@atomicpoet this is an interesting topic ... I am developing an app to integrate one's experience with the US medical system into the Fediverse.

My approach when sending a message to e.g. Mastodon is to have it masquerade as a Mastodon message (HTTP sigs the whole nine yards), it's a lot of work but it does not require that Eugen and his awesome team cooperate.

It's called HealthPub™ I'll be talking about it more here.