This is really interesting. I used to work for a company that operated as a data steward for hospitals to analyze their claims data, and there was always a lot of discussion about FHIR. I could definitely see companies like this being essentially private relay operators, with EHRs integrating with them. If there were a sufficient number of private relays with hospital contracts, they could create a pretty well distributed network that would enable me as a user with a log-in to an EHR, to instantly share my record with a different health system. A lot of the data “risks” of third parties holding medical data are already being taken today for the purposes of analytics and research. The same compliance rules and standards could apply to relay operators that accept this data. I’m envisioning a much harder barrier of entry for relay operators, being gatekept by those that health systems are wiling to write to (obviously an individual can do whatever they want with their own data outside of HIPPA standards). Super interesting idea.