Diseases are no longer restricted to geographic limits and health is a planetary concern. Physicians must improve communication skills and practice global interdisciplinary work. Medical knowledge is universal and belongs to everyone. Medicine is an exercise of collective intelligence. Patients always wait for the best recommendation, the one supported by the best level of evidence. Doctors, anywhere in the world, use the same reasoning when solving clinical problems, which has already turned Medicine into a global language. Currently available AI-based translation systems have overcome semantic barriers, which has additionally facilitated communication between people working in different cultures and countries. These systems can be easily incorporated into the previously proposed patient-centric DHR model. Therefore, there are no limits to achieving accurate and cost-effective international cooperation. There is also no need for patients’ clinical data to be restricted to a single healthcare provider. The proposed personalized-DHR is an inclusive model, created for patient empowerment, favoring clinical data portability and making it accessible in real time, anywhere in the world. Clinical data portability solves interoperability and enables ethically driven data flow among all stakeholders. Patient-centric clinical data flow will not only guide specific healthcare needs, but will also provide anonymized big data for a new AI-driven clinical trial methodology.

5 To better understand interoperability in healthcare, visit www.4health.network