Patient Centered Medicine and Technology Adaptation The information about our individual health- care is largely stored in metal filing cabinets on paper. We are 10% through the 21 st century and a tiny percentage of medical records are electronic. Some countries are further ahead than others, but overall our data is far from interoperable. Clinical intervention tools continue to march forward but our records do not. We can, however, finally say this is changing. The amount of data that will be collected about our bodies will not only be voluminous, it will also be combined with others. Subsets of data will be extracted for research and reported in aggregate for outcomes called research informatics. These outcomes will drive best practice guidelines and track trends for public health. Superbugs that de- velop resistance to many or all known antibiotics will continue to plague our global society, and identifying outbreaks of disease as early as pos- sible is our best defense. But we need extremely tries, will morph into software as a service (SaaS). Hosted versions of medical data will arise for our burgeoning global village as clinicians recognize they are in healthcare, not information technology. On the clinical side, fascinating new technol- ogy will enter the arena of asynchronous health monitoring. Personal area networks (PANs) will surround our bodies, sending vital signs across the network. In the coming years we will see incred- ible capabilities such as micro-machines. You may drink orange juice that has microscopic sensors floating within. These miniature robots will cir- culate through your system and seek out dangers or markers far sooner than we can today. As you step on the scale, a burst of energy may contact these roving machines. Any suspicious activity, such as excessive cell reproduction indicating a birth of cancer, could be reported to the scale. This information, along with traditional vital signs such as weight and temperature, could be sent