This document discusses creating a digital and trustworthy evidence ecosystem to increase value and reduce waste in healthcare. It proposes integrating evidence-based medicine into electronic medical records through a multilayered guideline authoring and publication platform. This platform would provide structured, tagged content from individual studies, evidence profiles, and recommendations to guide clinicians and aid shared decision making with patients. New evidence would dynamically update guidelines to ensure best practices. The goal is to make knowledge translation more efficient and effective.