In development
Maritime IPS (MIPS)
Built for care and work at sea
An International Patient Summary for seafarers, based on patient-mediated exchange: the seafarer carries his own signed health record and decides who sees it.
Patient-mediated exchangeConsentTrust
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 exchange
The seafarer carries his own signed summary in the MIPS app and shares it himself, by QR code or secure link.
Consent
He decides who sees it. Agreeing to a consultation means the treating doctor may view and update it; he is always informed.
Trust
Every entry is signed by the clinic or TMAS and checked against a trust list, so the next doctor can rely on it. Secure and private by design.
Built on the IPS: the foundation
Based on the International Patient Summary, the international standard for cross-border and emergency care. MIPS adds what seafarers need. More about the IPS →
What is MIPS?
MIPS is the seafarer’s own health summary on his phone: medical history, medication, allergies and fitness for duty, in one signed record.
He shares it by QR code or secure link with the medical officer on board, TMAS, a port clinic or a hospital, in any country. Every doctor who treats him adds a signed update, so the next doctor can continue the care without gaps.
Prototype of the MIPS app · example data is fictional
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