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We have defined a Universal Exchange Language (UEL) for healthcare that takes a green field approach to the development of a novel “XML-like” language. We consider here what given a free hand might mean: a UEL that incorporates an advanced mathematical foundation that uses Dirac's notation and algebra. For consented and public information, it allows probabilistic inference from UEL semantic web triplet tags. But also it is possible to use similar thinking to maximize the security and analytic characteristics of private health data by disaggregating or “shredding” it. Both are scalable to millions of records that could be spread across the Internet.