This is a story about a project called 'arc en Ciel', with partner IBM to implement an Electronic Patient Record (EPR) system that could be shared by all hospitals/clinics in Quebec.

The customer had to manage non-text based data, X-rays, scans, etc. along with providing a telehealth service, enabling remote communities to have the benefits of highly qualified medical personnel able to review remotely taken images to assess the status and best treatment for the remote patients. 

Relavance and Medical Computer Inc. made a Joint Venture to solve the situation together with IBM where:

a. MedComp could transmit and store any picture and x-rays by remote control, under the specialists' control, on one of the first Telemedicine products in the market – Atlas TeleMed.

b. Relavance solved the privacy issue by enabling token references to each individual private patient record to be passed to IBM's central system, so the central system would know that the data regarding a particular patient resided at, say, hospitals X, Y, and Z, it thus could consequentially be shared when access was granted.

With the Relavance software we could ensure that clinical data was segregated from patient identifiable information and that the clinical data could be readily available in a compliant way for secondary use such as research and statistical purposes for Medical, Insurance, and Pharmaceutical companies.