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nates

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<3 thank you. I have done a lot of research, and yes my healthcare knowledge is somewhat lacking. However my goal was to ask an open ended question to see what others are doing. Research is always key. I also do plan on hiring those with experience in the space as well

Makes sense. I am sure I misworded, and got turned around a bit. Much of the documentation with fhir talks about oidc. Which seems to be in place if you are doing much more sharing of your data. These things as you mention are probably beyond what is necessary initially and could be added at a further date. However using a service or an open source project that can allow to scale to that size is an interesting proposition.

haha yep, i thought of this like 6-8 years ago. from what I've sorta thought of in conjunction with your statements, I'd like to add that there's numerous processing and hacking issues and whatever else. It's extremely insecure. The closest we will get to this is the "cloud".