It seems when moving from paper to digital no one considered that the patient data will still be fragmented in the same way as it is with paper. Each clinic a patient visit will have a piece of the picture but no one has the complete story. The current fragmented state is a complicated scenario to solve within environments who have widely adopted digital records such as the US. The difficulty is most of the data is already electronic within various types of systems, and each EHR vendor would have to find a way to transfer the data, and some vendors may not want to. With healthcare in the Caribbean being mostly paper base (9/10 doctors still use paper) this headache of how to retrieve data from so many different types of EHRs is virtually non-existent thus providing a perfect environment to be efficient from the beginning.
A significant part of the plan is to create data in an aggregated state. This approach means instead of the medical data being accessible only to the clinic who created this data it is now external, and part of the patient’s comprehensive medical profile. The second part of the plan is to create patient portal profiles which will provide patients access and permission privileges to their data.