Sounds very similar to a Personal Health Record concept — where the patient owns/manages the access. Another concept that’s been floated is a personal health record bank — that mirrors the banking function of finance. Records are escrowed by a governming entity and then checked-in/out as needed.

There are no shortage of ideas, but the challenge is getting traction in an ocean of competing interests and technology.

My view is that it’s a core — infrastructure challenge. There are over 400 vendors who have built/sold EHR software into U.S. healthcare — and they are each predicated on a proprietary database. That’s not solvable with a whole new mechanism outside of healthcare — even if it does put the patient at the logical center of data management.

In the end — UPI isn’t the biggest problem in healthcare — but it’s the first.

http://healthstandards.com/blog/2015/07/21/interop-technical-or-business-p3/