An accident happens on a farm and a man is taken to the nearest hospital, a tiny Critical Access Hospital, the only urgent care facility in the area, an hour drive over unpaved roads from any other hospital. The medical team stabilizes the patient and then sends him by helicopter to the nearest tertiary care hospital. What if the Critical Access Hospital could electronically transmit the patient’s medical record, including his lab and imaging results, to the tertiary care hospital while the patient is still in flight?

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