The document discusses developing a model for access to health records that can accommodate diverse cultural perspectives and enable interoperability across jurisdictions. It proposes an "access object" model where metadata objects containing access rules and encryption keys are created alongside health data and act as proxies to control access. A request object containing the requester's identity, role and reason for access is matched against the access object's rules to determine if access is granted.

52. We should work to facilitate global healthcare But it will not happen of itself, we would need to decide to do it...