Clinicians on FHIR, Pareto and the Clinical Unknown

I spent an enlightening day at the Clinicans on FHIR event at the King's Fund on November 21. It was good to get a pure FHIR perspective with a group of people who were there to learn about the technology. Although one particularly savvy chap did ask the question about the FHIR hype cycle, the presenter, David Hay admittedly avoided giving a detailed answer. But did add that FHIR advocates feel a responsibility to to dampen down some of t...

I'll be at EHI Live talking about open platforms

I'm pleased to be attending EHI Live on October 31 to speak briefly about the importance of open platforms, OpenEHR, FHIR and the Apperta Foundation's 5 Nations Clinical Modelling Sub-group where I represent NWIS alongside Dr Mark Wardle. The group are colloquially called the 5NCKM...not the catchiest moniker but in essence we are there to see if there is something tangible that can be done from the perspective of all home nations and Ireland ...

HL7 FHIR and OpenEHR in a 52 minute nutshell

Although these videos have done the rounds, I'd recommend anyone who has not perused the Interopen InterOp Summit YouTube channel to spend some time watching their content. In particular there's an excellent video of Ian McNicoll's talk on OpenEHR and David Hay giving his opinion on "Why you WANT to be on FHIR". 52 minutes and 13 seconds of pure interoperability enlightenment... What is clinical information modelling by Ian M...

Round 1: FHIR vs OpenEHR...FIGHT!

Following the recent OpenEHR event held at Ziferblat Media City in Manchester by Salford Royal NHS Foundation Trust, the debate on OpenEHR seemed to heat up quite considerably. It led to an interesting bit of tit-for-tat trolling discussion on Digital Health (which I of course took part in) with the announcement that Plymouth would be rolling out the Marand Open-Ep solution. The knives seemed to be out for OpenEHR for unclear reasons, but on t...

Why did HL7 Version 3 fail?

With the adoption of HL7 FHIR taking baby steps across the NHS, it is worth pondering why the new standard exists in the first place. Successful interoperability can be defined as knowing what information is to be sent and received by two systems, when the transaction occurred and why the information was exchanged in the first place. This 'what', 'when' and 'why' represents a complete end to end package; defined a...

Setting Up OpenEHR on Azure

Or "Adventures in Archetyping"... No, not the 80's tale of high jinx and poor child managment starring a too young Vincent D'Onofrio. But the very real experience where you go two steps forward and one step back for a period of time, but refuse to give in. This was a bit of fun. Sort of like pulling teeth fun, but we got there in the end. I learned a lot about Azure in the process, and also that they have some helpful tech support s...

Where to blog?

I've been pondering about whether to kick off a new blog for some time. Everytime I get close, usually after installing something I then forget about it. That can't be a good sign, can it? But there is a lot to talk about these days, and I'm getting involved in some very interesting stuff working at the NHS Wales Informatics Service so I might give this a shot. So the next question is where to write? I am one of those Evernote ...

Should we trust Google with our data? Or should we trust patients to make the right choices about theirs?

The public furore over Google's DeepMind is on one level understandable; patients want to feel like they are in control and have a say in how their data is used. However, the underlying benefits of using technology to improve patient outcomes is an area where a great public service can be achieved. If you were told that the information about you could save someone's life, would you not think that were a good thing? Many of the argum...

User Stories...

So here's the thing. Do we want a smaller number of more granular stories, or numerous stories at a fine detail but concerning smaller functions? I don't know. I'll have to think about that one.