Another local hospital closed its doors. This points out a major flaw in interoperability schemes. They are not resistant to business failure. The very flawed assumption is that medical entities last forever. The premise is that others get these little carefully regulated squirts of information from these entities. What if that entity no longer exists? All continuity lost, all data lost. All of these laws and regulations and standards and years spent on all these schemes are built on that flawed assumption. Now what?