Why does my health record not follow me when I change providers?
機会
The United States has no national patient identifier: Congress has blocked one since 1998 over privacy concerns, leaving institutions to match patients probabilistically using name, date of birth, and address. FHIR provides a standard wire format for health records, but without a reliable identity layer, the same person appears as a different record at every institution and merges or mismatches happen silently. The Office of the National Coordinator for Health IT reported in its 2026 Annual Meeting materials that only 43 percent of US hospitals routinely participate in all four interoperability domains. New federal mandates requiring FHIR-based prior authorization workflows beginning in 2026 are now exposing this identity gap at scale, with denied authorizations and broken care transitions as the direct cost to patients. Algorithmic matching exists but produces false positives and false
重要な理由
A patient identity layer that works across institutions without a centralized government identifier is the foundational primitive that makes every other health interoperability mandate deliver its intended outcome.
機会をどう評価するか
Opportunity Scoreは測定値ではなく、私自身の見解です。どれほど痛みを伴うか、どれほど頻繁に影響を与えるか、そして今日時点で解決策がいかに少ないか。スコアが高いほど、構築する価値が高いと私は考えています。
それが現れたときにどれほどの痛みをもたらすか。
実際にどれほど頻繁に人々がそれに直面するか。
今日時点で、それに対する優れたツールがいかに少ないか。