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The VA has something called BlueButton that looks really cool (https://www.va.gov/bluebutton/) and I think should be standard practice across all EMS systems (one click export of all a patient's data to a single text file).

The file format itself seems like a bit tough to parse, but the concept I love.

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Blue Button technically is an industry-wide standard though its origins were indeed in the government. I've seen it supported in a couple of the private healthcare systems I've used (though I haven't ever used the resulting data download unfortunately!).

https://en.wikipedia.org/wiki/Blue_Button

There's a pretty good library that helps parse those bluebutton documents:

https://github.com/amida-tech/blue-button

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