Miles Ahead brings conceptual architecture to life. We develop and implement open standards for health and care in order to make collaboration and information sharing between existing and new IT systems easier. We want to see the integrative vision on health realized so that citizens (we, ourselves) have more possibilities to prevent illness, to become healthier, and to better cope with challenges and limitations. Together with a community of organizations, we develop GIDS, Health (Gezondheid), supported by an Integral Digital System. With methods like ‘agile architecture’ and 'ingroove design approach’ we prevent the pitfalls of rational-technical methods and embrace the complexity inherent in our joint mission. We use these methods as minimal structures to realize sustainable and generative solutions that we can easily adapt.