H-FLOW was designed to extend care to the general population, assessing healthy lifestyles and promoting epidemiological surveillance. Interestingly, it has proven to be the main driving force for a new and inclusive patient-centric care model, potentially benefiting all stakeholders.

A previous initiative, called 4-HSN (www.4health.network), brought together the most representative health stakeholders to better understand their expectations and hear suggestions for improvement. Collectively, they had complementary skills, found in medical knowledge, basic and clinical research organizations, universities, government, media, health data managers, IT and AI companies, hospitals and clinics, public and private health insurance organizations, pharmaceutical and high-tech companies.

At first, many participants considered this utopian, as they had interests that diverged on many points. However, highlighted drawbacks were considered to be interpretation biases, as their critical comments were based on isolated and very specific roles played in a healthcare system that was far from ideal.

At that time, it was understood that the most appropriate way to obtain consensus among healthcare stakeholders would be to propose a change in data flow, which, in addition to being more physiological, should meet the strategic goals pursued by each party. In fact, at that time, no one was completely comfortable with their role in the current healthcare system. The proposed new data flow would meet a long-standing hope of all parties.

The magic touch was to focus on **patient-centric and ethically driven data flow** as a catalytic component for stakeholders satisfaction. This seemed predictable, considering that all healthcare stakeholders work for the benefit of people—the same people they depend on to achieve their goals.