A silent animation, 2 minutes and 22 seconds long, in seven steps. The on-screen text is in Spanish.

  1. The problem. A laboratory, a hospital and a clinic care for the same person, John Doe, but their results travel printed on paper, arrive by mail "if they arrive at all", or require a phone call to the laboratory. Your results exist, but they don't follow you.
  2. A community. Today, five organizations need ten integrations with each other, and every change breaks something. With a health information exchange (HIX), each organization builds a single integration with the community, based on open profiles and standards.
  3. One person, many identities. Hospital A, laboratory B and clinic C know the same person by different identifiers. A master patient index (MPI), fed by the official identity source, links them into a single record without creating a new one, and the community keeps that link.
  4. The laboratory publishes. The laboratory validates a urine culture and sends the community only metadata: what it is, whose it is, where it is and its confidentiality level. The content stays at the laboratory.
  5. The hospital finds. The physician asks the community what there is for John Doe, stating the purpose: treatment. The index returns the laboratory's urine culture and a blood count from hospital B; a highly restricted record from the clinic is shown only in emergencies. The community retrieves the document from the laboratory with a single-use authorization. The hospital asks the community, not each custodian, and only sees what it is entitled to.
  6. The person sees their results. John Doe signs in with a verified identity and sees their own results, and only theirs.
  7. Secure by design. Laboratory, community and hospital connect over X-Road. Every access is authorized, travels protected by X-Road or HTTPS, is verified and is logged.

The person's data is fictitious.