For decades, most of us working in health informatics and e-health have lived on the assumption that ‘interoperability’ is one of the main things we are trying to achieve, and that it is the most important because the lack of it blocks progress on nearly every other priority. In the last decade, the gold version of interoperability has become ‘semantic interoperability’, a fabled Nirvana in which today’s sewers of recalcitrant proprietary data are magically transformed into a sea of pure Evian whose meaningful molecules will be ‘understood’ by drooling next generation apps that will instantly discover what is wrong with each of us, and tell us how to fix it.
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