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  • Documentation describing the requirements for a semantically interoperable healthcare ledger including:
    • Policies that guarantee interoperability
    • Transactions needed to complete an episode of care
    • Semantically interoperable Assets that can represent clinical artifacts whether or not the actual artifact is stored on or off chain
    • Use-cases that reflect real-life episodes of care
  • POC : A functional (minimally viable) blockchain
    • Multiple health systems capable of storing / retrieving assets
    • Software and system design documentation (SDD)
    • Git code repository
  • Lessons Learned and next steps
    • Walk-in immunization use-case
      • Enumerate the assets and transactions needed to represent the episode of care
      • Develop the FHIR resources based on asset and transaction models
      • Implement a Policy Proof of Interoperability that can calculate semantic interoperability based on algorithms developed by Mayo Clinic.

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