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great jeremy thanks very much and you can turn on the slides so good afternoon everybody uh as jeremy mentioned im jonathan teich and im chief medical information officer and head of product management for intersystems and so those of you familiar are not familiar with inner systems and will know that we are really focused heavily on aggregating data unifying data taking data from wide ranges of sources of wide formats and and wide coding systems and putting them together to make a common unified care record that can be used for lots of different purposes so this is a tale of how big diverse data is critical for many many purposes but certainly flawed and how a systematic approach to clean and normalized and harmonized and aggregated data is essential for making this highly useful for policy for care improvement for analytics for community alerting so well talk about uh what could be possible what goes wrong and some things about how to fix it and what can happen at the good side o