Yes, access and authorisation are key elements, you want it secure, but available (without your authorisation) to medics that may need it.
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Yeah so we're working on a project called Solid with the inventor of the web. Basically there's a startup in the US that wants to give users the choice in where their data goes. Solid has some access control options where you can choose who sees what. We could import that into nostr one day. What they want to do is lower the barrier for clinical trials because moving data around is one of the biggest barriers, it takes ages, lots of forms for consent, data is still sent by fax! I think the NHS did actually do a pilot. But Solid is a bit like nostr, actually its what I worked on before making nostr, and they are designed to fit together. But, it's still a "we're sill early" type thing, with lots of bugs and paper cuts. The security can be untested at times. But ... at least it's open source, open registration, open protocol. If it was ready I think the NHS would probs do a pilot. But it's not quite. Building FOSS stuff is hard...

Solid Project
Solid: Your data, your choice - Solid Project
Solid is an evolution of the web by its creator Sir Tim Berners-Lee. Solid realizes Tim
We have been building exactly that for the past year or so. Current thinking is here 
GitHub
NIP-82: Medical Data by vitorpamplona · Pull Request #357 · nostr-protocol/nips
This PR creates two new event kinds designed to encode, encrypt and determine consent to access medical information using FHIR over NOSTR.
Read her...
healthplan can be easily carried with & default trusted source as backup instructions