealthIT #Interoperability

