Mediout

Mediout is a term used in healthcare information technology discussions to denote a hypothetical middleware layer that mediates outpatient information flows among electronic health records, patient portals, and telemedicine platforms. The concept emphasizes privacy, consent, interoperability, and patient-centric access to information. In speculative use, mediout acts as an intermediary that translates between differing data models and access policies so clinicians, patients, and pharmacies can interact with the same information without being constrained by vendor-specific interfaces.

Architectural overview: A mediout system typically consists of a central broker, adapters to connect various data sources (EHRs, lab systems, imaging repositories), a policy engine for access control and consent, and an API gateway for external applications. Data mapping to standard formats such as FHIR and HL7 V2 is common, with security built on OAuth 2.0/OpenID Connect and strong auditing.

Applications: Appointment coordination, medication reconciliation, result sharing, and remote monitoring integration. It can support patient-generated data from wearable devices, medication refill requests, and asynchronous messaging between care teams.

History and status: Mediout has been discussed primarily in academic and industry conjecture rather than as a widely implemented standard. Proponents argue it could reduce administrative burden and improve continuity of care; critics point to privacy, governance, and the risk of increasing system complexity.

See also: Health information exchange, interoperability, FHIR, HL7, telemedicine, patient portal, electronic health record.