Bingo. If you search for my previous comments in this thread, you can see my concerns about the general state of IHE's. In one of the comments I mentioned abo

Bingo. If you search for my previous comments in this thread, you can see my concerns about the general state of IHE's. In one of the comments I mentioned about Blue Button, which allows patient's to pull their data. (To be fair, I haven't really seen the button in too many places out in the wild). I guess ultimately in order to be able to get your charts from where ever you move, all those smaller IHE's need to feed into one repository and then have those scale up from county to county and even statewide. The problem with that of course is how all the partner systems are queried or what profiles that have decided to use. i.e. will a data source being pushing documents to the repository every time there is a new patient or update, or will that network go out and ping every data source for their most up-to-date record. If PatientBank is just dealing with Fax primarily and working with FHIR, I am curious how long they will work with Fax until there is a high adoption rate of FHIR for them to be able to get properly clinical items, that one of their clients could then pull their data and then push their data to their new provider.