ArticleClinical epidemiology2026
From Concept to Implementation: A Policy and Standards Roadmap for a Global Medical Record System for Travelers with Chronic Disease.
Article in Clinical epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
International travel by people with multimorbidity and polypharmacy is increasing, and clinicians who treat these patients abroad seldom have access to accurate and current information about them. Mechanisms for cross-border exchange do exist: the International Patient Summary (IPS), European cross-border health services, and national patient portals all move summary clinical data between jurisdictions. What none of them yet provides is automated abstraction of decades of longitudinal records into a short summary, and reliable determination of which diagnoses are active and which medications are current. They also do not provide consistent deployment across jurisdictions that record and code data differently. Sørensen (2022) established the clinical case for a Global Medical Record System (GMRS) and outlined its core data elements. We argue that four recent developments provide a window of policy opportunity: COVID-19 vaccination credentials, which showed that portable health data can be deployed at population scale; formalization of the HL7 IPS as an ISO standard with an implementation guide (FHIR IG); regulatory mandates for health data interoperability in the United States and the European Union; and an ongoing transatlantic collaboration aimed at mapping a GMRS algorithm onto those standards. Herein we make a policy case for coordinated international action, describe the standards pathway of mapping the GMRS to the FHIR IPS and United States Core Data for Interoperability (USCDI), and propose a structured maturation pathway for research and validation via a Denmark-United States collaboration. The GMRS would add to the IPS an abstraction layer that decides which of a patient's accumulated entries belong in the summary. We present this as a proposed roadmap and policy argument as the GMRS algorithm has not yet undergone formal validation which would be required before actual deployment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.