FHIR instead of all legacy standards. Also ISO IDMP to make referencing medicines way easier.
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There are a bunch of message broker services out there, and having a consistent set of common keys along with a documented process for transforming events to/from different systems means that this kind of data can move through different systems without getting mangled. It does have a spec for JSON, so it can be considered just a standardized JSON blob with transformation rules. But it also has a protobuf spec, specs for MQTT, NATS, HTTP, Avro, etc. It’s a common language for all these systems.
definitely some alternative internet mesh routing standart, just imagine if every device with wifi or ethernet could just extend the network without relying on an isp, yeah they could still serve as a fast backbone, but they just wouldn't be needed and no disaster could really ever disrupt the whole internet again
honestly: activity pub, matrix, xmpp, markdown and soo many more probably. All of these would be able to solve our walled gardens problem, but the apps with a basically monopoly don't have much of an incentivw to implement them