The Invisible Patient: Bridging Personal Health Platforms with Hospital Care Through Extended Systems Theory, Professional Bureaucracy, and EU Interoperability Dimensions

Analysis of the interoperability gap between personal health platforms and hospital care in Sweden. Uses the Five Model (extended with data, knowledge, context), Mintzberg's professional bureaucracy, EU Interoperability Framework, Ward and Daniel's Benefits Management, and SMILE methodology. Proposes a bridge architecture with mathematically verified privacy (DPella differential privacy). Includes protocol specification, three falsifiable propositions, and impact delta quantification. First Swedish mapping of personal-to-hospital interoperability across all six EU dimensions for surgical care.