[erkok]

I commend you trying to tackle such a challenging domain, something that feels should be handled on state level.

As a citizen of Estonia, we pretty much have any government service available over the web, and yes, we also get to enjoy state provided health care, which makes things simpler when it comes to having a single unified system for all health care workers, which we have, have had for quite a while, probably for a decade or more. And it works, including patients who can also log into the system to check any data that is collected on their behalf.

[dgoncharov]

Thank you - it's a difficult problem for sure, but that makes it all the more fun and rewarding.

> should be handled on state level

Many of the aforementioned HIEs in the US are actually offshoots of state, or federal, government initiatives like TEFCA. We didn't go into details in the post, but the main HIEs are definitely not privately held startups - mostly nonprofit state sponsored organizations.

> we pretty much have any government service available over the web, and yes, we also get to enjoy state provided health care

There are pros/cons of state run centralized government systems for sure - with Metriport as a communication layer, we're hoping to bring providers in the US the best of both worlds for data exchange.