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• W2972056592 abstract "This book begins by adopting the Western Hemisphere’s concept of time as being composed of the past, present and the future as well as being tied to the concept of space. The concept of space, in physics, has three dimensions, which as a spacetime, becomes a mathematical model that fuses the three space dimensions of length, width and height, with the one dimension of time, yielding a single four-dimensional continuum. The acceptance of the process that involves time and space as defined in everyday usage, still creates an additional layer called time and space complexity. So, regardless of how time and space are defined, they are not easy concepts to grasp. A medical or a health record, sits in some defined space, and is processed as it is ported and or delivered from the beginning of some time to the end of a defined time. It would include space complexity involving the amount of computer memory—fixed and variable memory—required to solve the problem of any given size as a result of that porting. It would also depend on the running time or time complexity as measured by the size of the input data, the hardware, the operating system and the programming language that is used. The running time would yield some cost. When and where the records are varied and fragmented, the costs escalate. Therefore, regardless of how time and space are perceived, conceived, or defined, it is clear that a portable health record in a mobile society is a complex matter. Today’s electronic health record system maintains an isolated sliver of a patient’s health record. But, today’s patient as a healthcare consumer, wants healthcare commoditized and expects similar levels of convenience, consistency, personalization and reliability as provided by other consumer services. There is an additional need to capture the health records carried by patients and include them in the electronic record system. The need is to move the formal and fragmented record from the confines of its local EHR to a common, secure, distributed and accessible space where afterwards (time is expensed) it becomes useable. An emerging technology, the Blockchain distributed ledger technology used by BitCoin seems to address that problem. Artifical Intelligence (AI) using machine learning algorithms provides a way to extract salient health record data. Also, the Blockchain technology addresses interoperability challenges, is based on open standards, and provides a shared distributed view of health data that remains private and secured! Towards that end, Electronic Health Record systems could be transformed into systems that access and update a common patient specific branch of a healthcare focused distributed ledger. Each entry in that health ledger would then be validated by the contributor, secured by the platform and authorized by the patient or their agent. The Blockchain technology would engage millions of individuals, health care providers, health care entities and medical researchers who would also like to share vast amounts of a variety of data. There is thus, an urgent need and it seems imperative to commoditize electronic health record! Where this aspect of healthcare becomes a commodity, that would imply a uniform and universally accepted definition of the end product. Maybe, that would curtail and or offset the spiraling cost of the US Healthcare system, and it can be done within the confines of spacetime!" @default.
• W2972056592 created "2019-09-12" @default.
• W2972056592 creator A5088401900 @default.
• W2972056592 date "2019-01-01" @default.
• W2972056592 modified "2023-09-26" @default.
• W2972056592 title "Introduction: The Context of Time and Space" @default.
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• W2972056592 doi "https://doi.org/10.1007/978-3-030-19937-1_1" @default.
• W2972056592 hasPublicationYear "2019" @default.
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