In development
Maritime IPS (MIPS)
A medical record that sails with the seafarer
An International Patient Summary for seafarers, based on patient-mediated exchange: the seafarer carries his own signed health record and decides who sees it.
The problem
Seafarers receive care on board, from telemedical services (TMAS), in port clinics and in hospitals all over the world. Their medical information rarely travels with them: the next doctor often starts without history, medication or allergies.
The people who keep the world moving
Fatigue, physical strain and long periods of isolation make seafarers a vulnerable occupational group. Yet instead of a medical record, they often carry a loose bundle of documents collected over a career, and they have the least influence over how their own medical data is collected, stored or shared.
Blog on openEHR.org, October 2026Why 2.57M seafarers deserve better access to their own health dataRead the blog →The solution
Patient-mediated
The seafarer carries his own signed summary and decides who sees it.
Built on the IPS
The International Patient Summary (IPS) is a standardized, minimal, and specialty-agnostic electronic health record extract designed to provide essential clinical data for unscheduled, cross-border, or emergency medical care. MIPS builds on it and is especially designed for the specific medical needs of seafarers.
Privacy by design
Secure, verifiable and built on open international standards.
What is the International Patient Summary?
The International Patient Summary (IPS) is a standardized, minimal, and specialty-agnostic electronic health record extract designed to provide essential clinical data for unscheduled, cross-border, or emergency medical care.
It is an international standard (ISO 27269, implemented in HL7 FHIR IPS) and part of the G7 International Patient Summary Roadmap. Because countries use the same structure and coding, a doctor in another country can read and use it.
MIPS builds on this standard and is especially designed for the specific medical needs of seafarers: working at sea, far from medical care, with treatment in many different countries.
More about the IPS →
Status
In development, with a working prototype.
Next: a pilot with maritime partners. Interested in taking part? Get in touch.
About
MIPS is developed by Enigma Global eHealth, founded by physician Remko Schats, MD PhD MBA. His hands-on experience of several years treating seafarers at the Port Health Centre Rotterdam is the foundation of the product: built from medical practice, not from a desk.
Enigma Global eHealth is an industry partner of openEHR International.
Standards and network
International Patient Summary (IPS)Standard: ISO 27269 and HL7 FHIR IPS
HL7 FHIRStandard for exchanging health data
openEHR InternationalIndustry partner
ISfTeHInternational Society for Telemedicine & eHealth
WHO ICVP and GDHCNDigitalisation of the yellow card and wallet; Global Digital Health Certification Network
Erasmus University RotterdamESHPM
Erasmus University RotterdamRSM
FESTMIHFederation of European Societies for Tropical Medicine & International Health
Dutch Global Health HubPartner; Ministry of Health, Welfare and Sport
Barcelona Health HubMember
UtrechtIncGlobal top 10 university health incubator