An international foundation · In formation 2026

The doctor–patient relationship, carried into the digital age.

An international foundation to protect the trust at the heart of healthcare, as care moves into digital systems.

The missing foundation

A record about you, not with you.

The digital health landscape grows every year. Files, folders, systems. Neither the doctor nor the patient can say with certainty where a given piece of information lives.

The fundamental problem is that today’s record is a record about the patient, not with the patient.

The digital transition in healthcare is not, at its core, a technology problem. It is the question of whether the trust between doctor and patient, the relationship on which healthcare has always depended, can be carried into digital systems intact.

Three principles

The consultation, the co–note, the shared oath.

Three ideas carry the trust of healthcare into digital systems. Each stands on its own. Together they describe what a trusted digital space for health actually is.

A note on language. Throughout, ‘patient’ is used in its broadest sense: every person whose health is in play, across the whole lifespan. Health begins before birth and extends to the end of life. This is why the oath is phrased around health itself, not only around the treatment of illness.

The consultation.

The one–to–one encounter between patient and doctor, confidential and open, continuous across time. A relationship that accumulates, flexible in modality, timing and place. Every digital system that touches care must protect it.

The co–note.

What emerges from the consultation is not a record about the patient. It is a record made with them. Curated together, held in confidence, governed by dynamic consent that can be revised whenever it stops serving the patient’s health. Data is the new written note. The note belongs to both.

The shared oath.

The Hippocratic Oath is not only for physicians. Everyone who contributes to health, from the bedside to the boardroom, from the data scientist to the jurist, from the technologist to the policy maker, carries a share of that commitment. The oath is the compass. It belongs to the whole ecosystem.

Three principles. One relationship at the centre.

The three principles, the co–note concept and the Hippocratic Oath v2.0 are intellectual property of CatalyzIT © 2017–2026, used under licence by Digital Connectivity on Trust. All rights reserved.

Where the oath and the right meet

A promise and a right, in one place.

Trust in healthcare rests on two pillars that have evolved along separate paths: a professional commitment that is two thousand years old, and a human right that is constitutional. Both belong at the heart of every digital system built for care.

The professional commitment

As a physician, I promise my patient that care and health can be entrusted to me.

I will treat health information with confidentiality, and make it valuable and available, together with my patients, for the knowledge network of colleagues and for everyone who contributes to health.

I will lead technological development, for the health of my patient and of society.

The human right

Every person in the European Union has a fundamental right to the protection of their personal data.

Article 8 of the Charter of Fundamental Rights. Constitutional since the Treaty of Lisbon.

In the clinical encounter, this right and the professional oath are the same commitment, seen from two sides.

The professional carries the oath. The person carries the right. Trust lives where they meet.

The Hippocratic Oath is not a relic. It is the compass of healthcare in the digital age.

The Digital Oath © CatalyzIT 2017–2026. Used under licence.

What we are building

Three lines of work, one purpose.

Digital Connectivity on Trust is being formally established in 2026. The foundation works along three closely related lines, grounded in the principles above.

DCT Dialogues.

A series of focused online conversations, each built around one of the three principles: the consultation, the co–note, the shared oath. One keynote voice, clinical, technical, legal or philosophical, followed by two respondents from the other fields. Short, sharp, substantive. First series launching in 2026.

An international network.

Physicians, jurists, scientists, policy makers, technologists and ethicists from across Europe and beyond, joined around one conviction: technology should serve the human connection that healthcare depends on. The board is being assembled now.

Knowledge and translation.

From position papers to public writing, making the work of the technical and legal community legible to the clinicians whose practice it shapes, and to the patients whose lives it touches. The conversation cannot stay inside the experts while the gap stays open at the bedside.

Gabriëlle Speijer, MD
From the founder

I am a physician. After twenty years in clinical practice as a radiation oncologist, I know this for certain: trust does not live in systems. It lives in the connection between two people. Every network of trust, however large, is nothing more than those one–to–one connections, woven together.

Now we are bringing healthcare into the digital world. The same trust. The same one–to–one connection. It should be built in by design, not left to chance, not treated as an afterthought.

Three things are missing from the digital health conversation today. A clinical voice at the centre. A view that crosses the silos. And a translation into the language of the people whose lives are at stake. That is what I bring, together with leaders from across disciplines and borders.

Digital Connectivity on Trust is the foundation through which we make this real. The expertise is in place. The moment is now.

Gabriëlle Speijer, MD Founder & Chair
Join & support

The building blocks are there.

Digital Connectivity on Trust is being formally established this year. We welcome physicians, patients, jurists, technologists, ethicists and funders who share the conviction that the doctor–patient relationship deserves a guardian in the digital age.