The road toward true systems interoperability, however, is fraught with challenges. Imagine this: Your mother is rushed to the emergency department (ED) in the middle of the night. The doctor treating her doesn’t have access to her medication list. Your mother is under duress and can’t communicate with clinical staff, so intake questions are left to you. What medications does your mother take? Has she had an adverse drug reaction? When did her symptoms start? All you can do is stare at the doctor and say, “I don’t know. I don’t live with her, and she has always taken care of herself.

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