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}, "kind": "list", "text": "The Xicheng district in China has a population of more than 1 million and is home to 500 fragmented medical institutions. Its mission is to establish a healthcare management system that facilitates fast, automated and quality healthcare services throughout the treatment lifecycle. The district created systems and standards to streamline the medical care delivery process and provided a platform to integrate patient and medical information to create unified healthcare management system. With the new health management system, healthcare services have been evenly distributed among health facilities so that citizens can obtain healthcare services in their local community, rather than going to central hospitals even for minor illnesses. An integrated healthcare management system across the Xicheng district provides speedy and less expensive delivery of care.", "attrs": null, "canon": { "kind": { "name": "List", "slug": "list", "status": "active", "canonId": "019de52c-f94b-779b-a53b-fd4904a5f4d2", "version": 1, "description": "Bullet or numbered list." }, "tool": null, "subkind": { "name": "Bullet list", "slug": "bullet", "status": "active", "canonId": "019de52c-fc98-7169-a083-5cab805076ca", "version": 1, "description": null }, "framework": null }, "subkind": "bullet", "groupRole": null, "confidence": null, "extraction": { "at": "2026-05-02 19:28:27.775+00", "model": "google/gemini-3.1-flash-lite-preview-20260303", "runId": null, "seconds": null, "promptVersion": null }, "componentId": "49deef61-20f0-429f-b995-4732358e6ceb", "parentComponentId": null }, { "bbox": { "h": 0.25, "w": 0.4, "x": 0.5, "y": 0.245 }, "kind": "paragraph", "text": "Cultivating a cross-systems perspective to optimize investments. As almost each cursory investigation of a city's core systems has revealed, the challenges cities face in their core systems are interconnected (see Figure 7). For example, a reliable, well-run transport system does not just reduce congestion. It improves the health of a city's citizenry by reducing carbon dioxide emissions, stress and vehicular accidents. It frees up more time for people to work – or to relax. Some cities have even seen significant increases in retail sales as vehicular traffic has decreased.", "attrs": null, "canon": { "kind": { "name": "Paragraph", "slug": "paragraph", "status": "active", "canonId": "5f2affc0-941d-4d07-959d-4bfc1930cea4", "version": 1, "description": "Single prose block in the body of a slide." }, "tool": null, "subkind": { "name": "Paragraph", "slug": "paragraph", "status": "active", "canonId": "019de52c-fb80-75af-aa5c-a7a4bfac2433", "version": 1, "description": null }, "framework": null }, "subkind": "paragraph", "groupRole": null, "confidence": null, "extraction": { "at": "2026-05-02 19:28:27.775+00", "model": "google/gemini-3.1-flash-lite-preview-20260303", "runId": null, "seconds": null, "promptVersion": null }, "componentId": "8a88b1ec-6b04-4bff-bf94-1ff7207c36fc", "parentComponentId": null }, { "bbox": { "h": 0.05, "w": 0.35, "x": 0.09, "y": 0.655 }, "kind": "source-note", "text": "Source: Beijing Xicheng District Health Bureau chooses IBM DB2 9 with pureXML to provide EMR healthcare information exchange. IBM. 2008.", "attrs": null, "canon": { "kind": { "name": "Source note", "slug": "source-note", "status": "active", "canonId": "23484952-494b-4a5e-b1ad-550d0d70e948", "version": 1, "description": "Attribution / source / caveat placed at the slide footer. 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"text": "Seek to understand behaviors in their systems and not just respond to events.\nLook for and make connections to other related city systems to understand root causes of problems, the total value changes to systems behavior can have and multi-pronged strategies for effecting those changes.\nRecognize the value of making the right kinds of information widely available outside their specific domains and to the innovation-enabling ecosystem that is driving city growth.", "attrs": null, "canon": { "kind": { "name": "List", "slug": "list", "status": "active", "canonId": "019de52c-f94b-779b-a53b-fd4904a5f4d2", "version": 1, "description": "Bullet or numbered list." }, "tool": null, "subkind": { "name": "Bullet list", "slug": "bullet", "status": "active", "canonId": "019de52c-fc98-7169-a083-5cab805076ca", "version": 1, "description": null }, "framework": null }, "subkind": "bullet", "groupRole": null, "confidence": null, "extraction": { "at": "2026-05-02 19:28:29.011+00", "model": 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"attrs": null, "canon": { "kind": { "name": "Paragraph", "slug": "paragraph", "status": "active", "canonId": "5f2affc0-941d-4d07-959d-4bfc1930cea4", "version": 1, "description": "Single prose block in the body of a slide." }, "tool": null, "subkind": { "name": "Paragraph", "slug": "paragraph", "status": "active", "canonId": "019de52c-fb80-75af-aa5c-a7a4bfac2433", "version": 1, "description": null }, "framework": null }, "subkind": "paragraph", "groupRole": null, "confidence": null, "extraction": { "at": "2026-05-02 19:28:29.011+00", "model": "google/gemini-3.1-flash-lite-preview-20260303", "runId": null, "seconds": null, "promptVersion": null }, "componentId": "201d3027-c25c-48ad-85be-1bf115549fe5", "parentComponentId": null }, { "bbox": { "h": 0.15, "w": 0.4, "x": 0.08, "y": 0.65 }, "kind": "paragraph", "text": "Growth for cities in the twenty-first century will increasingly be driven by people - the skills and knowledge of a highly educated, innovative workforce - and by the ability 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